Feasibility and Efficacy of a Virtual Reality Game-Based Upper Extremity Motor Function Rehabilitation Therapy in Patients with Chronic Stroke: A Pilot Study

Aguilera-Rubio, Ángela; Cuesta-Gómez, Alicia; Mallo-López, Ana; Jardón, Alberto; Oña, Edwin Daniel; Alguacil-Diego, Isabel M.

doi:10.3390/ijerph19063381

Cited by 31 publications

(31 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other findings of our study showed that telerehabilitation will increase patients' interest and motivation to perform therapeutic exercises. Aguilera-Rubio et al [ 48 ] demonstrated that motivation has an effect on motor and functional outcomes in people with orthopedic and neurological disorders. Some of studies [ 49 ] show that a lack of motivation is a barrier to physical activity and training following a disability.…”

Section: Discussionmentioning

confidence: 99%

“…Patients who use virtual environment video games are more motivated, rely more on rehabilitative exercises [50,51], enjoy treatment more, work harder to heal themselves, and ultimately have better upper limb function [19,52]. Some studies [48,53] have also shown that VR-based games can provide effective sensory feedback and place subjects in a virtual environment to watch their body's movements. On the other hand, the virtual and gaming environment should be designed in such a way that the patient has a sense of presence in a real environment.…”

Section: • Increased Patients' Interest and Motivation To Perform Reh...mentioning

confidence: 99%

See 1 more Smart Citation

Telerehabilitation for upper limb disabilities: a scoping review on functions, outcomes, and evaluation methods

et al. 2022

View full text Add to dashboard Cite

Background Upper limb (UL) disabilities have attracted worldwide attention due to the high economic costs of health care and the negative effects on the quality of life of patients with these disabilities. Telerehabilitation technologies are one of the most important ways to reduce rehabilitation costs and increase the quality of life of patients. Therefore, the aim of this study was to investigate the role of telerehabilitation in improving the health status of patients with upper limb disabilities. Methods This scoping review was conducted by searching the Web of Science, PubMed, and Scopus until July 30, 2021. We used a data extraction form with 18 fields to extract data from primary studies. The selection of articles and data extraction was made by four researchers using a data collection form based on inclusion and exclusion criteria. Disagreements were resolved through consultation with the fifth and sixth researchers.Inclusion criteria were studies published in English, studies on upper limb disability, and telerehabilitation based on any technology (synchronous telerehabilitation, asynchronous, or both). Exclusion criteria were articles that did not focus on telerehabilitation and upper limb disabilities. Also, books, book chapters, letters to the editor, and conference abstracts were also removed. Results A total of 458 articles were retrieved, and after removing irrelevant and duplicate articles, 29 articles were finally included in this review. Most telerehabilitation was performed for patients with stroke (65%). Among the 15 different services provided with telerehabilitation technologies, "Evaluation of exercises and also a musculoskeletal function of patients by the therapist","Recording of patients' rehabilitation exercises and sending them to the therapist” and "Prescribing new rehabilitation exercises by the therapist" were the most widely used services, respectively. Virtual reality technologies, smart wearables, and robots were used to provide telerehabilitation services. Among the 13 types of evaluation used for telerehabilitation systems, “Evaluation and measurement of upper limb function” was the most used evaluation in the studies. "Improvement in musculoskeletal functions”, "Increasing patients' interest and motivation to perform rehabilitation exercises", and "Increasing adherence to rehabilitation exercises and greater participation in treatment processes" were the most important outcomes, respectively. Conclusion Our findings indicate that telerehabilitation provides individuals with equitable access to rehabilitation services, improves musculoskeletal function, and empowers individuals by providing a variety of rehabilitation capabilities.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: • Increased Patients' Interest and Motivation To Perform Reh...mentioning

confidence: 99%

Telerehabilitation for upper limb disabilities: a scoping review on functions, outcomes, and evaluation methods

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Also, the actual power of this study for sample size can be another one of the strengths of the present study. In similar studies, articles have often been published before with less than 10 subjects [ 18 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

Can Early Neuromuscular Rehabilitation Protocol Improve Disability after a Hemiparetic Stroke? A Pilot Study

et al. 2022

View full text Add to dashboard Cite

Background: The impairment of limb function and disability are among the most important consequences of stroke. To date, however, little research has been done on the early rehabilitation trial (ERT) after stroke in these patients. The purpose of this study was to evaluate the impact of ERT neuromuscular protocol on motor function soon after hemiparetic stroke. The sample included twelve hemiparetic patients (54.3 ± 15.4 years old) with ischemic stroke (n = 7 control, n = 5 intervention patients). ERT was started as early as possible after stroke and included passive range of motion exercises, resistance training, assisted standing up, and active exercises of the healthy side of the body, in addition to encouraging voluntary contraction of affected limbs as much as possible. The rehabilitation was progressive and took 3 months, 6 days per week, 2–3 hours per session. Fugle-Meyer Assessment (FMA), Box and Blocks test (BBT) and Timed up and go (TUG) assessments were conducted. There was a significantly greater improvement in the intervention group compared to control: FMA lower limbs (p = 0.001), total motor function (p = 0.002), but no significant difference in FMA upper limb between groups (p = 0.51). The analysis of data related to BBT showed no significant differences between the experimental and control groups (p = 0.3). However, TUG test showed significant differences between the experimental and control groups (p = 0.004). The most important finding of this study was to spend enough time in training sessions and provide adequate rest time for each person. Our results showed that ERT was associated with improved motor function but not with the upper limbs. This provides a basis for a definitive trial.

show abstract

“…The ARAT measure has been validated in several countries [ 17 , 19 , 20 , 21 , 22 , 23 ] and translated into Spanish; however, it has been adapted only to the Hispanic American population [ 17 , 22 ]. However, some studies conducted in Spain [ 24 , 25 ] have used the version of the scale translated into Spanish, but without validation for this population.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Action Research Arm Test (ARAT) Scale in Post-Stroke Patients—Spanish Population

Fernández-Solana

Pardo-Hernández

González-Bernal

et al. 2022

IJERPH

View full text Add to dashboard Cite

The validation of measuring instruments in the field of health is a requirement before they can be used safely and reliably. The action research arm test (ARAT) tool is an instrument validated in numerous countries and languages and for different populations, and its use is widespread. The objective of this research was to determine the psychometric properties of ARAT for a sample composed of post-stroke patients. To achieve this, a psychometric analysis was performed, where internal consistency tests were carried out using Cronbach’s alpha, correlations between items and item-total and half-level tests to verify their reliability. Regarding validity, criteria validity tests were performed, taking the motor function dimension of the Fugl–Meyer scale as gold standard, and convergent validity tests were performed by correlation with the FIM–FAM, ECVI-38 and Lawton and Brody scales. The results showed very good internal consistency as well as good criterion and convergent validity. In conclusion, the ARAT can be considered a valid and reliable instrument for the evaluation of upper limb function in post-stroke patients.

show abstract

Feasibility and Efficacy of a Virtual Reality Game-Based Upper Extremity Motor Function Rehabilitation Therapy in Patients with Chronic Stroke: A Pilot Study

Cited by 31 publications

References 47 publications

Telerehabilitation for upper limb disabilities: a scoping review on functions, outcomes, and evaluation methods

Telerehabilitation for upper limb disabilities: a scoping review on functions, outcomes, and evaluation methods

Can Early Neuromuscular Rehabilitation Protocol Improve Disability after a Hemiparetic Stroke? A Pilot Study

Psychometric Properties of the Action Research Arm Test (ARAT) Scale in Post-Stroke Patients—Spanish Population

Contact Info

Product

Resources

About