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Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients.
Arq Neuropsiquiatr. 2019; 77(10):681-688.AN

Abstract

Immersive virtual reality (VR) is a technology that provides a more realistic environmental design and object tracking than ordinary VR. The aim of this study was to investigate the effectiveness of immersive VR on upper extremity function in patients with ischemic stroke. Sixty-five patients with ischemic stroke were included in this randomized, controlled, double-blind study. Patients were randomly divided into VR (n = 33) and control (n = 32) groups. The VR group received 60 minutes of the upper extremity immersive VR rehabilitation program and the control group received 45 minutes of conventional therapy and 15 minutes of a sham VR program. Rehabilitation consisted of 18 sessions of therapy, three days per week, for six weeks. The outcome measures were the Action Research Arm Test (ARAT), Functional Independence Measure (FIM), Fugl-Meyer Upper Extremity Scale (FMUE) and Performance Assessment of Self-Care Skills (PASS). In both the VR and control groups all parameters except the PASS improved over time. However independent t-test results showed that all of the FMUE, ARAT, FIM and PASS scores were significantly higher in the VR group compared with the control (p < 0.05). The minimal clinically important difference (MCID) scores of the FMUE and ARAT were higher than the cut-off MCID scores described in the literature in the VR group, whereas the FIM scores were below the cut-off MCID scores. All scores in the control group were below the cut-off scores. Immersive VR rehabilitation appeared to be effective in improving upper extremity function and self-care skills, but it did not improve functional independence.

Authors+Show Affiliations

Bolu Abant Izzet Baysal Universitesi; Nöroloji Anabilim Dalı, Bolu, Türkiye.Bolu Abant Izzet Baysal Universitesi; Sağlık Bilimleri Fakültesi, Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Bolu, Türkiye.Bolu Abant Izzet Baysal Universitesi; Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Bolu, Türkiye.Bolu Abant Izzet Baysal Universitesi; Nöroloji Anabilim Dalı, Bolu, Türkiye.Bolu Abant Izzet Baysal Universitesi; Sağlık Bilimleri Fakültesi, Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Bolu, Türkiye.Bolu Abant Izzet Baysal Universitesi; Nöroloji Anabilim Dalı, Bolu, Türkiye.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

31664343

Citation

Ögün, Muhammed Nur, et al. "Effect of Leap Motion-based 3D Immersive Virtual Reality Usage On Upper Extremity Function in Ischemic Stroke Patients." Arquivos De Neuro-psiquiatria, vol. 77, no. 10, 2019, pp. 681-688.
Ögün MN, Kurul R, Yaşar MF, et al. Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients. Arq Neuropsiquiatr. 2019;77(10):681-688.
Ögün, M. N., Kurul, R., Yaşar, M. F., Turkoglu, S. A., Avci, Ş., & Yildiz, N. (2019). Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients. Arquivos De Neuro-psiquiatria, 77(10), 681-688. https://doi.org/10.1590/0004-282X20190129
Ögün MN, et al. Effect of Leap Motion-based 3D Immersive Virtual Reality Usage On Upper Extremity Function in Ischemic Stroke Patients. Arq Neuropsiquiatr. 2019;77(10):681-688. PubMed PMID: 31664343.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients. AU - Ögün,Muhammed Nur, AU - Kurul,Ramazan, AU - Yaşar,Mustafa Fatih, AU - Turkoglu,Sule Aydin, AU - Avci,Şebnem, AU - Yildiz,Nebil, Y1 - 2019/10/24/ PY - 2019/04/15/received PY - 2019/08/07/accepted PY - 2019/10/31/entrez PY - 2019/10/31/pubmed PY - 2020/7/2/medline SP - 681 EP - 688 JF - Arquivos de neuro-psiquiatria JO - Arq Neuropsiquiatr VL - 77 IS - 10 N2 - Immersive virtual reality (VR) is a technology that provides a more realistic environmental design and object tracking than ordinary VR. The aim of this study was to investigate the effectiveness of immersive VR on upper extremity function in patients with ischemic stroke. Sixty-five patients with ischemic stroke were included in this randomized, controlled, double-blind study. Patients were randomly divided into VR (n = 33) and control (n = 32) groups. The VR group received 60 minutes of the upper extremity immersive VR rehabilitation program and the control group received 45 minutes of conventional therapy and 15 minutes of a sham VR program. Rehabilitation consisted of 18 sessions of therapy, three days per week, for six weeks. The outcome measures were the Action Research Arm Test (ARAT), Functional Independence Measure (FIM), Fugl-Meyer Upper Extremity Scale (FMUE) and Performance Assessment of Self-Care Skills (PASS). In both the VR and control groups all parameters except the PASS improved over time. However independent t-test results showed that all of the FMUE, ARAT, FIM and PASS scores were significantly higher in the VR group compared with the control (p < 0.05). The minimal clinically important difference (MCID) scores of the FMUE and ARAT were higher than the cut-off MCID scores described in the literature in the VR group, whereas the FIM scores were below the cut-off MCID scores. All scores in the control group were below the cut-off scores. Immersive VR rehabilitation appeared to be effective in improving upper extremity function and self-care skills, but it did not improve functional independence. SN - 1678-4227 UR - https://www.unboundmedicine.com/medline/citation/31664343/Effect_of_Leap_Motion_based_3D_Immersive_Virtual_Reality_Usage_on_Upper_Extremity_Function_in_Ischemic_Stroke_Patients_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&amp;pid=S0004-282X2019001000681&amp;lng=en&amp;nrm=iso&amp;tlng=en DB - PRIME DP - Unbound Medicine ER -