Game-Based Virtual Reality System for Upper Limb Rehabilitation After Stroke in a Clinical Environment: Systematic Review and Meta-Analysis

Wang, Le; Chen, Jean-Lon; Wong, Alice May‐Kuen; Liang, Kuei-Chia; Tseng, Kevin C.

doi:10.1089/g4h.2022.0086

Cited by 18 publications

(15 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…for upper limb extremities, body function, and activity [16]. Consequently, bespoke VR systems adhere more closely to rehabilitation principles by adapting to user needs and skills, providing feedback, practicing the affected body part, and increasing difficulty [17].…”

mentioning

confidence: 99%

Virtual Reality Applications in Neurorehabilitation: Current Panorama and Challenges

et al. 2023

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Virtual Reality Applications in Neurorehabilitation: Current Panorama and Challenges

et al. 2023

View full text Add to dashboard Cite

show abstract

“…On the basis of Nintendo Wii series products, Kinect sensors, Microsoft Xbox system, and other mature somatosensory game products and research designs, there were a large number of studies (47/70, 52%) on physical activity and rehabilitation training, including patients with COPD [27,37,[65][66][67], coronary heart disease [13,59,68], diabetes [16,28,35,89], cancers [34,51], and stroke [18][19][20]30,33,44,[47][48][49]53,54,[70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85], making physical activity and rehabilitation training enjoyable.…”

Section: Physical Activity and Rehabilitation Maintainermentioning

confidence: 99%

“…The gamification of rehabilitation for survivors of stroke was one of the breakthroughs in the field of health care, with a specific focus on the rehabilitation of upper limb function (22/70, 46%). For the rehabilitation of the upper arm and shoulder joint, motion sensors were worn to record the range of motion of the shoulder and the amount of shoulder movement, so as to help health care professionals and users judge in a timely manner whether the rehabilitation action was effective [20,30,47,69,70,73,76,78,83,85].…”

Section: Physical Activity and Rehabilitation Maintainermentioning

confidence: 99%

The Use of Gamification in the Self-Management of Patients With Chronic Diseases: Scoping Review

Huang,

Xiang,

Liu

et al. 2023

JMIR Serious Games

View full text Add to dashboard Cite

Background Chronic disease self-management is a public health issue of worldwide concern, and gamification is an emerging strategy to improve patients’ participation in chronic disease self-management. Some studies have summarized designs for the gamification of chronic disease self-management from the perspective of eHealth technology, but they have not mentioned differences in design methods, functions, and evaluation methods of gamified designs for self-management in different chronic diseases. Objective This scoping review aims to synthesize the characteristics of realization forms, functions, and evaluation methods in chronic disease self-management gamification to improve self-management among the chronic disease population. Methods We applied a methodological framework for scoping reviews and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. As of January 7, 2023, we systematically searched 9 databases for relevant studies from January 2012 to December 2022. Related data were extracted based on the research questions. We calculated the frequencies, charted the quantitative data, and coded the extracted material for qualitative content analysis. Results We retrieved 16,221 records, of which 70 (0.43%) met the eligibility criteria. In the included research, the target populations for gamified designs for self-management of chronic diseases included patients with stroke, cancer, diabetes, chronic obstructive pulmonary disease, coronary heart disease, obesity, and hypertension. Almost all studies mentioned technical support for gamification (68/70, 97%), mainly in the form of active video games (58/70, 83%); however, less than half of the studies mentioned the theoretical basis for gamification (31/70, 44%). There were 37 concepts or theories relevant to gamification design, most of which were in the field of psychology or were cross-disciplinary (n=33, 89%). Gamification for the self-management of chronic diseases has been widely recognized, including for promoting physical exercise and rehabilitation training (48/99, 48%), increasing initiative for symptom management (18/99, 18%), providing psychological support (14/99, 14%), improving cognitive function (12/99, 12%), and improving medication adherence (7/99, 7%). A total of 39 studies mentioned the gamification effect; however, we did not find a unified evaluation standard. Conclusions This scoping review focuses on gamification designs for chronic disease self-management and summarizes the realization forms and functions of gamification in self-management for different patient populations. With practice in a gamified internet-based environment, patients can not only master the knowledge and skills of self-management in fascinating scenarios but also benefit from gaming experience and make better health-related decisions in real life. It is worth noting that a comprehensive evaluation of the users as well as a personalized and targeted intervention should be developed before gamification.

show abstract

“…In addition, in the cognitive domain most clinical studies focus on patients with dementia or mild cognitive impairment (MCI). The results of these studies have been addressed in several reviews and meta-analyses [13][14][15][16][17][18]. We here discuss immersive VR applications for the rehabilitation of cognitive functions by discussing randomized-controlled trials (RCTs) of patients with acquired brain injury.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality in the Rehabilitation of Cognitive Impairment after Stroke

Bourgeois

Schnider

Turri³

et al. 2023

CTN

View full text Add to dashboard Cite

Virtual reality (VR) is seen by some as a tool that may greatly improve, or even revolutionize cognitive rehabilitation. VR offers distinct advantages compared to classic rehabilitation using paper-and-pencil or computer-based training, such as immersion, the feeling of presence, embodiment of virtual players, ecological and multisensory stimulation. We here review recent clinical studies examining the effects of VR training in patients with stroke-induced cognitive deficits. Several trials reported evidence that VR training improves general cognition compared to standard cognitive training. However, the evidence remains controversial, as some of these studies had a high risk of bias. Regarding mood, there is some indication that immersive training improves depression scores in stroke patients, but the number of studies examining mood changes is very low. Finally, in the domain of spatial cognition the development of specific intervention techniques such as virtual prism adaptation provide avenues for clinical interventions, though well-controlled clinical trials are lacking. Together, the available evidence suggests that VR has the potential to improve rehabilitation particularly in domains requiring repetitive training in an immersed, ecological setting, or when a mismatch between body frames and the environment is created. Controlled clinical studies are required to examine the specific advantages of VR compared to classic interventions.

show abstract

Game-Based Virtual Reality System for Upper Limb Rehabilitation After Stroke in a Clinical Environment: Systematic Review and Meta-Analysis

Cited by 18 publications

References 46 publications

Virtual Reality Applications in Neurorehabilitation: Current Panorama and Challenges

Virtual Reality Applications in Neurorehabilitation: Current Panorama and Challenges

The Use of Gamification in the Self-Management of Patients With Chronic Diseases: Scoping Review

Virtual Reality in the Rehabilitation of Cognitive Impairment after Stroke

Contact Info

Product

Resources

About