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http://dx.doi.org/10.14400/JDC.2019.17.5.235

Effects of Virtual Reality Program on Recovery of Functional in individuals Stroke: A Systematic Review and Meta Analysis  

Park, Seo-A (Dept. of Nursing Gyeongbuk college of Health)
Kim, Hye-Young (College of Nursing, Keimyung University)
Publication Information
Journal of Digital Convergence / v.17, no.5, 2019 , pp. 235-247 More about this Journal
Abstract
This study was carried out to evaluate the efficacy of Virtual Reality(VR) program on recovery of functional in Stroke through systematic literature review and meta-analysis. The following databases were used to search the literature: RISS, KISS, KMbase. Keywords included 'stroke', 'CVA' 'virtual reality', 'rehabilitation', 'virtual reality program' and the evaluated articles were published from 2009 to November 2018. The statistical was used R program, the effect size of upper limb, balance and ADL were calculated by random-effects model. As a result, 9 RCT studies were meta-analyzed and were evaluated for the risk of bias by the RoB of Cochrane Collaboration; the overall risk of bias was low. The effect sizes of VR program was balance(g=.77), ADL(g=.80) as indicated by a "large effect size". Therefore, VR program is large effective in reducing balance and ADL in strokes. It is necessary to develop and apply a virtual reality-based program using more efficient program development.
Keywords
Stroke; Virtual Reality; Rehabilitation; Exercise; Meta-Analysis;
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1 G. Yavuzer, A. Senel, M. B. Atay & H. J. Stam. (2008). ''Playstation eyetoy games''improve upper extremity-related motor functioning in subacute stroke: a randomized controlled clinical trial. European journal of physical and rehabilitation medicine, 44(3), 237-244.
2 E. K. Kim, J. H. Kang & H. M. Lee. (2010). Effects of virtual reality based game on balance and upper extremity function in chronic stroke patients. Journal of Special Education & Rehabilitation Science, 49(3), 131-149.
3 H. H. Kim, K. M. Kim & M. Y. Chang. (2012). Interventions to promote upper limb recovery in stroke patients: a systematic review. J Korean Soc Occup Ther, 129-145.
4 Y. R. Yang, M. P. Tsai, T. Y. Chuang, W. H. Sung & R. Y. Wang. (2008). Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait & posture, 28(2), 201-206.   DOI
5 A. A. Rizzo, J. G. Buckwalter & U. Neumann. (1997). Virtual reality and cognitive rehabilitation: A brief review of the future. The Journal of Head Trauma Rehabilitation. http://dx.doi.org/10.1097/00001199-199712000-00002   DOI
6 C. Walker, B. J. Brouwer & E. G. Culham. (2000). Use of visual feedback in retraining balance following acute stroke. Physical therapy, 80(9), 886-895. https://doi.org/10.1093/ptj/80.9.886   DOI
7 Y. Y. You, B. H. Lee, S. H. Kim, J. H. Jung & Y. H. Bae. (2011). The Effect of Stroke Patients Balance and Visual Perception for Interactive Games of Using Visual Concentration, Journal of Rehabilitation Research, 15(1), 1-17.
8 J. H. Kim, S. H. Jang, C. S. Kim, J. H. Jung & J. H. You. (2009). Use of virtual reality to enhance balance and ambulation in chronic stroke: a double-blind, randomized controlled study. American Journal of physical medicine & rehabilitation, 88(9), 693-701.   DOI
9 J. H. Kim, M. H. Oh, J. S. Lee & H. S. Ahn. (2011). The effects of training using virtual reality games on stroke patients' functional recovery. J Korean Soc Occup Ther, 19, 101-114.
10 H. G. Kim, M. Y. Lee & Y. A. Yang. (2018). Literature Research on the Clinical Effect of the Virtual Reality-based Rehabilitation Program. The Journal of Occupational Therapy for the Aged and Dementia, 1(12), 1-11.
11 A. Liberati, D. G.Altman, J. Tetzlaff, C. Mulrow, P. C. Gotzsche, J. P. Ioannidis, M. Clarke, P. J. Devereaux, J. Kleijnen & D. Moher. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS medicine, 6(7), e1000100. https://doi.org/10.1371/journal.pmed.1000100   DOI
12 S. H. Kim, H. G. Kim & J. H. Lee. (2013). Effect of virtual reality based exercise program on the upper extremity function and activities of daily living in stroke patients. Journal of Rehabilitation Research, 17(2), 373-391.
13 E. D. De Bruin, D. Schoene, G. Pichierri & S. T. Smith. (2010). Use of virtual reality technique for the training of motor control in the elderly. Zeitschrift fur Gerontologie und Geriatrie, 43(4), 229-234. https://doi.org/10.1007/s00391-010-0124-7   DOI
14 G. N. Lewis, C. Woods, J. A. Rosie & K. M. Mcpherson. (2011). Virtual reality games for rehabilitation of people with stroke: perspectives from the users. Disability and Rehabilitation: Assistive Technology, 6(5), 453-463. https://doi.org/10.3109/17483107.2011.574310   DOI
15 S. Y. Kim, J. E. Park, H. J. Seo, Y. J. Lee, B. H. Jang, H. J. Son, et al.(2011). NECA s guidance' for undertaking systematic reviews and meta-analyses for intervention. National Evidence-based Healthcare Collaborating Agency.
