Home-based Upper Extremity Stroke Therapy Using a Multiuser Virtual Reality Environment: A Randomized Trial
| Autor: | Arthur Nishimoto, Joelle Johnson, Kristen M. Triandafilou, Mary Ellen Stoykov, Derek G. Kamper, Kelly O. Thielbar, Daria Tsoupikova, Alexander J. Barry, Ning Yuan |
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| Rok vydání: | 2019 |
| Předmět: |
Rehabilitation hospital
Adult Male 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Virtual reality law.invention Upper Extremity 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Telerehabilitation Medicine Humans Session (computer science) Stroke Aged Motivation Rehabilitation Cross-Over Studies business.industry Stroke Rehabilitation Virtual Reality Recovery of Function Middle Aged medicine.disease Home Care Services Video Games Physical therapy Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Archives of physical medicine and rehabilitation. 101(2) |
| ISSN: | 1532-821X |
| Popis: | Objective To compare participation and subjective experience of participants in both home-based multiuser virtual reality (VR) therapy and home-based single-user (SU) VR therapy. Design Crossover, randomized trial. Setting Initial training and evaluations occurred in a rehabilitation hospital; the interventions took place in participants’ homes. Participants Survivors of stroke with chronic upper extremity impairment (N=20). Interventions Four weeks of in-home treatment using a custom, multiuser virtual reality system (VERGE): 2 weeks of both multiuser (MU) and SU versions of VERGE. The order of presentation of SU and MU versions was randomized such that participants were divided into 2 groups, First MU and First SU. Main Outcome Measures We measured arm displacement during each session (m) as the primary outcome measure. Secondary outcome measures include time participants spent using each MU and SU VERGE and Intrinsic Motivation Inventory scores. Fugl-Meyer Assessment of Motor Recovery After Stroke Upper Extremity (FMA-UE) score and compliance with prescribed training were also evaluated. Measures were recorded before, midway, and after the treatment. Activity and movement were measured during each training session. Results Arm displacement during a session was significantly affected the mode of therapy (MU: 414.6m, SU: 327.0m, P=.019). Compliance was very high (99% compliance for MU mode and 89% for SU mode). Within a given session, participants spent significantly more time training in the MU mode than in the SU mode (P=.04). FMA-UE score improved significantly across all participants (Δ3.2, P=.001). Conclusions Multiuser VR exercises may provide an effective means of extending clinical therapy into the home. |
| Databáze: | OpenAIRE |
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