Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial
Andrea Turolla,Mauro Dam,Laura Ventura,Paolo Tonin,Michela Agostini,Carla Zucconi,Pawel Kiper,Annachiara Cagnin,Lamberto Piron +8 more
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VR rehabilitation in post-stroke patients seems more effective than conventional interventions in restoring upper limb motor impairments and motor related functional abilities.Abstract:
Recent evidence has demonstrated the efficacy of Virtual Reality (VR) for stroke rehabilitation nonetheless its benefits and limitations in large population of patients have not yet been studied. To evaluate the effectiveness of non-immersive VR treatment for the restoration of the upper limb motor function and its impact on the activities of daily living capacities in post-stroke patients. A pragmatic clinical trial was conducted among post-stroke patients admitted to our rehabilitation hospital. We enrolled 376 subjects who had a motor arm subscore on the Italian version of the National Institutes of Health Stroke Scale (It-NIHSS) between 1 and 3 and without severe neuropsychological impairments interfering with recovery. Patients were allocated to two treatments groups, receiving combined VR and upper limb conventional (ULC) therapy or ULC therapy alone. The treatment programs consisted of 2 hours of daily therapy, delivered 5 days per week, for 4 weeks. The outcome measures were the Fugl-Meyer Upper Extremity (F-M UE) and Functional Independence Measure (FIM) scales. Both treatments significantly improved F-M UE and FIM scores, but the improvement obtained with VR rehabilitation was significantly greater than that achieved with ULC therapy alone. The estimated effect size of the minimal difference between groups in F-M UE and FIM scores was 2.5 ± 0.5 (P < 0.001) pts and 3.2 ± 1.2 (P = 0.007) pts, respectively. VR rehabilitation in post-stroke patients seems more effective than conventional interventions in restoring upper limb motor impairments and motor related functional abilities. Italian Ministry of Health IRCCS Research Programme 2590412read more
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Journal ArticleDOI
Leap Motion Controller Video Game-Based Therapy for Upper Extremity Motor Recovery in Patients with Central Nervous System Diseases. A Systematic Review with Meta-Analysis.
Irene Cortés-Pérez,Noelia Zagalaz-Anula,Desirée Montoro-Cárdenas,Rafael Lomas-Vega,Esteban Obrero-Gaitán,María Catalina Osuna-Pérez +5 more
TL;DR: Leap Motion Controller (LMC) is a virtual reality device that can be used in the rehabilitation of central nervous system disease (CNSD) motor impairments as discussed by the authors, and it has been shown to improve upper extremity (UE) motor function.
Journal ArticleDOI
Head-Mounted Display-Based Therapies for Adults Post-Stroke: A Systematic Review and Meta-Analysis
TL;DR: In this article, a review of studies that evaluated the effects of immersive virtual reality (VR) therapies intended for motor function rehabilitation compared to conventional rehabilitation in people after stroke and make recommendations for future studies is presented.
Book ChapterDOI
Towards a Myoelectrically Controlled Virtual Reality Interface for Synergy-Based Stroke Rehabilitation
Denise J. Berger,Andrea d'Avella +1 more
TL;DR: A novel approach using an EMG controlled VR interface to test the synergistic organization of the neural control of arm movements in healthy subjects to open up new possibilities for rehabilitation.
Journal ArticleDOI
Virtual rehabilitation of upper extremity function and independence for stoke: a meta-analysis
Sinae Ahn,Sujin Hwang +1 more
TL;DR: The results of this study showed that VR approaches are effective in improving upper extremity function and independent activities in stroke survivors.
References
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Journal ArticleDOI
“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Book
Generalized Linear Models
Peter McCullagh,John A. Nelder +1 more
TL;DR: In this paper, a generalization of the analysis of variance is given for these models using log- likelihoods, illustrated by examples relating to four distributions; the Normal, Binomial (probit analysis, etc.), Poisson (contingency tables), and gamma (variance components).
Journal ArticleDOI
Generalized Linear Models
TL;DR: This is the rst book on generalized linear models written by authors not mostly associated with the biological sciences, and it is thoroughly enjoyable to read.
Modern Applied Statistics With S
TL;DR: The modern applied statistics with s is universally compatible with any devices to read, and is available in the digital library an online access to it is set as public so you can download it instantly.
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