Virtual Reality Versus Conventional Treatment of Reaching Ability in Chronic Stroke: Clinical Feasibility Study
Identifieur interne : 002094 ( Main/Merge ); précédent : 002093; suivant : 002095Virtual Reality Versus Conventional Treatment of Reaching Ability in Chronic Stroke: Clinical Feasibility Study
Auteurs : Mindy F. Levin [Canada] ; Osnat Snir [Israël] ; Dario G. Liebermann [Israël] ; Harold Weingarden [Israël] ; Patrice L. Weiss [Israël]Source :
- Neurology and Therapy [ 2193-8253 ] ; 2012.
Abstract
The objective of this study was to evaluate the potential of exercises performed in a 2D video-capture virtual reality (VR) training environment to improve upper limb motor ability in stroke patients compared to those performed in conventional therapy.
A small sample randomized control trial, in an outpatient rehabilitation center with 12 patients with chronic stroke, aged 33–80 years, who were randomly allocated to video-capture VR therapy and conventional therapy groups. All patients participated in four clinical evaluation sessions (pre-test 1, pre-test 2, post-test, follow-up) and nine 45-minute intervention sessions over a 3-week period. Main outcomes assessed were Body Structure and Function (impairment: Fugl–Meyer Assessment [FMA]; Composite Spasticity Index [CSI]; Reaching Performance Scale for Stroke), Activity (Box and Blocks; Wolf Motor Function Test [WMFT]), and Participation (Motor Activity Log) levels of the International Classification of Functioning.
Improvements occurred in both groups, but more patients in the VR group improved upper limb clinical impairment (FMA, CSI) and activity scores (WMFT) and improvements occurred earlier. Patients in the VR group also reported satisfaction with the novel treatment.
The modest advantage of VR over conventional training supports further investigation of the effect of video-capture VR or VR combined with conventional therapy in larger-scale randomized, more intense controlled studies.
Url:
DOI: 10.1007/s40120-012-0003-9
PubMed: 26000209
PubMed Central: 4389038
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Levin</name><affiliation><nlm:aff id="Aff1">School of Physical and Occupational Therapy, Faculty of Medicine, 3654 Promenade Sir William Osler, Montreal, QC H3G 1Y5 Canada</nlm:aff><wicri:noCountry code="subfield">QC H3G 1Y5 Canada</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Center for Interdisciplinary Research in Rehabilitation, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Center for Interdisciplinary Research in Rehabilitation, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Snir, Osnat" sort="Snir, Osnat" uniqKey="Snir O" first="Osnat" last="Snir">Osnat Snir</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Haifa, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Haifa</wicri:regionArea><wicri:noRegion>Haifa</wicri:noRegion></affiliation></author><author><name sortKey="Liebermann, Dario G" sort="Liebermann, Dario G" uniqKey="Liebermann D" first="Dario G." last="Liebermann">Dario G. 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Levin</name><affiliation><nlm:aff id="Aff1">School of Physical and Occupational Therapy, Faculty of Medicine, 3654 Promenade Sir William Osler, Montreal, QC H3G 1Y5 Canada</nlm:aff><wicri:noCountry code="subfield">QC H3G 1Y5 Canada</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Center for Interdisciplinary Research in Rehabilitation, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Center for Interdisciplinary Research in Rehabilitation, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Snir, Osnat" sort="Snir, Osnat" uniqKey="Snir O" first="Osnat" last="Snir">Osnat Snir</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Haifa, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Haifa</wicri:regionArea><wicri:noRegion>Haifa</wicri:noRegion></affiliation></author><author><name sortKey="Liebermann, Dario G" sort="Liebermann, Dario G" uniqKey="Liebermann D" first="Dario G." last="Liebermann">Dario G. Liebermann</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Weingarden, Harold" sort="Weingarden, Harold" uniqKey="Weingarden H" first="Harold" last="Weingarden">Harold Weingarden</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Neurological Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Neurological Rehabilitation, Sheba Medical Center, Tel