Virtual rehabilitation of upper extremity function and independence for stoke: a meta-analysis

Ahn, Si-Nae

doi:10.12965/jer.1938174.087

Cited by 36 publications

(19 citation statements)

References 47 publications

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“…For people with ABI Saywell [ 61 ] identified a medium and significant effect of VR but with low quality of evidence for independence outcome. For people who had had a stroke two reviews [ 30 , 63 ] identified small and large effects in favour of VR on activities of daily living, but with very low and low quality of evidence. Reported heterogeneity was low.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, results offer support in favour of customized VR systems compared to commercially available VR systems (e.g., Nintendo Wii, Microsoft Kinect), especially for upper limb extremity, body function and activity. Bespoke VR systems are more likely to follow rehabilitation principles compared to commercial VR by adjusting to user needs and abilities, supporting feedback, task-specific practice and usage of affected limb, and increasing difficulty [ 10 , 30 , 31 ]. Research using these environments is also more likely to design and conduct usability evaluations with users to select the type of tasks and activities to reach specific rehabilitation goals [ 73 , 74 ].…”

Section: Discussionmentioning

confidence: 99%

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Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses

Voinescu

Sui

Fraser

2021

JCM

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Neurological disorders are a leading cause of death and disability worldwide. Can virtual reality (VR) based intervention, a novel technology-driven change of paradigm in rehabilitation, reduce impairments, activity limitations, and participation restrictions? This question is directly addressed here for the first time using an umbrella review that assessed the effectiveness and quality of evidence of VR interventions in the physical and cognitive rehabilitation of patients with stroke, traumatic brain injury and cerebral palsy, identified factors that can enhance rehabilitation outcomes and addressed safety concerns. Forty-one meta-analyses were included. The data synthesis found mostly low- or very low-quality evidence that supports the effectiveness of VR interventions. Only a limited number of comparisons were rated as having moderate and high quality of evidence, but overall, results highlight potential benefits of VR for improving the ambulation function of children with cerebral palsy, mobility, balance, upper limb function, and body structure/function and activity of people with stroke, and upper limb function of people with acquired brain injury. Customization of VR systems is one important factor linked with improved outcomes. Most studies do not address safety concerns, as only nine reviews reported adverse effects. The results provide critical recommendations for the design and implementation of future VR programs, trials and systematic reviews, including the need for high quality randomized controlled trials to test principles and mechanisms, in primary studies and in meta-analyses, in order to formulate evidence-based guidelines for designing VR-based rehabilitation interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses

Voinescu

Sui

Fraser

2021

JCM

View full text Add to dashboard Cite

show abstract

“…Such applications for patient care include the treatment of acute and chronic pain [14,15,16,17,18], specific phobias [19,20], and post-traumatic stress disorder [20,21]. Among several other applications, VR has been successfully used in cognitive and physical rehabilitation after stroke [22,23] and traumatic brain injury [24].…”

Section: Introductionmentioning

confidence: 99%

Agreement Analysis between Vive and Vicon Systems to Monitor Lumbar Postural Changes

Veen

Bordeleau

Pidcoe

et al. 2019

Sensors

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Immersive virtual reality has recently developed into a readily available system that allows for full-body tracking. Can this affordable system be used for component tracking to advance or replace expensive kinematic systems for motion analysis in the clinic? The aim of this study was to assess the accuracy of position and orientation measures from Vive wireless body trackers when compared to Vicon optoelectronic tracked markers attached to (1) a robot simulating trunk flexion and rotation by repeatedly moving to know locations, and (2) healthy adults playing virtual reality games necessitating significant trunk displacements. The comparison of both systems showed component tracking with Vive trackers is accurate within 0.68 ± 0.32 cm translationally and 1.64 ± 0.18° rotationally when compared with a three-dimensional motion capture system. No significant differences between Vive trackers and Vicon systems were found suggesting the Vive wireless sensors can be used to accurately track joint motion for clinical and research data.

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“…The use of VR technology in rehabilitation derives from research in computational neuroscience involving motor learning mechanisms [10]. VR provides real-time visual feedback for movements, thereby increasing engagement in enjoyable rehabilitation tasks [11].…”

Section: Introductionmentioning

confidence: 99%

Non-Immersive Virtual Reality for Rehabilitation of the Older People: A Systematic Review into Efficacy and Effectiveness

Bevilacqua

Maranesi

Riccardi

et al. 2019

JCM

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Objective: the objective of this review is to analyze the advances in the field of rehabilitation through virtual reality, while taking into account non-immersive systems, as evidence have them shown to be highly accepted by older people, due to the lowest “cibersikness” symptomatology. Data sources: a systematic review of the literature was conducted in June 2019. The data were collected from Cochrane, Embase, Scopus, and PubMed databases, analyzing manuscripts and articles of the last 10 years. Study selection: we only included randomized controlled trials written in English aimed to study the use of the virtual reality in rehabilitation. We selected 10 studies, which were characterized by clinical heterogeneity. Data extraction: quality evaluation was performed based on the Physioterapy Evidence Database (PEDro) scale, suggested for evidence based review of stroke rehabilitation. Of 10 studies considered, eight were randomized controlled trials and the PEDro score ranged from four to a maximum of nine. Data synthesis: VR (Virtual Reality) creates artificial environments with the possibility of a patient interaction. This kind of experience leads to the development of cognitive and motor abilities, which usually positively affect the emotional state of the patient, increasing collaboration and compliance. Some recent studies have suggested that rehabilitation treatment interventions might be useful and effective in treating motor and cognitive symptoms in different neurological disorders, including traumatic brain injury, multiple sclerosis, and progressive supranuclear palsy. Conclusions: as it is shown by the numerous studies in the field, the application of VR has a positive impact on the rehabilitation of the most predominant geriatric syndromes. The level of realism of the virtual stimuli seems to have a crucial role in the training of cognitive abilities. Future research needs to improve study design by including larger samples, longitudinal designs, long term follow-ups, and different outcome measures, including functional and quality of life indexes, to better evaluate the clinical impact of this promising technology in healthy old subjects and in neurological patients.

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Virtual rehabilitation of upper extremity function and independence for stoke: a meta-analysis

Cited by 36 publications

References 47 publications

Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses

Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses

Agreement Analysis between Vive and Vicon Systems to Monitor Lumbar Postural Changes

Non-Immersive Virtual Reality for Rehabilitation of the Older People: A Systematic Review into Efficacy and Effectiveness

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