Improving neuropsychiatric symptoms following stroke using virtual reality: A case report
| Autor: | Carmen De Domenico, Rosaria De Luca, Alessia Bramanti, Giuseppa Maresca, Rocco Salvatore Calabrò, Alfredo Manuli, Emanuele Lo Voi, Antonio Buda |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
cognitive assessment Neurorehabilitation virtual reality Anxiety Female Humans Middle Aged Stroke Relaxation Therapy Stroke Rehabilitation Therapy Computer-Assisted Virtual Reality medicine.medical_treatment Psychological intervention 03 medical and health sciences 0302 clinical medicine Computer-Assisted Medicine 030212 general & internal medicine Clinical Case Report Cognitive deficit Rehabilitation Relaxation (psychology) business.industry Cognition General Medicine medicine.disease Mood 030220 oncology & carcinogenesis Physical therapy Therapy medicine.symptom business Research Article |
| Zdroj: | Medicine |
| Popis: | Rationale: Post-stroke cognitive impairment occurs frequently in patients with stroke, with a 20% to 80% prevalence. Anxiety is common after stroke, and is associated with a poorer quality of life. The use of standard relaxation techniques in treating anxiety in patients undergoing post-stroke rehabilitation have shown some positive effects, whereas virtual reality seems to have a role in the treatment of anxiety disorders, especially when associated to neurological damage. Patients concerns: A 50-year-old woman, smokers, affected by hypertension and right ischemic stroke in the chronic phase (i.e., after 12 months by cerebrovascular event), came to our observation for a severe anxiety state and a mild cognitive deficit, mainly involving attention and visuo-executive processes, besides a mild left hemiparesis. Diagnosis: Anxiety in a patient with ischemic stroke. Interventions: Standard relaxation techniques alone in a common clinical setting or the same psychological approach in an immersive virtual environment (i.e., Computer Assisted Rehabilitation Environment – CAREN). Outcomes: The patient's cognitive and psychological profile, with regard to attention processes, mood, anxiety, and coping strategies, were evaluated before and after the 2 different trainings. A significant improvement in the functional and behavioral outcomes were observed only at the end of the combined approach. Lessons: The immersive virtual reality environment CAREN might be useful to improve cognitive and psychological status, with regard to anxiety symptoms, in post-stroke individuals. |
| Databáze: | OpenAIRE |
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