16 J. Cohen. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: L. Lawrence Earlbaum Associates, 2.
17 B. J. Becker. (1988). Synthesizing standardized meanchange measures. British Journal of Mathematical and Statistical Psychology, 41(2), 257-278. https://doi.org/10.1111/j.2044-8317.1988.tb00901   DOI
18 S. B. Morris & R. P. DeShon. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological methods, 7(1), 105. http://dx.doi.org/10.1037/1082-989X.7.1.105   DOI
19 Y. Netz, M. J. Wu, B. J. Becker & G. Tenenbaum. (2005). Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychology and aging, 20(2), 272. http://dx.doi.org/10.1037/0882-7974.20.2.272   DOI
20 J. P. Higgins. (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1. 0 [updated March 2011]. The Cochrane Collaboration. www.cochrane-handbook.org.
21 A. A. Timmermans, J. A. Verbunt, R. van Woerden, M. Moennekens, D. H. Pernot & H. A. Seelen. (2013). Effect of mental practice on the improvement of function and daily activity performance of the upper extremity in patients with subacute stroke: a randomized clinical trial. Journal of the American Medical Directors Association, 14(3), 204-212. https://doi.org/10.1016/j.jamda.2012.10.010   DOI
22 Y. N. Kim & D. K. Lee. (2013). Effects of Dance Sports in Virtual Reality on Balance, Depression and ADL in Stroke Patients. JKPT, 25(5), 360-365.
23 A. Turolla, M. Dam, L. Ventura, P. Tonin, M. Agostini, C. Zucconi, P. Kiper, A. Cagnin & L. Piron. (2013). Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial. Journal of NeuroEngineering and Rehabilitation, 10(1), 85-93. https://doi.org/10.1186/1743-0003-10-85   DOI
24 H. M. Kim. (2015). A study on the development of a force sensor and finger rehabilitation robot for stroke patients, Doctoral dissertation, Gyeon gsang University, Jinju.
25 T. S. Park, J. H. Kang & I. B. Kim. (2018). Analysis of Muscle On-set Time of Fully Immersive Virtual Reality Motions and Actual Motions in Healthy Adults. Journal of Convergence Information Technology, 8(1), 173-177.   DOI
26 S. A. Sharp & B. J. Brouwer. (1997). Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Archives of physical medicine and rehabilitation, 78(11), 1231-1236. https://doi.org/10.1016/S0003-9993(97)90337-3   DOI
27 P. W. Duncan, R. D. Horner, D. M. Reker, G. P. Samsa, H. Hoenig, B. Hamilton, J. Barbara, LaClair & T. K. Dudley. (2002). Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke, 33(1), 167-178. https://doi.org/10.1161/hs0102.101014   DOI
28 J. Hochstenbach, G. Prigatano & T. Mulder. (2005). Patients' and relatives' reports of disturbances 9 months after stroke: subjective changes in physical functioning, cognition, emotion, and behavior. Archives of physical medicine and rehabilitation, 86(8), 1587-1593. https://doi.org/10.1016/j.apmr.2004.11.050   DOI
29 S. L. Wolf, P. A. Catlin, M. Ellis, A. L. Archer, B. Morgan & A. Piacentino. (2001). Assessing Wolf motor function test as outcome measure for research in patients after stroke. Stroke, 32(7), 1635-1639. https://doi.org/10.1161/01.STR.32.7.1635   DOI
30 H. C. Dijkerman, M. Ietswaart, M. Johnston & R. S. MacWalter. (2004). Does motor imagery training improve hand function in chronic stroke patients? A pilot study. Clinical rehabilitation, 18(5), 538-549. https://doi.org/10.1191/0269215504cr769oa   DOI
31 P. C. Kung, C. C. K. Lin & M. S. Ju. (2010). Neuro-rehabilitation robot-assisted assessments of synergy patterns of forearm, elbow and shoulder joints in chronic stroke patients. Clinical Biomechanics, 25(7), 647-654. https://doi.org/10.1016/j.clinbiomech.2010.04.014   DOI
32 H. K. Shin. (2008). The recovery of hand function induced by EMG-triggered electrical stimulation in hemiplegic finger extensor. J Korean Soc Occup Ther, 16, 61-69.
33 P. S. Buyn & M. Y. Chon. (2012). The effects of rehabilitation training using video game on improvement range of motion for upper-extremity, shoulder pain and stress in stroke patients with hemiplegia. Journal of muscle and joint health, 19(1), 46-56.   DOI
34 B. H. Lee, E. J. Chung & S. H. Lee. (2012). The effects of virtual reality-based with EMG triggered-functional electric stimulation on muscle tone and gait capability in stroke. J Rehabil Res Dev, 16, 361-378.
35 C. R. Senesac, S. Davis & L. Richards. (2010). Generalization of a modified form of repetitive rhythmic bilateral training in stroke. Human movement science, 29(1), 137-148. https://doi.org/10.1016/j.humov.2009.05.004   DOI
36 V. Sirtori, D. Corbetta, L. Moja & R. Gatti. (2009). Constraint-induced movement therapy for upper extremities in stroke patients. Cochrane Database Syst Rev, 4(4). https://doi.org/10.1002/14651858.CD004433.pub2