A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial

Stroke patients suffer impairments including sensory, motor, visual, and cognitive areas, as well as gait and balance manifestations making activities of daily living difficult. In such conditions, virtual reality training can be a potential rehabilitation tool in comparison to conventional physical...

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Autores principales:	Naveed Anwar, Hossein Karimi, Ashfaq Ahmad, Nazia Mumtaz, Ghulam Saqulain, Syed Amir Gilani
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medicine (General) R5-920 Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/dcf08e101c744a1aa8f29f65150799bf
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spelling	oai:doaj.org-article:dcf08e101c744a1aa8f29f65150799bf2021-11-29T00:57:10ZA Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial2040-230910.1155/2021/6598726https://doaj.org/article/dcf08e101c744a1aa8f29f65150799bf2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6598726https://doaj.org/toc/2040-2309Stroke patients suffer impairments including sensory, motor, visual, and cognitive areas, as well as gait and balance manifestations making activities of daily living difficult. In such conditions, virtual reality training can be a potential rehabilitation tool in comparison to conventional physical therapy to cater to the burden of this disability; hence, this randomized clinical trial compared the effects of virtual reality training and conventional physical therapy on balance and lower extremity function in stroke patients. The sample of 68 poststroke participants from Kanaan Physical Therapy and Spine Clinic, Lahore, Pakistan, were divided into N = 34 cases each using the lottery method with one group given virtual reality training and the other received conventional physical therapy. Each group received 60 minutes intervention, 3 days per week for 6 weeks. The Berg balance scale and the Fugl-Meyer assessment-lower extremity scale were employed for data collection preintervention, immediate postintervention, and 6 weeks postintervention. The statistically significant differences between virtual reality and conventional physical therapy groups for the Berg Balance score (p<0.001), Fugl-Meyer assessment (FMA)-lower extremity domains of FMA-motor function (p<0.001), FMA-joint pain, and joint range (p<0.001); however, there is no significant difference p=0.202 for time vs. group interaction and significant (p<0.001) for the time main effect for FMA sensation. Hence, virtual reality training is more effective to restore balance and lower extremity function compared to conventional physical therapy in stroke patients. The results of the study have significant implications for the clinicians with better case management enhancing quality of life of patients along with the dearth of local literature, thus providing base for future research from a developing country’s perspective.Naveed AnwarHossein KarimiAshfaq AhmadNazia MumtazGhulam SaqulainSyed Amir GilaniHindawi LimitedarticleMedicine (General)R5-920Medical technologyR855-855.5ENJournal of Healthcare Engineering, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920 Medical technology R855-855.5
spellingShingle	Medicine (General) R5-920 Medical technology R855-855.5 Naveed Anwar Hossein Karimi Ashfaq Ahmad Nazia Mumtaz Ghulam Saqulain Syed Amir Gilani A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial
description	Stroke patients suffer impairments including sensory, motor, visual, and cognitive areas, as well as gait and balance manifestations making activities of daily living difficult. In such conditions, virtual reality training can be a potential rehabilitation tool in comparison to conventional physical therapy to cater to the burden of this disability; hence, this randomized clinical trial compared the effects of virtual reality training and conventional physical therapy on balance and lower extremity function in stroke patients. The sample of 68 poststroke participants from Kanaan Physical Therapy and Spine Clinic, Lahore, Pakistan, were divided into N = 34 cases each using the lottery method with one group given virtual reality training and the other received conventional physical therapy. Each group received 60 minutes intervention, 3 days per week for 6 weeks. The Berg balance scale and the Fugl-Meyer assessment-lower extremity scale were employed for data collection preintervention, immediate postintervention, and 6 weeks postintervention. The statistically significant differences between virtual reality and conventional physical therapy groups for the Berg Balance score (p<0.001), Fugl-Meyer assessment (FMA)-lower extremity domains of FMA-motor function (p<0.001), FMA-joint pain, and joint range (p<0.001); however, there is no significant difference p=0.202 for time vs. group interaction and significant (p<0.001) for the time main effect for FMA sensation. Hence, virtual reality training is more effective to restore balance and lower extremity function compared to conventional physical therapy in stroke patients. The results of the study have significant implications for the clinicians with better case management enhancing quality of life of patients along with the dearth of local literature, thus providing base for future research from a developing country’s perspective.
format	article
author	Naveed Anwar Hossein Karimi Ashfaq Ahmad Nazia Mumtaz Ghulam Saqulain Syed Amir Gilani
author_facet	Naveed Anwar Hossein Karimi Ashfaq Ahmad Nazia Mumtaz Ghulam Saqulain Syed Amir Gilani
author_sort	Naveed Anwar
title	A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial
title_short	A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial
title_full	A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial
title_fullStr	A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial
title_full_unstemmed	A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial
title_sort	novel virtual reality training strategy for poststroke patients: a randomized clinical trial
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/dcf08e101c744a1aa8f29f65150799bf
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A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial

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