Virtual Reality Therapy for Adults Post-Stroke: A Systematic Review and Meta-Analysis Exploring Virtual Environments and Commercial Games in Therapy
Keith R. Lohse,Keith R. Lohse,Courtney G. E. Hilderman,Katharine L. Cheung,Sandy K Tatla,H. F. Machiel Van der Loos +5 more
TLDR
VR rehabilitation moderately improves outcomes compared to conventional therapy in adults post-stroke and future research in this area should aim to clearly define conventional therapy, report on participation measures, consider motivational components of therapy, and investigate commercially available systems in larger RCTs.Abstract:
Background
The objective of this analysis was to systematically review the evidence for virtual reality (VR) therapy in an adult post-stroke population in both custom built virtual environments (VE) and commercially available gaming systems (CG).read more
Citations
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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.
Journal ArticleDOI
Effects of Robot-Assisted Therapy for the Upper Limb After Stroke
Janne M. Veerbeek,Anneli C. Langbroek-Amersfoort,Erwin E. H. van Wegen,Erwin E. H. van Wegen,Carel G. M. Meskers,Gert Kwakkel +5 more
TL;DR: Limited findings could be related to poor understanding of robot-induced motor learning as well as inadequate designing of RT-UL trials, by not applying an appropriate selection of stroke patients with a potential to recovery at baseline aswell as the lack of fixed timing of baseline assessments and using an insufficient treatment contrast early poststroke.
Cerebral Palsy.
TL;DR: Clinical management of children with cerebral palsy is directed towards maximizing function and participation in activities and minimizing the effects of the factors that can make the condition worse, such as epilepsy, feeding challenges, hip dislocation and scoliosis.
Journal ArticleDOI
Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review
Carl May,Amanda Cummings,Melissa Girling,Michael Bracher,Frances S. Mair,Christine M. May,Elizabeth Murray,Michelle Myall,Tim Rapley,Tracy Finch +9 more
TL;DR: NPT appears to provide researchers and practitioners with a conceptual vocabulary for rigorous studies of implementation processes, which means that analyses using NPT can effectively assist in the explanation of the success or failure of specific implementation projects.
Journal ArticleDOI
Efficacy and safety of non-immersive virtual reality exercising in stroke rehabilitation (EVREST): a randomised, multicentre, single-blind, controlled trial
Gustavo Saposnik,Gustavo Saposnik,Leonardo G. Cohen,Muhammad Mamdani,Sepideth Pooyania,Michelle Ploughman,Donna Cheung,Jennifer Shaw,Judith Hall,Peter Nord,Sean P. Dukelow,Yongchai Nilanont,Felipe de los Rios,Lisandro Olmos,Mindy F. Levin,Robert Teasell,Ashley Cohen,Kevin E. Thorpe,Andreas Laupacis,Mark Bayley +19 more
TL;DR: In patients who had a stroke within the 3 months before enrolment and had mild-to-moderate upper extremity motor impairment, non-immersive virtual reality as an add-on therapy to conventional rehabilitation was not superior to a recreational activity intervention in improving motor function, as measured by WMFT.
References
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