Virtual Rehabilitation through Nintendo Wii in Poststroke Patients: Follow-Up

Carregosa, Adriani Andrade; Santos, Luan Rafael Aguiar dos; Masruha, Marcelo Rodrigues; Coêlho, Marília Lira da Silveira; Machado, Tácia; Souza, Daniele Costa Borges; Passos, Gustavo Luan L.; Fonseca, Erika Pedreira da; Ribeiro, Nildo Manoel da Silva; Melo, Aílton

doi:10.1016/j.jstrokecerebrovasdis.2017.09.029

Cited by 34 publications

(22 citation statements)

References 20 publications

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“…Therefore, sub-item and total score values related to the upper limb motor function by the Fugl-Meyer scale and functional capacity by the SF-36 questionnaire were sustained. This finding indicated that the therapeutic consequences would possibly remain by the pass of time [26]. Park et al has stated that game-based VR movement therapy may be helpful for upper extremity functional recovery.…”

Section: Discussionmentioning

confidence: 95%

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

et al. 2019

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Stroke is one of the main causes of disability and mortality worldwide. Most survivors experience impairments in their upper limb motor function. Methods: This experimental study was performed as a clinical trial on 30 chronic stroke patients who experienced stroke from 6 to 96 months ago. Patients were non-randomly divided into the intervention (Virtual Reality besides conventional occupational therapy) and control (conventional occupational therapy) groups. Each treatment session lasted for one hour which was divided into conducting conventional occupational therapy techniques and Virtual Reality (VR) for the intervention group, and routine techniques for the control group. The intervention effectiveness was evaluated by the Fugl-Meyer Upper Extremity Scale, Stroke Impact Scale, Chedoke Arm and Hand Activity Inventory, Motricity Index, Modified Ashworth Scale and goniometer. Results were analyzed by SPSS and one-sample Kolmogorov-Smirnov, Shapiro-Wilk test, Independent Samples t-test and Mann Whitney U test were applied to assess the normality of data and to detect significant differences between study variables. Results: The results suggested that investigated parameters such as upper limb motor function, muscle tone and the range of motion were significantly different in the intervention group, compared to control group; however, there was no significant changes in none of the group's daily living activities. Discussion: VR-based computer games in combination with routine occupational therapy interventions could improve upper extremities functional impairments in chronic stroke patients. However, it seems the mechanisms behind the effectiveness of video games and their impact on brain cortex as well as upper limbs function need to be further investigated.

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Section: Discussionmentioning

confidence: 95%

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

et al. 2019

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“…Авторы клинических исследований, завершенных в Корее [49], в которых оценивалась эффективность специализированных тренировок для нижних конечностей с биологической обратной связи по опорной реакции с использованием зрительного канала, рекомендовали эту методику как полезную составляющую в реабилитационной программе для улучшения не только функции ходьбы, но и когнитивных функций у пациентов с инсультом. Сходного мнения придерживались и другие авторы [50][51][52][53][54], оценивающие результаты использования видеоигр. В представленных пуб ликациях данные активно обсуждаются, анализируются, исследователи отмечают успехи в восстановлении равновесия у пациентов после инсульта и положительное влияние тренировок на скорость обработки информации, способность поддержания внимания, состояние рабочей памяти, что позволяет рассматривать их как важную составляющую в программах постинсультной когнитивной реабилитации.…”

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Poststroke cognitive impairment and the possibility of its nonpharmacological treatment with vestibular stimulation based on biological feedback to supporting reaction

Котов

Исакова

Зайцева

2020

Z. nevrol. psikhiatr. im. S.S. Korsakova

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ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского» (МОНИКИ), Москва, Россия Резюме Когнитивные нарушения широко распространены у пациентов после инсульта. На сегодняшний день для коррекции этих расстройств в реабилитационных программах все чаще используются подходы с применением вестибулярной стимуляции, в том числе на основе биологической обратной связи по опорной реакции. Данные исследований свидетельствуют о связи вестибулярной функции с процессами обеспечения памяти, внимания, пространственной ориентации, навигации, мысленного представления трехмерного пространства и других когнитивных функций, что дает возможность построения реабилитационных программ для пациентов с инсультом.

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“…Nesse sentido, muitos estudos incorporaram jogos sérios e RV para reabilitação do MS parético. No entanto, alguns trabalhos já publicados testaram este tipo de reabilitação apenas em experimentos piloto [18]- [22], outros usaram equipamentos robóticos, o que requer indivíduos capacitadas para implementar, espaço considerável, o que pode aumentar o custo da terapia [23], e outros verificaram o efeito desse tipo de terapia com jogos comercialmente existentes [24], [25], apresentando manutenção do quadro. Assim, este trabalho tem como intuito preencher algumas lacunas deixadas por trabalhos já realizados, e avaliar de forma quantitativa e qualitativa a eficácia desta terapia.…”

Section: Lista De Gráficosunclassified

“…No entanto, nem todos os trabalhos que aplicam esta técnica tem obtido resultados expressivos. Alguns pesquisadores adaptaram jogos comercialmente existentes às necessidades dos pacientes [24] , [25], porém os resultados obtidos não mostraram melhora em relação à reabilitação da função neuromotora, apresentaram somente manutenção do quadro, confirmando a necessidade de desenvolver e implementar jogos em ambientes significativos e direcionados à debilidade.…”

Section: Elaboração Da Terapia E Da Proposta Metodológicaunclassified

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Jogo sério e realidade virtual na reabilitação do AVC crônico: protocolo individualizado

Marques¹

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Stroke is the leading cause of disability in the world. Many individuals remain without upper limb (MS) function even six months after stroke. The function of MS directly affects the performance of activities of daily living, negatively affecting the quality of life (QOL) of these patients. Several researchers report the difficulty of restoring the motor function of paretic MS. Considering the above aspects, a new rehabilitation protocol was developed, applied and evaluated involving a user-centered serious virtual reality-based (VR) game in non-invasive and post-chronic chronic individuals. A total of 10 individuals with stroke sequelae who underwent 15 rehabilitation sessions, lasting between 30 and 40 minutes each, participated in the research. The quantitative parameters evaluated were: Modified Ashworth Scale (MAS), Tonic Stretch Reflex Threshold (TSRT), Brunnstrom Recovery Stages (BRS), Range of Motion (ROM), and Stroke-Specific Quality of Life Scale), and qualitative analysis made through a collection diary. For analysis of quantitative data we used the software R. The Shapiro-Wilk test was initially applied to identify if the samples had normal distribution. For data with normal distribution (ROM) the T test was used, and for non-normal data (LRET, EMA, BRS, QOL), the nonparametric Wilcoxon-Mann-Whitney test was used, both comparing pre and post evaluation. treatment. The results of the parameters measured for LRET, BRS, ADM and QL evaluation showed statistically significant differences between pre and post intervention evaluations, with 99% confidence. In this intervention it was observed, in general, that the offered protocol was able to reach the goal, since the results presented indicated that there was a decrease in muscle tone, increased range of motion and improved quality of life, besides , this intervention showed no adverse effect, was very motivating given the level of adherence of the participants and allowed a specific training for the upper limbs of these individuals.

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Virtual Rehabilitation through Nintendo Wii in Poststroke Patients: Follow-Up

Cited by 34 publications

References 20 publications

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

Poststroke cognitive impairment and the possibility of its nonpharmacological treatment with vestibular stimulation based on biological feedback to supporting reaction

Jogo sério e realidade virtual na reabilitação do AVC crônico: protocolo individualizado

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