Hashomer</wicri:regionArea><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation></author><author><name sortKey="Weiss, Patrice L" sort="Weiss, Patrice L" uniqKey="Weiss P" first="Patrice L." last="Weiss">Patrice L. Weiss</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa</wicri:regionArea><wicri:noRegion>Haifa</wicri:noRegion></affiliation></author></analytic><series><title level="j">Neurology and Therapy</title><idno type="ISSN">2193-8253</idno><idno type="eISSN">2193-6536</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>The objective of this study was to evaluate the potential of exercises performed in a 2D video-capture virtual reality (VR) training environment to improve upper limb motor ability in stroke patients compared to those performed in conventional therapy.</p></sec><sec><title>Methods</title><p>A small sample randomized control trial, in an outpatient rehabilitation center with 12 patients with chronic stroke, aged 33–80 years, who were randomly allocated to video-capture VR therapy and conventional therapy groups. All patients participated in four clinical evaluation sessions (pre-test 1, pre-test 2, post-test, follow-up) and nine 45-minute intervention sessions over a 3-week period. Main outcomes assessed were Body Structure and Function (impairment: Fugl–Meyer Assessment [FMA]; Composite Spasticity Index [CSI]; Reaching Performance Scale for Stroke), Activity (Box and Blocks; Wolf Motor Function Test [WMFT]), and Participation (Motor Activity Log) levels of the International Classification of Functioning.</p></sec><sec><title>Results</title><p>Improvements occurred in both groups, but more patients in the VR group improved upper limb clinical impairment (FMA, CSI) and activity scores (WMFT) and improvements occurred earlier. Patients in the VR group also reported satisfaction with the novel treatment.</p></sec><sec><title>Conclusions</title><p>The modest advantage of VR over conventional training supports further investigation of the effect of video-capture VR or VR combined with conventional therapy in larger-scale randomized, more intense controlled studies.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kwakkel, G" uniqKey="Kwakkel G">G Kwakkel</name></author><author><name sortKey="Kollen, Bj" uniqKey="Kollen B">BJ Kollen</name></author><author><name sortKey="Van Der Grond, J" uniqKey="Van Der Grond J">J van der Grond</name></author><author><name sortKey="Prevo, Aj" uniqKey="Prevo A">AJ Prevo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayo, Ne" uniqKey="Mayo N">NE Mayo</name></author><author><name sortKey="Wood Dauphinee, S" uniqKey="Wood Dauphinee S">S Wood-Dauphinee</name></author><author><name 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sortKey="Mastropieri, Ma" uniqKey="Mastropieri M">MA Mastropieri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, Jm" uniqKey="Campbell J">JM Campbell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bingham, Gp" uniqKey="Bingham G">GP Bingham</name></author><author><name sortKey="Pagano, C" uniqKey="Pagano C">C Pagano</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Levin, Mf" uniqKey="Levin M">MF Levin</name></author><author><name sortKey="Kleim, Jf" uniqKey="Kleim J">JF Kleim</name></author><author><name sortKey="Wolf, S" uniqKey="Wolf S">S Wolf</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Subramanian, Sk" uniqKey="Subramanian S">SK Subramanian</name></author><author><name sortKey="Massie, Cl" uniqKey="Massie C">CL Massie</name></author><author><name sortKey="Malcolm, Mp" uniqKey="Malcolm M">MP Malcolm</name></author><author><name sortKey="Levin, Mf" uniqKey="Levin M">MF Levin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Grezes, J" uniqKey="Grezes J">J Grezes</name></author><author><name sortKey="Decety, J" uniqKey="Decety J">J Decety</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anquetil, T" uniqKey="Anquetil T">T Anquetil</name></author><author><name sortKey="Jeannerod, M" uniqKey="Jeannerod M">M Jeannerod</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Newport, R" uniqKey="Newport R">R Newport</name></author><author><name sortKey="Brown, L" uniqKey="Brown L">L Brown</name></author><author><name sortKey="Husain, M" uniqKey="Husain M">M Husain</name></author><author><name sortKey="Mort, D" uniqKey="Mort D">D Mort</name></author><author><name sortKey="Jackson, Sr" uniqKey="Jackson S">SR 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