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http://dx.doi.org/10.14400/JDC.2019.17.9.271

Effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke  

Jeon, Min-Jae (Dept. of Healthcare and Public Health Research, National Rehabilitation Research Institute, National Rehabilitation Center)
Moon, Jong-Hoon (Dept. of Healthcare and Public Health Research, National Rehabilitation Research Institute, National Rehabilitation Center)
Publication Information
Journal of Digital Convergence / v.17, no.9, 2019 , pp. 271-278 More about this Journal
Abstract
The aim of this study was to investigate the effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke. The present study enrolled 18 patients with sub-acute stroke. All subjects were assigned into either the experimental group (n=9) or control group (n=9). Both groups received conventional occupational therapy for 30 minutes/day, 5 times a week, for 4 weeks. Additionally, the experimental group performed virtual reality training in each session for 30 minutes/day, and the control group conducted conventional occupational therapy in each session for 30 minutes/day. The outcome measures were performed through the Fugl-Meyer Assessment (FMA) and the Korean-modified Barthel Index (K-MBI) before and after intervention. In results, the experimental group showed significant improvements in the scores of FMA and K-MBI after intervention (p<.05). The control group showed significant improvements in the shoulder/elbow/forearm, wrist, and hand sub-domains of the FMA and K-MBI (p<.05). After intervention, the experimental group showed significantly greater improvements in the total score and in the wrist and hand sub-domains of the FMA than control group (p<.05). These findings suggest that virtual reality training may have positive effects on the improvements of upper extremity function in patients with sub-acute stroke.
Keywords
Activities of daily living; Stroke; Upper extremity function; Virtual reality;
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1 P. W. Duncan et al. (2005). Management of adult stroke rehabilitation care. Stroke, 36(9), 100-143.
2 S. A. Maulden, J. Gassaway, S. D. Horn, R. J. Smout & G. DeJong. (2005). Timing of initiation of rehabilitation after stroke. Archives of physical medicine and rehabilitation, 86(12), 34-40.   DOI
3 S. H. Jang et al. (2005). Cortical Reorganization and Associated Functional Motor Recovery after Virtual Reality in Patients with Chronic Stroke: An Experimenter-Blind Preliminary Study. Archives of physical medicine and rehabilitation, 86(11), 2218-2223.   DOI
4 K. August, J. A. Lewis, G. Chandar, A. Merians, B. Biswal & S. Adamovich. (2006). FMRI analysis of neural mechanisms underlying rehabilitation in virtual reality: activating secondary motor areas. In 2006 International Conference of the IEEE Engineering in Medicine and Biology Society (pp. 3692-3695). IEEE.
5 S. Smallfield & J. Karges. (2009). Classification of occupational therapy intervention for inpatient stroke rehabilitation. American Journal of Occupational Therapy, 63(4), 408-413. DOI : 10.5014/ajot.63.4.408   DOI
6 H. S. Woo, W. K. Park & T. H. Cha. (2012). Correlation Between Korean-WMFT Functional Score and Activities of Daily Living. The Journal of Korean Society of Occupational Therapy, 20(3), 95-104.
7 W. Kakuda et al. (2012). A multi-center study on low-frequency rTMS combined with intensive occupational therapy for upper limb hemiparesis in post-stroke patients. Journal of neuroengineering and rehabilitation, 9(1), 4. DOI : 10.1186/1743-0003-9-4.   DOI
8 C. J. Parker et al. (2001). A multicentre randomized controlled trial of leisure therapy and conventional occupational therapy after stroke. Clinical rehabilitation, 15(1), 42-52.   DOI
9 D. Jack et al. (2001). Virtual reality-enhanced stroke rehabilitation. IEEE transactions on neural systems and rehabilitation engineering, 9(3), 308-318.   DOI
10 H. M. Feys et al. (1998). Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke. Stroke, 29(4), 785-792.   DOI
11 M. C. Howard. (2017). A Meta-Analysis and Systematic Literature Review of Virtual Reality Rehabilitation Programs. Computers in Human Behavior, 70(1), 317-327.   DOI
12 A. L. Faria, A. Andrade, L. Soares & S. B. i Badia. (2016). Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients. Journal of neuroengineering and rehabilitation, 13(1), 96-103.   DOI
13 C. W. Yin, N. Y. Sien, L. A. Ying, S. F. C. M. Chung & D. Tan May Leng. (2014). Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial. Clinical rehabilitation, 28(11), 1107-1114.   DOI
14 G. Saposnik et al. (2010). Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation. Stroke, 41(7), 1477-1484.   DOI
15 A. Henderson, N. Korner-Bitensky & M. Levin. (2007). Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery. Topics in stroke rehabilitation, 14(2), 52-61.   DOI
16 D. Y. Kim et al (2010). Assessment of post-stroke extrapersonal neglect using a three-dimensional immersive virtual street crossing program. Acta Neurologica Scandinavica, 121(3), 171-177.   DOI
