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Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial.
Clin Rehabil. 2014 Nov; 28(11):1107-14.CR

Abstract

OBJECTIVES

To investigate the effect of virtual reality (VR) rehabilitation on upper extremity motor performance of patients with early stroke.

DESIGN

Pilot randomized controlled trial.

SETTING

Rehabilitation wards.

PARTICIPANTS

Twenty three adults with stroke (mean age (SD) = 58.35 (13.45) years and mean time since stroke (SD) = 16.30 (7.44) days).

INTERVENTIONS

Participants were randomly assigned to VR group (n=11) or control group (n=12). VR group received nine 30 minutes upper extremity VR therapy in standing (five weekdays in two weeks) plus conventional therapy, which included physical and occupational therapy. Control group received only conventional therapy, which was comparable to total training time received by VR group (mean training hours (SD):VR = 17.07 (2.86); control = 15.50 (2.79)).

MAIN OUTCOME MEASURES

The main outcome measure was the Fugl-Meyer Assessment (FMA). Secondary outcomes included Action Research Arm Test, Motor Activity Log and Functional Independence Measure. Results were taken at baseline, post intervention and 1-month post intervention. Participants' feedback and adverse effects were recorded.

RESULTS

All participants improved in FMA scores (mean change (SD) = 11.65 (8.56), P<.001). These effects were sustained at one month after intervention (mean (SD) change from baseline = 18.67 (13.26), P<.001). All other outcome measures showed similar patterns. There were no significant differences in improvement between both groups. Majority of the participants found VR training useful and enjoyable, with no serious adverse effects reported.

CONCLUSION

Although additional VR training was not superior to conventional therapy alone, this study demonstrates the feasibility of VR training in early stroke.

Authors+Show Affiliations

Allied Health Division, Department of Occupational Therapy, Singapore General Hospital, Singapore yetta.chan.w.y@sgh.com.sg.Division of Medicine, Department of Rehabilitation Medicine, Singapore General Hospital, Singapore.Allied Health Division, Department of Physiotherapy, Singapore General Hospital, Singapore.Division of Research, Health Services Research and Biostatistics, Centre for Quantitative Medicine, Duke-NUS, Singapore General Hospital, Singapore.Allied Health Division, Department of Physiotherapy, Singapore General Hospital, Singapore.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24803644

Citation

Yin, Chan Wai, et al. "Virtual Reality for Upper Extremity Rehabilitation in Early Stroke: a Pilot Randomized Controlled Trial." Clinical Rehabilitation, vol. 28, no. 11, 2014, pp. 1107-14.
Yin CW, Sien NY, Ying LA, et al. Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial. Clin Rehabil. 2014;28(11):1107-14.
Yin, C. W., Sien, N. Y., Ying, L. A., Chung, S. F., & Tan May Leng, D. (2014). Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial. Clinical Rehabilitation, 28(11), 1107-14. https://doi.org/10.1177/0269215514532851
Yin CW, et al. Virtual Reality for Upper Extremity Rehabilitation in Early Stroke: a Pilot Randomized Controlled Trial. Clin Rehabil. 2014;28(11):1107-14. PubMed PMID: 24803644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial. AU - Yin,Chan Wai, AU - Sien,Ng Yee, AU - Ying,Low Ai, AU - Chung,Stephanie Fook-Chong Man, AU - Tan May Leng,Dawn, Y1 - 2014/05/06/ PY - 2014/5/8/entrez PY - 2014/5/8/pubmed PY - 2015/6/24/medline KW - Rehabilitation KW - stroke KW - upper extremity (arm) KW - virtual reality SP - 1107 EP - 14 JF - Clinical rehabilitation JO - Clin Rehabil VL - 28 IS - 11 N2 - OBJECTIVES: To investigate the effect of virtual reality (VR) rehabilitation on upper extremity motor performance of patients with early stroke. DESIGN: Pilot randomized controlled trial. SETTING: Rehabilitation wards. PARTICIPANTS: Twenty three adults with stroke (mean age (SD) = 58.35 (13.45) years and mean time since stroke (SD) = 16.30 (7.44) days). INTERVENTIONS: Participants were randomly assigned to VR group (n=11) or control group (n=12). VR group received nine 30 minutes upper extremity VR therapy in standing (five weekdays in two weeks) plus conventional therapy, which included physical and occupational therapy. Control group received only conventional therapy, which was comparable to total training time received by VR group (mean training hours (SD):VR = 17.07 (2.86); control = 15.50 (2.79)). MAIN OUTCOME MEASURES: The main outcome measure was the Fugl-Meyer Assessment (FMA). Secondary outcomes included Action Research Arm Test, Motor Activity Log and Functional Independence Measure. Results were taken at baseline, post intervention and 1-month post intervention. Participants' feedback and adverse effects were recorded. RESULTS: All participants improved in FMA scores (mean change (SD) = 11.65 (8.56), P<.001). These effects were sustained at one month after intervention (mean (SD) change from baseline = 18.67 (13.26), P<.001). All other outcome measures showed similar patterns. There were no significant differences in improvement between both groups. Majority of the participants found VR training useful and enjoyable, with no serious adverse effects reported. CONCLUSION: Although additional VR training was not superior to conventional therapy alone, this study demonstrates the feasibility of VR training in early stroke. SN - 1477-0873 UR - https://www.unboundmedicine.com/medline/citation/24803644/Virtual_reality_for_upper_extremity_rehabilitation_in_early_stroke:_a_pilot_randomized_controlled_trial_ L2 - https://journals.sagepub.com/doi/10.1177/0269215514532851?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -