Video Game-Based Therapy on Balance and Gait of Patients with Stroke: A Systematic Review

Pintado-Izquierdo, Silvia; Cano‐de‐la‐Cuerda, Roberto; Ortiz-Gutiérrez, Rosa María

doi:10.3390/app10186426

Cited by 8 publications

(9 citation statements)

References 53 publications

(282 reference statements)

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“…As the outcomes from our research show that both types of interventions have positive and significant results on LE functionality and motor function, it seems that VR therapy associated with MT has better outcomes on ROM, muscle strength and balance. As it was found in previous research, conventional physiotherapy and commercial video-gaming VR exercise improve gait and balance, a rehabilitation VR system, and an adequate protocol can also achieve promising results on LE rehabilitation after stroke [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Miclăuş

Roman

Henter

et al. 2021

IJERPH

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More innovative technologies are used worldwide in patient’s rehabilitation after stroke, as it represents a significant cause of disability. The majority of the studies use a single type of therapy in therapeutic protocols. We aimed to identify if the association of virtual reality (VR) therapy and mirror therapy (MT) exercises have better outcomes in lower extremity rehabilitation in post-stroke patients compared to standard physiotherapy. Fifty-nine inpatients from 76 initially identified were included in the research. One experimental group (n = 31) received VR therapy and MT, while the control group (n = 28) received standard physiotherapy. Each group performed seventy minutes of therapy per day for ten days. Statistical analysis was performed with nonparametric tests. Wilcoxon Signed-Rank test showed that both groups registered significant differences between pre-and post-therapy clinical status for the range of motion and muscle strength (p < 0.001 and Cohen’s d between 0.324 and 0.645). Motor Fugl Meyer Lower Extremity Assessment also suggested significant differences pre-and post-therapy for both groups (p < 0.05 and Cohen’s d 0.254 for the control group and 0.685 for the experimental group). Mann-Whitney results suggested that VR and MT as a therapeutic intervention have better outcomes than standard physiotherapy in range of motion (p < 0.05, Cohen’s d 0.693), muscle strength (p < 0.05, Cohen’s d 0.924), lower extremity functionality (p < 0.05, Cohen’s d 0.984) and postural balance (p < 0.05, Cohen’s d 0.936). Our research suggests that VR therapy associated with MT may successfully substitute classic physiotherapy in lower extremity rehabilitation after stroke.

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Section: Discussionmentioning

confidence: 99%

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Miclăuş

Roman

Henter

et al. 2021

IJERPH

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“…Innovative brain-computer interfaces assist clinical applications of VR by allowing a direct effect on the electric activity caused by different cortical areas of the brain to ensure efficient control of connected gaming devices. Healthy people may use VR as a storytelling tool to rewrite their own stories as part of an integrative process of self-improvement and personal growth [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Training Using Nintendo Wii Games for Patients With Stroke: Randomized Controlled Trial

Anwar¹,

Karimi²,

Ahmad³

et al. 2022

JMIR Serious Games

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Background Stroke is a leading cause of disability. It is difficult to devise an optimal rehabilitation plan once stroke survivors are back home. Conventional rehabilitative therapies are extensively used in patients with stroke to recover motor functioning and disability, but these are arduous and expensive. Virtual reality (VR) video games inspire patients to get involved in their therapeutic exercise routine in a fun way. VR in the form of games provides a fruitful, secure, and challenging learning environment for motor control and neural plasticity development in rehabilitation. The effects of upper limb sensorimotor functioning and balance are the main focus of this trial. Objective The aim of this study is to compare the effects of VR training and routine physical therapy on balance and upper extremity sensorimotor function in patients with stroke. Methods It was a single assessor-blinded randomized clinical trial. A total of 74 participants with their first chronic stroke were included and rehabilitated in a clinical setting. The lottery method was used to randomly assign patients to either the VR group (n=37) or the routine physical therapy group (n=37). The VR group received a 1-hour session of VR training for 3 weekdays over 6 weeks, and the routine physical therapy group received different stretching and strengthening exercises. The outcome measuring tools were the Berg Balance Scale for balance and the Fugl-Meyer Assessment (upper extremity) scale for sensorimotor, joint pain, and range assessment. The assessment was done at the start of treatment and after the 6 weeks of intervention. Data analysis was done using SPSS 22. Results The trial was completed by 68 patients. A significant difference between the two groups was found in the Berg Balance Scale score (P<.001), Fugl-Meyer Assessment for motor function (P=.03), and Fugl-Meyer Assessment for joint pain and joint range (P<.001); however, no significant difference (P=.19) in the Fugl-Meyer Assessment for upper extremity sensation was noted. Conclusions VR training is helpful for improving balance and function of the upper extremities in the routine life of patients with stroke; although, it was not found to be better than conventional training in improving upper limb sensation. VR training can be a better option in a rehabilitation plan designed to increase functional capability. Trial Registration Iranian Registry of Clinical Trials RCT20190715044216N1; https://www.irct.ir/user/trial/40898/view

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“…MCSs were not developed for use in educational research. One of the most frequently mentioned research fields is medicine (e.g., [22][23][24][25]). Here, MCSs are used in two major First, we distinguish between optical and nonoptical systems.…”

Section: Previous Research Using Motion Capture Systems In Educationa...mentioning

confidence: 99%

“…For example, Dang et al [28] used MC in palliative medicine, developing a motioncapture-based avatar for a life review investigation for patients with cancer. Within the field of medicine, MCSs are also used specifically for the rehabilitation of patients with different diseases such as autism, restrictions of the upper limb system, or stroke [19,24,25].…”

Section: Previous Research Using Motion Capture Systems In Educationa...mentioning

confidence: 99%

Motion Capture Systems and Their Use in Educational Research: Insights from a Systematic Literature Review

Reuter

2023

Education Sciences

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Motion capture is gaining significance in educational research. Different motion capture systems (MCSs) are used in educational research for different purposes and in different ways, which creates a diversity that is difficult to monitor. The aim of this article is to provide an overview of MCSs and their uses in educational research addressing primary and secondary school education. We conducted a systematic review focusing on the types of MCSs and the concrete systems being used, looking at how they are used, the purposes of their use, the aims and the research questions under investigation, the subjects/topics addressed in the studies, the locations/places of use, the potential benefits of using MCSs perceived by the researchers, and the underlying theories of movement. Based on n = 20 studies focusing on primary and secondary school education identified in our database search, we found that these studies mainly used optical MCSs. Furthermore, we identified three main purposes of their use: to directly support the learning process of students, as analysis tools, or for developing tutoring systems that support students in their learning. This paper gives insights into the use of MCSs in educational research and provides a springboard for further research using MCSs in educational research.

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Video Game-Based Therapy on Balance and Gait of Patients with Stroke: A Systematic Review

Cited by 8 publications

References 53 publications

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Virtual Reality Training Using Nintendo Wii Games for Patients With Stroke: Randomized Controlled Trial

Motion Capture Systems and Their Use in Educational Research: Insights from a Systematic Literature Review

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