17 R. B. King. (1996). Quality of Life after Stroke. Stroke, 27(9), 1467-1472.   DOI
18 A. Mirelman, P. Bonato & J. E. Deutsch. (2009). Effects of training with a robot-virtual reality system compared with a robot alone on the gait of individuals after stroke. Stroke, 40(1), 169-174. DOI : 10.1161/STROKEAHA.108.516328   DOI
19 L. M. Weber, D. M Nilsen, G. Gillen, J. Yoon & J. Stein. (2019). Immersive virtual reality mirror therapy for upper limb recovery following stroke: A pilot study. American journal of physical medicine & rehabilitation. DOI : 10.1097/PHM.0000000000001190. [Epub ahead of print]
20 H. Kim, A. Lee, Y. I. Shin, W. H Chang, K. H. Koo, H. Seong & Y. H. Kim. (2018). Effects of digital smart glove system on motor recovery of upper extremity in subacute stroke patients. Annals of Physical and Rehabilitation Medicine, 61, e28. DOI : 10.1016/j.rehab.2018.05.061   DOI
21 S. Y. Heo, H. J. Lee, A. J. Ham, Y. N. Kim, S. N. Jeong & K. M. Kim. (2016). The Effects of Virtual Reality Therapy on Executive Function and Balance for Stroke Patients: A Randomized Controlled Clinical Trial. The Journal of Korean Society of Occupational Therapy, 24(4), 1-14.   DOI
22 D. S. Lee & D. J. Kim. (2018). The Effect of XBOX based Virtual Reality Training on Stroke Patients' Upper Limb Function and Activities of Daily living. Korean Aging Friendly Industry Association, 10(2), 53-63. DOI : 10.34264/jkapa.2018.10.2.53   DOI
23 Y. M. Lim, J. Y. Lee, S. J. Jo, Y. S. Ahn & D. H. Yoo. (2017). A Systematic Review on the Effects of Virtual reality-based Telerehabilitation for Stroke Patients. The Journal of Korean Society of Community Based Occupational Therapy, 7(1), 59-70. DOI : 10.18598/kcbot.2017.07.01.07   DOI
24 D. H. Bang, Y. J. So & H. S. Cho. (2013). Imagery training effects of Upper limb function and Activities of daily living in Subacute stroke patients. Journal of Digital Convergence, 11(8), 235-242.   DOI
25 J. Sanford, J. Moreland, L. R. Swanson, P. W. Stratford & C. Gowland. (1993). Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke. Physical therapy, 73(7), 447-454.   DOI
26 Y. Kang, D. L. Na & S. Hahn. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association, 15(2), 300-308.
27 S. J. Shin. (2016). The Effect of Apraxia on Activity of Daily Living in Stroke Patients. Journal of Digital Convergence, 14(6), 527-533.   DOI
28 A. R. Fugl-Meyer, L. Jaasko, I. Leyman, S. Olsson & S. Steglind. (1975). The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scandinavian journal of rehabilitation medicine, 7(1), 13-31.
29 C. V. Granger, G. L. Albrecht & B. B. Hamilton. (1979). Outcome of Comprehensive Medical Rehabilitation: Measurement by PULSES Profile and The Barthel Index. Archives of physical medicine and rehabilitation, 60(4), 145-154.
30 J. H. Moon, J. Y. Park, Y. S. Kim & I. H. Bak. (2018). Effect of Art Therapy-based Purposeful Activities on Hand Function, Daily Living, Depression, and Volition for Rehabilitation in Patients With Acute Stroke: A Pilot Study. Journal of Korean Society of Neurocognitive Rehabilitation, 10(1), 15-24. DOI : 10.29144/KSCTE.2018.10.1.15   DOI
31 J. H. Moon, K. H. Kim, S. H. Lee, & Y. S. Won. (2017). Effects of Purposeful Activities Combined with Music on Upper Extremity Function, Therapeutic Motivation, and Mood in Acute Stroke Patients. PNF and Movement, 15(3), 267-279. DOI : 10.21598/JKPNFA.2017.15.3.267   DOI
32 S. J. Housman, K. M. Scott & D. J. Reinkensmeyer. (2009). A randomized controlled trial of gravity-supported, computer-enhanced arm exercise for individuals with severe hemiparesis. Neurorehabilitation and neural repair, 23(5), 505-514.   DOI
33 J. H. Moon, C. H. Na, K. Y. Park, S. J. Heo & C. H. Lee. (2018). A Pilot Investigation for usage Problems, Improvement Needs and Current Status of Upper Extremity Rehabilitation Equipment using SNS. The Journal of the Korea institute of electronic communication sciences, 13(2), 463-472.   DOI
34 J. H. Moon, K. Y. Park, H. J. Kim & C. H. Na. (2018). The Effects of Task-Oriented Circuit Training Using Rehabilitation Tools on the Upper-Extremity Functions and Daily Activities of Patients with Acute Stroke: A Randomized Controlled Pilot Trial. Osong public health and research perspectives, 9(5), 225-230. DOI : 10.24171/j.phrp.2018.9.5.03   DOI
35 J. Broeren, M. Rydmark, A. Bjorkdahl & K. S. Sunnerhagen. (2007). Assessment and training in a 3-dimensional virtual environment with haptics: a report on 5 cases of motor rehabilitation in the chronic stage after stroke. Neurorehabilitation and neural repair, 21(2), 180-189.   DOI
36 A. S. Merians, H. Poizner, R. Boian, G. Burdea & S. Adamovich. (2006). Sensorimotor training in a virtual reality environment: does it improve functional recovery poststroke?. Neurorehabilitation and neural repair, 20(2), 252-267.   DOI
37 Y. H. Choi, J. Ku, H. Lim, Y. H. Kim & N. J. Paik. (2016). Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke. Restorative neurology and neuroscience, 34(3), 455-463.   DOI