Virtual reality and physiotherapy in post-stroke functional re-education of the lower extremity: A controlled clinical trial on a new approach
| Autor: | Andrea Polli, Michela Agostini, Andrea Turolla, Ignacio Solís-Marcos, Pawel Kiper, Ángel Oliva-Pascual-Vaca, Carlos Luque-Moreno |
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| Přispěvatelé: | Luque-Moreno C., Kiper P., Solis-Marcos I., Agostini M., Polli A., Turolla A., Oliva-Pascual-vaca A., Universidad de Sevilla. Departamento de Fisioterapia |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
REHABILITATION
medicine.medical_specialty Neurologi Medicine (miscellaneous) Gait disorders Gait disorder Virtual reality THERAPY Article Physical therapy modalitie Medicine General & Internal General & Internal Medicine medicine CORTICAL REORGANIZATION Neurologic Stroke Balance (ability) Science & Technology physical therapy modalities gait disorders business.industry Physical therapy modalities MOTOR RECOVERY GLOBAL BURDEN medicine.disease Functional Independence Measure Gait CHRONIC STROKE Clinical trial AMBULATION INDIVIDUALS Health Care Sciences & Services Neurology Berg Balance Scale BALANCE Postural balance Ambulatory Physical therapy Medicine business Life Sciences & Biomedicine GAIT |
| Zdroj: | Journal of Personalized Medicine, Vol 11, Iss 1210, p 1210 (2021) Journal of Personalized Medicine Volume 11 Issue 11 idUS. Depósito de Investigación de la Universidad de Sevilla instname |
| Popis: | Numerous Virtual Reality (VR) systems address post-stroke functional recovery of the lower extremity (LE), most of them with low early applicability due to the gait autonomy they require. The aim of the present study was to evaluate the feasibility of a specific VR treatment and its clinical effect on LE functionality, gait, balance, and trunk control post-stroke. A controlled, prospective, clinical trial was carried out with 20 stroke patients, who were divided into two groups: the first group (VR + CP n = 10) received combined therapy of 1 h VR and 1 h of conventional physiotherapy (CP) and the second group (CP n = 10) received 2 h of CP (5 days/week, for 3 weeks). The following pre-post-intervention measuring scales were used: Functional Ambulatory Scale (FAC), Functional Independence Measure (FIM), Fugl-Meyer Assessment (FM), Berg Balance Scale (BBS), and Trunk Control Test (TCT). Only VR + CP showed a significant improvement in FAC. In FIM, CP presented a tendency to significance, whereas VR + CP showed significance. Both groups improved significantly in FM (especially in amplitude/pain in VR + CP and in sensitivity in CP) and in BBS. In TCT, there was a non-significant improvement in both groups. The results indicate that the intervention with VR is a feasible treatment in the post-stroke functional re-education of the LE, with the potential to be an optimal complement of CP. |
| Databáze: | OpenAIRE |
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