The use of virtual reality-based therapy to augment poststroke upper limb recovery
Identifieur interne : 000052 ( Pmc/Curation ); précédent : 000051; suivant : 000053The use of virtual reality-based therapy to augment poststroke upper limb recovery
Auteurs : Geoffrey S. Samuel [Singapour] ; Min Choo [Singapour] ; Wai Yin Chan [Singapour] ; Stanley Kok [Singapour] ; Yee Sien Ng [Singapour]Source :
- Singapore Medical Journal [ 0037-5675 ] ; 2015.
Abstract
Stroke remains one of the major causes of disability worldwide. This case report illustrates the complementary use of biomechanical and kinematic in-game markers, in addition to standard clinical outcomes, to comprehensively assess and track a patient’s disabilities. A 65-year-old patient was admitted for right-sided weakness and clinically diagnosed with acute ischaemic stroke. She participated in a short trial of standard stroke occupational therapy and physiotherapy with additional daily virtual reality (VR)-based therapy. Outcomes were tracked using kinematic data and conventional clinical assessments. Her Functional Independence Measure score improved from 87 to 113 and Fugl-Meyer motor score improved from 56 to 62, denoting clinically significant improvement. Corresponding kinematic analysis revealed improved hand path ratios and a decrease in velocity peaks. Further research is being undertaken to elucidate the optimal type, timing, setting and duration of VR-based therapy, as well as the use of neuropharmacological adjuncts.
Url:
DOI: 10.11622/smedj.2015117
PubMed: 26243983
PubMed Central: 4520926
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Samuel</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Rehabilitation Medicine, Singapore General Hospital, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Rehabilitation Medicine, Singapore General Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Choo, Min" sort="Choo, Min" uniqKey="Choo M" first="Min" last="Choo">Min Choo</name><affiliation wicri:level="1"><nlm:aff id="aff2">Duke-NUS Graduate Medical School, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Duke-NUS Graduate Medical School</wicri:regionArea></affiliation></author><author><name sortKey="Chan, Wai Yin" sort="Chan, Wai Yin" uniqKey="Chan W" first="Wai Yin" last="Chan">Wai Yin Chan</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Occupational Therapy, Singapore General Hospital, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Occupational Therapy, Singapore General Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Kok, Stanley" sort="Kok, Stanley" uniqKey="Kok S" first="Stanley" last="Kok">Stanley Kok</name><affiliation wicri:level="1"><nlm:aff id="aff4">Pillar of Information Systems Technology and Design Department, Singapore University of Technology and Design, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Pillar of Information Systems Technology and Design Department, Singapore University of Technology and Design</wicri:regionArea></affiliation></author><author><name sortKey="Ng, Yee Sien" sort="Ng, Yee Sien" uniqKey="Ng Y" first="Yee Sien" last="Ng">Yee Sien Ng</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Rehabilitation Medicine, Singapore General Hospital, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Rehabilitation Medicine, Singapore General Hospital</wicri:regionArea></affiliation></author></analytic><series><title level="j">Singapore Medical Journal</title><idno type="ISSN">0037-5675</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Stroke remains one of the major causes of disability worldwide. This case report illustrates the complementary use of biomechanical and kinematic in-game markers, in addition to standard clinical outcomes, to comprehensively assess and track a patient’s disabilities. A 65-year-old patient was admitted for right-sided weakness and clinically diagnosed with acute ischaemic stroke. She participated in a short trial of standard stroke occupational therapy and physiotherapy with additional daily virtual reality (VR)-based therapy. Outcomes were tracked using kinematic data and conventional clinical assessments. Her Functional Independence Measure score improved from 87 to 113 and Fugl-Meyer motor score improved from 56 to 62, denoting clinically significant improvement. Corresponding kinematic analysis revealed improved hand path ratios and a decrease in velocity peaks. Further research is being undertaken to elucidate the optimal type, timing, setting and duration of VR-based therapy, as well as the use of neuropharmacological adjuncts.</p></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Singapore Med J</journal-id><journal-id journal-id-type="iso-abbrev">Singapore Med J</journal-id><journal-id journal-id-type="publisher-id">SMJ</journal-id><journal-title-group><journal-title>Singapore Medical Journal</journal-title></journal-title-group><issn pub-type="ppub">0037-5675</issn><publisher><publisher-name>Singapore Medical Association</publisher-name><publisher-loc>Singapore</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26243983</article-id><article-id pub-id-type="pmc">4520926</article-id><article-id pub-id-type="publisher-id">SMJ-56-e127</article-id><article-id pub-id-type="doi">10.11622/smedj.2015117</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>The use of virtual reality-based therapy to augment poststroke upper limb recovery</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Samuel</surname><given-names>Geoffrey S</given-names></name><degrees>MBBS, MRCP</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Choo</surname><given-names>Min</given-names></name><degrees>BEng, MSc</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Chan</surname><given-names>Wai Yin</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Kok</surname><given-names>Stanley</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Ng</surname><given-names>Yee Sien</given-names></name><degrees>MBBS, MRCP</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Rehabilitation Medicine, Singapore General Hospital, Singapore</aff><aff id="aff2"><label>2</label>Duke-NUS Graduate Medical School, Singapore</aff><aff id="aff3"><label>3</label>Department of Occupational Therapy, Singapore General Hospital, Singapore</aff><aff id="aff4"><label>4</label>Pillar of Information Systems Technology and Design Department, Singapore University of Technology and Design, Singapore</aff><author-notes><corresp id="cor1"><bold>Correspondence:</bold> Dr Geoffrey S Samuel, Registrar, Department of Rehabilitation Medicine, Singapore General Hospital, Academia Building Level 4, Outram Road, Singapore 169608. <email xlink:href="Geoffrey.sithamparapillai.samuel@sgh.com.sg">Geoffrey.sithamparapillai.samuel@sgh.com.sg</email></corresp></author-notes><pub-date pub-type="ppub"><month>7</month><year>2015</year></pub-date><volume>56</volume><issue>7</issue><fpage>e127</fpage><lpage>e130</lpage><permissions><copyright-statement>Copyright: © Singapore Medical Association</copyright-statement><copyright-year>2015</copyright-year></permissions><abstract><p>Stroke remains one of the major causes of disability worldwide. This case report illustrates the complementary use of biomechanical and kinematic in-game markers, in addition to standard clinical outcomes, to comprehensively assess and track a patient’s disabilities. A 65-year-old patient was admitted for right-sided weakness and clinically diagnosed with acute ischaemic stroke. She participated in a short trial of standard stroke occupational therapy and physiotherapy with additional daily virtual reality (VR)-based therapy. Outcomes were tracked using kinematic data and conventional clinical assessments. Her Functional Independence Measure score improved from 87 to 113 and Fugl-Meyer motor score improved from 56 to 62, denoting clinically significant improvement. Corresponding kinematic analysis revealed improved hand path ratios and a decrease in velocity peaks. Further research is being undertaken to elucidate the optimal type, timing, setting and duration of VR-based therapy, as well as the use of neuropharmacological adjuncts.</p></abstract><kwd-group><kwd><italic>kinematics</italic></kwd><kwd><italic>stroke</italic></kwd><kwd><italic>virtual reality-based therapy</italic></kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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