Exercises for paretic upper limb after stroke: A combined virtual-reality and telemedicine approach

Piron, Lamberto; Turolla, Andrea; Agostini, Michela; Zucconi, Carla; Cortese, Feliciana; Zampolini, Mauro; Zannini, Mara; Dam, Mauro; Ventura, Laura; Battauz, Michela; Tonin, Paolo

doi:10.2340/16501977-0459

Cited by 234 publications

(220 citation statements)

References 20 publications

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“…The improvement in the motor recovery of upper limb was observed in patients here are congruent with other studies, such as in the measurements of Fugl-Meyer Scale (13), (23), (27,28), in the Box and Blocks Test (22), (27), and in the active ROM shoulder (29). Piron et al (28) used the VR to recuperate the upper limb in hemiparetic Stroke patients.…”

Section: Discussionsupporting

confidence: 79%

“…According to some studies the VR is a potential induction resource of neuroplastic mechanisms to explain the improvement in patients survivors of Stroke (7), (21,22,23,24,25,26,27,28). The researches indicate the possible mechanisms as being: the regression of the perilesional inhibition (reversion of the ischemic penumbra), intracortical disinhibition with a greater activation of the contralateral motor cortex to the lesion and the activation of neuronal mirror populations (7), (23).…”

Section: Discussionmentioning

confidence: 99%

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The use of Virtual Reality for upper limb rehabilitation of hemiparetic Stroke patients

Soares¹,

Woellner²,

Andrade³

et al. 2014

Fisioter. mov.

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Introduction:The Stroke is a neurologic disturbs that leads to a serious impact to the functionality and the quality of life of the survivors. It is necessary to develop new tools with rehabilitation objectives, where the Virtual Reality (VR) is introduced as a useful therapeutic resource to the motor recovery, in an attractive and efficient way, restoring functions through adapted games. Objective: Analyzing the therapeutic effects of the Virtual Reality (Serious Game) in the recovery of the upper limb in hemiparetic Stroke patients. Methods: Quasi-experimental research type time series, there are three pre and three post-tests already accomplished around 20 VR sessions. In the assessments the following measurement instruments were used: Fugl-Meyer Scale -session of the upper limb (FMS -UL); Range of Motion (ROM) for flexion and abduction shoulder; Box and Block Test (BBT); Nine Holes and Peg Test (9HPT); the Nottingham Health Profile (NHP); and the Modified Ashworth Scale (MAS). Results: Significant gains were observed in the FMS-UL tests, with

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

The use of Virtual Reality for upper limb rehabilitation of hemiparetic Stroke patients

Soares¹,

Woellner²,

Andrade³

et al. 2014

Fisioter. mov.

View full text Add to dashboard Cite

show abstract

“…To date, no study has provided a virtual reality-based intervention over prolonged periods of time in a home-based setting for participants to use at their discretion (thereby exploring the premise that virtual-reality game play enhances motivation and thus practice), whereby, arguably, the novelty of playing may wane and use of the technology slowly diminish. Piron et al have investigated a combination of virtual reality and telerehabilitation in the home environment, but participants were restricted in this study to playing 1 hour a day, 5 days a week for 1 month [30]. Exploring the novelty factor in enhancing motivation to practice movement is a possible next step in investigating this type of intervention.…”

Section: Discussionmentioning

confidence: 99%

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Hale

Satherley

McMillan

et al. 2012

JRRD

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Abstract-This article reports on the perceptions of 14 adults with chronic stroke who participated in a pilot study to determine the utility, acceptability, and potential efficacy of using an adapted CyWee Z handheld game controller to play a variety of computer games aimed at improving upper-limb function. Four qualitative in-depth interviews and two focus groups explored participant perceptions. Data were thematically analyzed with the general inductive approach. Participants enjoyed playing the computer games with the technology. The perceived benefits included improved upper-limb function, concentration, and balance; however, six participants reported shoulder and/or arm pain or discomfort, which presented while they were engaged in play but appeared to ease during rest. Participants suggested changes to the games and provided opinions on the use of computer games in rehabilitation. Using an adapted CyWee Z controller and computer games in upper-limb rehabilitation for people with chronic stroke is an acceptable and potentially beneficial adjunct to rehabilitation. The development of shoulder pain was a negative side effect for some participants and requires further investigation.

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“…VR applications are frequently used in different disease groups for this purpose. VR applications are used in a variety of areas, such as neurological, orthopedic, cognitive function, sensory-perceptual and mental health disorders in basic/instrumental daily life activities [13][14][15][16]. Following sections will include these areas.…”

Section: Virtual Realitymentioning

confidence: 99%

Virtual Reality and Occupational Therapy

Aran¹,

Şahın²,

Torpil³

et al. 2017

Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation

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Virtual reality is three dimensional, interactive and fun way in rehabilitation. Its irst known use in rehabilitation published by Max North named as "Virtual Environments and Psychological Disorders" (1994). Virtual reality uses special programmed computers, visual devices and artiicial environments for the clients' rehabilitation. Throughout technological improvements, virtual reality devices changed from therapeutic gloves to augmented reality environments. Virtual reality was being used in diferent rehabilitation professions such as occupational therapy, physical therapy, psychology and so on. In spite of common virtual reality approach of diferent professions, each profession aims diferent outcomes in rehabilitation. Virtual reality in occupational therapy generally focuses on hand and upper extremity functioning, cognitive rehabilitation, mental disorders, etc. Positive efects of virtual reality were mentioned in diferent studies, which are higher motivation than non-simulated environments, active participation of the participants, supporting motor learning, fun environment and risk-free environment. Additionally, virtual reality was told to be used as assessment. This chapter will focus on usage of virtual reality in occupational therapy, history and recent developments, types of virtual reality technologic equipment, pros and cons, usage for pediatric, adult and geriatric people and recent research and articles.

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Exercises for paretic upper limb after stroke: A combined virtual-reality and telemedicine approach

Abstract: Both strategies were effective, but the experimental approach induced better outcomes in motor performance. These results may favour early discharge from hospital sustained by a telerehabilitation programme, with potential beneficial effects on the use of available resources.

Cited by 234 publications

References 20 publications

The use of Virtual Reality for upper limb rehabilitation of hemiparetic Stroke patients

The use of Virtual Reality for upper limb rehabilitation of hemiparetic Stroke patients

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Virtual Reality and Occupational Therapy

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