Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach

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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Carlos Luque-Moreno, Pawel Kiper, Ignacio Solís-Marcos, Michela Agostini, Andrea Polli, Andrea Turolla, Angel Oliva-Pascual-Vaca
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	physical therapy modalities virtual reality stroke gait disorders neurologic postural balance Medicine R
Acceso en línea:	https://doaj.org/article/ccbd21c2fedf4342b9d70f66e21f13dd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ccbd21c2fedf4342b9d70f66e21f13dd
record_format	dspace
spelling	oai:doaj.org-article:ccbd21c2fedf4342b9d70f66e21f13dd2021-11-25T18:08:02ZVirtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach10.3390/jpm111112102075-4426https://doaj.org/article/ccbd21c2fedf4342b9d70f66e21f13dd2021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1210https://doaj.org/toc/2075-4426Numerous 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; <i>n</i> = 10) received combined therapy of 1 h VR and 1 h of conventional physiotherapy (CP) and the second group (CP; <i>n</i> = 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.Carlos Luque-MorenoPawel KiperIgnacio Solís-MarcosMichela AgostiniAndrea PolliAndrea TurollaAngel Oliva-Pascual-VacaMDPI AGarticlephysical therapy modalitiesvirtual realitystrokegait disordersneurologicpostural balanceMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1210, p 1210 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical therapy modalities virtual reality stroke gait disorders neurologic postural balance Medicine R
spellingShingle	physical therapy modalities virtual reality stroke gait disorders neurologic postural balance Medicine R Carlos Luque-Moreno Pawel Kiper Ignacio Solís-Marcos Michela Agostini Andrea Polli Andrea Turolla Angel Oliva-Pascual-Vaca Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach
description	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; <i>n</i> = 10) received combined therapy of 1 h VR and 1 h of conventional physiotherapy (CP) and the second group (CP; <i>n</i> = 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.
format	article
author	Carlos Luque-Moreno Pawel Kiper Ignacio Solís-Marcos Michela Agostini Andrea Polli Andrea Turolla Angel Oliva-Pascual-Vaca
author_facet	Carlos Luque-Moreno Pawel Kiper Ignacio Solís-Marcos Michela Agostini Andrea Polli Andrea Turolla Angel Oliva-Pascual-Vaca
author_sort	Carlos Luque-Moreno
title	Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach
title_short	Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach
title_full	Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach
title_fullStr	Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach
title_full_unstemmed	Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach
title_sort	virtual reality and physiotherapy in post-stroke functional re-education of the lower extremity: a controlled clinical trial on a new approach
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ccbd21c2fedf4342b9d70f66e21f13dd
work_keys_str_mv	AT carlosluquemoreno virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach AT pawelkiper virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach AT ignaciosolismarcos virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach AT michelaagostini virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach AT andreapolli virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach AT andreaturolla virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach AT angelolivapascualvaca virtualrealityandphysiotherapyinpoststrokefunctionalreeducationofthelowerextremityacontrolledclinicaltrialonanewapproach
_version_	1718411585195606016

Virtual Reality and Physiotherapy in Post-Stroke Functional Re-Education of the Lower Extremity: A Controlled Clinical Trial on a New Approach

Ejemplares similares