Virtual Reality Training Improves Upper Limb Functions in Stroke Survivors

Virtual Reality Training and Upper Limb Function

Authors

  • Namal Shahzadi Ibadat International University, Islamabad, Pakistan
  • Muhammad Ashar Rafi Kulsum International Hospital, Islamabad, Pakistan
  • Komal Ishtiaq (Late) Shifa Tameer-E-Millat University, Islamabad, Pakistan
  • Naveed Ahmad District Head Quarter Hospital, Haripur, Pakistan
  • Arshad Nawaz Malik Riphah International University, Islamabad, Pakistan

DOI:

https://doi.org/10.54393/tt.v4i1.101

Keywords:

Rehabilitation, Stroke, Upper Extremity Function, Virtual Reality Training, Xbox Kinect

Abstract

Stroke survivors with upper extremity functional limitation are particularly susceptible to problems in performing independent ADLs. Virtual Reality training has a significant contribution to enhancing the independence of stroke survivors. Objective: To determine the effect of additional VR training on upper limb gross motor function, gross manual dexterity, and functional activities in hemiplegic stroke survivors. Methods: It was a single-group experimental study in which 20 participants were recruited through non-probability convenient sampling. Participants were included in the study if they had any sort of stroke (hemorrhagic or infarct), were between the ages of 30 and 70, had at least one score on the box and block test, and did not have any cognitive deficits or uncontrolled high blood pressure. The intervention was provided three days a week for a total of six weeks. Gross motor function, gross manual dexterity, and functional capacities of the upper limb were measured at baseline, 2nd, 4th and at 6th week of intervention through Fugl-Meyer Assessment, Box and Block Test, and Wolf Motor Assessment Scale respectively. Data were analyzed through within-group inferential analysis using SPSS-21 software. Results: The mean age of patients was 49.45 ± 11.02 years. The scores of the Fugl-Mayer Assessment Scale, Box and Block Test and Wolf Motor Assessment Scale were significantly improved from baseline to six weeks (p<0.05). Conclusion: This study concluded that the hemiplegic stroke survivors who received additional Virtual Reality training using Xbox Kinect showed significant improvement in Gross motor Function, Gross Manual Dexterity and Functional Abilities of the Upper Limb.

References

Feigin VL, Forouzanfar MH, Krishnamurthi R, et al.: Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. The. Lancet. 2014, 383:245-255.

Sacco RL, Adams R, Albers G, et al.: Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke: Co-Sponsored by the Council on Cardiovascular Radiology and Intervention: The American Academy of Neurology affirms the value of this guideline. Circulation. 2006, 113:409-449.

Sacco RL, Kasner SE, Broderick JP, et al.: An updated definition of stroke for the 21st century a statement for healthcare professionals from the American Heart Association/American. Stroke Association. Stroke. 2013, 44:2064-2089.

Kamal AK, Itrat A, Murtaza M, et al.: The burden of stroke and transient ischemic attack in Pakistan: a community-based prevalence study. BMC Neurology. 2009, 9:58-58. 10.1186/1471-2377-9-58

Kim K: Action observation for upper limb function after stroke: evidence-based review of randomized controlled trials. Journal of physical therapy science. 2015, 27:3315

Chanubol R, Wongphaet P, Chavanich N, Werner C, Hesse S, Bardeleben A, Merholz J: A randomized controlled trial of Cognitive Sensory Motor Training Therapy on the recovery of arm function in acute stroke patients. Clinical rehabilitation. 2012, 26:1096-1104.

Lennon S, Ashburn A: The Bobath concept in stroke rehabilitation: a focus group study of the experienced physiotherapists' perspective. Disability and rehabilitation. 2000, 22:665-674

Hatem SM, Saussez G, della Faille M, Prist V, Zhang X, Dispa D, Bleyenheuft Y: Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Frontiers in Human Neuroscience. 2016, 10:442. 10.3389/fnhum.2016.00442

Morris D, Taub E, Mark V: Constraint-induced movement therapy: characterizing the intervention protocol. Europa medicophysica. 2006, 42:257..

Ietswaart M, Johnston M, Dijkerman HC, Joice S, Scott CL, MacWalter RS, Hamilton SJ: Mental practice with motor imagery in stroke recovery: randomized controlled trial of efficacy. Brain. 2011, 77:https://doi.org/10.1093/brain/awr077.

Gao F, Wang S, Guo Y, et al.: Protective effects of repetitive transcranial magnetic stimulation in a rat model of transient cerebral ischaemia: a microPET study. European journal of nuclear medicine and molecular imaging. 2010, 37:954-961

Keshner EA: Virtual reality and physical rehabilitation: a new toy or a new research and rehabilitation tool?. Journal of NeuroEngineering and Rehabilitation. 2004, 1:1.

McComas J, Sveistrup H: Virtual Reality Applications for Prevention, Disability Awareness, and Physical Therapy Rehabilitation in Neurology: Our Recent Work. Journal of Neurologic Physical Therapy. 2002, 26:55-61

Saposnik G, Cohen LG, Mamdani M, et al.: Cohen A, Thorpe K, Laupacis A, Bayley M, for Stroke Outcomes Research C: Efficacy and safety of non-immersive virtual reality exercising in stroke rehabilitation (EVREST): a randomised, multicentre, single-blind, controlled trial. The. Lancet Neurology. 2016, 15:1019-1027. 10.1016/S1474-4422(16)30121-1

Flynn S, Palma P, Bender A: Feasibility of using the Sony PlayStation 2 gaming platform for an individual poststroke: a case report. Journal of neurologic physical therapy. 2007, 31:180-189. 10.1097/NPT.0b013e31815d00d5

Jang SH, You SH, Hallett M, et al.: Cortical reorganization and associated functional motor recovery after virtual reality in patients with chronic stroke: an experimenter-blind preliminary study. Archives of physical medicine and rehabilitation. 2005, 86:2218-2223.

da Silva Cameirão M, Bermúdez i Badia S, Duarte E, Verschure PF: Virtual reality based rehabilitation speeds up functional recovery of the upper extremities after stroke: a randomized controlled pilot study in the acute phase of stroke using the rehabilitation gaming system. Restorative neurology and neuroscience. 2011, 29:287-298. 10.3233/RNN-2011-0599

Saposnik G, Levin M, Group SORCW: Virtual reality in stroke rehabilitation. Stroke. 2011, 42:1380-1386

Laver KE, George S, Thomas S, Deutsch JE, Crotty M: Virtual reality for stroke rehabilitation. The Cochrane Library. 2015

Sin H, Lee G: Additional virtual reality training using Xbox Kinect in stroke survivors with hemiplegia. American Journal of Physical Medicine & Rehabilitation. 2013, 92:871-880. 10.1097/PHM.0b013e3182a38e40

Shin J-H, Kim M-Y, Lee J-Y, et al.: Effects of virtual reality-based rehabilitation on distal upper extremity function and health-related quality of life: a single-blinded, randomized controlled trial. Journal of NeuroEngineering and Rehabilitation. 2016, 13:17. 10.1186/s12984-016-0125-x

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Published

2023-03-31
CITATION
DOI: 10.54393/tt.v4i1.101
Published: 2023-03-31

How to Cite

Shahzadi, N. ., Ashar Rafi , M. ., Ishtiaq (Late), K. ., Ahmad, N. ., & Nawaz Malik, A. . (2023). Virtual Reality Training Improves Upper Limb Functions in Stroke Survivors: Virtual Reality Training and Upper Limb Function . THE THERAPIST (Journal of Therapies &Amp; Rehabilitation Sciences), 4(1), 21–24. https://doi.org/10.54393/tt.v4i1.101

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