The use of virtual reality-based therapy to augment poststroke upper limb recovery.

Autor: Samuel GS; Department of Rehabilitation Medicine, Singapore General Hospital, Singapore., Choo M; Duke-NUS Graduate Medical School, Singapore., Chan WY; Department of Occupational Therapy, Singapore General Hospital, Singapore., Kok S; Pillar of Information Systems Technology and Design Department, Singapore University of Technology and Design, Singapore., Ng YS; Department of Rehabilitation Medicine, Singapore General Hospital, Singapore.
Jazyk: angličtina
Zdroj: Singapore medical journal [Singapore Med J] 2015 Jul; Vol. 56 (7), pp. e127-30.
DOI: 10.11622/smedj.2015117
Abstrakt: 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.
Databáze: MEDLINE