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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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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Virtual reality for stroke rehabilitation
TL;DR: Evidence that the use of virtual reality and interactive video gaming was not more beneficial than conventional therapy approaches in improving upper limb function is found and the evidence remains mostly low quality when rated using the GRADE system.
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Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery.
Samar Hatem,Samar Hatem,Geoffroy Saussez,Margaux M. della Faille,Vincent Prist,Xue X. Zhang,Delphine Dispa,Delphine Dispa,Yannick Bleyenheuft +8 more
TL;DR: This multiple systematic review focuses both on standard treatment methods and on innovating rehabilitation techniques used to promote upper extremity motor function in stroke patients to achieve the maximal motor function recovery for each patient.
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Effects of virtual reality-based rehabilitation on distal upper extremity function and health-related quality of life: a single-blinded, randomized controlled trial
Joon-Ho Shin,Mi-Young Kim,Ji-Yeong Lee,Yu-Jin Jeon,Suyoung Kim,Soobin Lee,Beomjoo Seo,Younggeun Choi +7 more
TL;DR: VR-based rehabilitation combined with standard occupational therapy might be more effective than amount-matched conventional rehabilitation for improving distal upper extremity function and HRQoL.
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Computational neurorehabilitation: modeling plasticity and learning to predict recovery.
David J. Reinkensmeyer,Etienne Burdet,Maura Casadio,John W. Krakauer,Gert Kwakkel,Catherine E. Lang,Stephan P. Swinnen,Nick S. Ward,Nicolas Schweighofer +8 more
TL;DR: It is argued that a fundamental understanding of neurologic recovery will be facilitated by developing computational models of the salient neural processes, including plasticity and learning systems of the brain, and integrating them into a context specific to rehabilitation.
References
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Journal ArticleDOI
Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): a randomised placebo-controlled trial
François Chollet,J. Tardy,Jean-François Albucher,Claire Thalamas,Emilie Bérard,Catherine Lamy,Yannick Béjot,Sandrine Deltour,Assia Jaillard,Philippe Niclot,Benoit Guillon,Thierry Moulin,Philippe Marque,Philippe Marque,Philippe Marque,Jérémie Pariente,Catherine Arnaud,Isabelle Loubinoux,Isabelle Loubinoux,Isabelle Loubinoux +19 more
TL;DR: In patients with ischaemic stroke and moderate to severe motor deficit, the early prescription of fluoxetine with physiotherapy enhanced motor recovery after 3 months.
Reference EntryDOI
Virtual reality for stroke rehabilitation (review)
TL;DR: Limited evidence is found that the use of virtual reality and interactive video gaming may be beneficial in improving arm function and ADL function when compared with the same dose of conventional therapy.
Journal ArticleDOI
Electromechanical and robot‐assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke
TL;DR: Randomised controlled trials comparing electromechanical and robot-assisted arm training for recovery of arm function with other rehabilitation or placebo interventions, or no treatment, for people after stroke are compared.
Journal ArticleDOI
Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery.
TL;DR: The current evidence on the effectiveness of using virtual reality in the rehabilitation of the UL in patients with stroke is limited but sufficiently encouraging to justify additional clinical trials in this population.
Journal ArticleDOI
Subarachnoid and intracerebral hemorrhage: natural history, prognosis, and precursive factors in the Framingham Study.
Ralph L. Sacco,Philip A. Wolf,N. E. Bharucha,S. L. Meeks,William B. Kannel,L. J. Charette,Patricia M. McNamara,E. P. Palmer,Ralph B. D'Agostino +8 more
TL;DR: No uniformly accepted hypothesis explains the genesis and rupture of intracranial aneurysms, but smoking, particularly heavy smoking, was also more frequent among cases.
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