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http://dx.doi.org/10.21288/resko.2018.12.1.10

Effectiveness of Motion-Based Virtual Reality Training(Joystim) on Cognitive Function and Activities of Daily Living in Patients with Stroke  

Yang, No-Yul (충남도립대학교 작업치료과)
Park, Hee-Su (경동대학교 작업치료학과)
Yoon, Tae-Hyung (동서대학교 작업치료학과)
Moon, Jong-Hoon (인천사랑병원 재활의학과)
Publication Information
Journal of rehabilitation welfare engineering & assistive technology / v.12, no.1, 2018 , pp. 10-19 More about this Journal
Abstract
The present study was to investigated the effects of motion-based virtual reality training on cognitive function and activities of daily living in patients with stroke. This study was participated in forty one patients with acute stroke. All subjects were randomly assigned into either the experimental group(n=20) or the control group(n=21). The both groups received the conventional occupational therapy during 30 min a day, 5 a week, 4 a weeks. Additionally, experimental group performed motion-based virtual reality training on each session during 30 min/day, and control group conducted conventional occupational therapy on each session during 30 min/day. The outcome measures were the LOTCA(Loewenstein Occupational Therapy Cognitive Assessment), TMT(Trail Making Test), VM(Visual Memory), K-MBI(Korean Modified Barthel Index). In comparison of change score of cognitive function, the experimental group showed a significantly greater improvements in attention and visual working memory than the control group(p<.05). As a result for change score of activities of daily living, the experimental group showed a significant greater improvement in self care than the control group(p<.05). Our findings suggest that motion-based virtual reality training may have a effects of the improvements of cognitive function and activities of daily living than conventional therapy in patients with acute stroke.
Keywords
Virtual Reality; Stroke; Cognition; Activities of Daily Living; Self Care;
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1 N. Katz, M. Itzkovich, S. Averbuch and B. Elazar, "Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) Battery for Brain-Injured Patients: Reliability and Validity", American Journal of Occupational Therapy, vol. 43, no. 3, pp. 184-192, 1989.   DOI
2 B. Cangoz, E. Karakoc and K. Selekler, "Trail Making Test: Normative Data for Turkish Elderly Population by Age, Sex and Education", Journal of the Neurological Sciences, vol. 283, no. 1, pp. 73-78, 2009.   DOI
3 R. P. Colarusso and D. D. Hammill, "MVPT-3: Motor-free Visual Perception Test", NY: Academic Therapy Publications, 2003.
4 C. V. Granger, G. L. Albrecht and B. B. Hamilton, "Outcome of Comprehensive Medical Rehabilitation: Measurement by PULSES Profile and The Barthel Index", Archives of Physical Medicine and Rehabilitation, vol. 60, no. 4, pp. 145-154, 1979.
5 P. Gamito, J. Oliveira, C. Coelho, D. Morais, P. Lopes, J. Pacheco and A. F. Barata, "Cognitive Training on Stroke Patients via Virtual Reality-Based Serious Games", Disability and Rehabilitation, vol. 39, no. 4, pp. 385-388, 2017.   DOI
6 H. S. Woo, W. K. Park, T. H. Cha, "Correlation Between Korean-WMFT Functional Score and Activities of Daily Living", The Journal of Korean Society of Occupational Therapy, vol. 20, no. 3, pp. 95-104, 2012.
7 E. McCullagh, G. Brigstocke, N. Donaldson, and L. Kalra, "Determinants of Caregiving Burden and Quality of Life in Caregivers of Stroke Patients", Stroke, vol. 36, no. 10, pp. 2181-2186, 2005.   DOI
8 T. Thom, N. Haase, W. Rosamond, V. J. Howard, J. Rumsfeld, T. Manolio, and D. Lloyd-Jones, "Heart Disease and Stroke Statistics-2006 Update: a Report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee", Circulation, vol. 113, no. 6, pp. 2361-2372, 2006.
9 D. T. Wade and R. L. Hewer, "Functional Abilities after Stroke: Measurement, Natural History and Prognosis", Journal of Neurology, Neurosurgery & Psychiatry, vol. 50, no. 2, pp. 177-182. 1987.   DOI
10 R. B. King, "Quality of Life after Stroke", Stroke, vol. 27, no. 9, pp. 1467-1472, 1996.   DOI
11 M. C. Howard, "A Meta-Analysis and Systematic Literature Review of Virtual Reality Rehabilitation Programs", Computers in Human Behavior, vol. 70, no. 1, pp. 317-327, 2017.   DOI
12 K. B. Rajan, N. T. Aggarwal, R. S. Wilson, S. A. Everson-Rose and D. A. Evans, "Association of Cognitive Functioning, Incident Stroke, and Mortality in Older Adults", Stroke, vol. 45, no. 9, pp. 2563-2567, 2014.   DOI
13 M. Pasquini, D. Leys, M. Rousseaux, F. Pasquier and H. Henon, "Influence of Cognitive Impairment on the Institutionalisation Rate 3 Years after A Stroke," Journal of Neurology, Neurosurgery, and Psychiatry, vol. 78, no. 1, pp. 56-59, 2007.   DOI
14 E. R. Skidmore, E. M. Whyte, M. B. Holm, J. T. Becker, M. A. Butters and M. A. Dew, "Cognitive and Affective Predictors of Rehabilitation Participation after Stroke", Archives of Physical Medicine and Rehabilitation, vol. 91, no. 2, pp. 203-207, 2010.   DOI
15 A. S. Merians, H. Poizner, R. Boian, G. Burdea, and S. Adamovich, "Sensorimotor Training in A Virtual Reality Environment: Does It Improve Functional Recovery Poststroke?", Neurorehabilitation and Neural Repair, vol. 20, no. 2, pp. 252-267, 2006.   DOI
16 D. Y. Kim, J. Ku, W. H. Chang, T. H. Park, J. Y. Lim, K. Han, and S. I. Kim, "Assessment of Post-Stroke Extrapersonal Neglect Using A Three-Dimensional Immersive Virtual Street Crossing Program", Acta Neurologica Scandinavica, vol. 121, no. 3, pp. 171-177, 2010.   DOI
17 J. Broeren, H. Samuelsson, K. Stibrant- Sunnerhagen, C. Blomstrand and M. Rydmark, "Neglect Assessment as An Application of Virtual Reality", Acta Neurologica Scandinavica, vol. 116, no. 3, 157-163, 2007.   DOI
18 K. Kim, J. Kim, J. Ku, D. Y. Kim, W. H. Chang, D. I. Shin, .and S. I. Kim, "A Virtual Reality Assessment and Training System for Unilateral Neglect", Cyberpsychology & Behavior, vol. 7, no. 6, pp. 742-749, 2004.   DOI
19 N. Katz, H. Ring, Y. Naveh, R. Kizony, U. Feintuch and P. L. Weiss, "Interactive Virtual Environment Training for Safe Street Crossing of Right Hemisphere Stroke Patients with Unilateral Spatial Neglect", Disability and Rehabilitation, vol. 27, no. 20, pp. 1235-1244, 2005.   DOI
20 A. L. Faria, A. Andrade, L. Soares and S. B. i Badia, "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, vol. 13, no. 1, pp. 96-103, 2016.   DOI
21 K. Laver, S. George, S. Thomas, J. E. Deutsch, and M. Crotty, "Cochrane Review: Virtual Reality for Stroke Rehabilitation", European Journal of Physical and Rehabilitation Medicine, vol. 48, no. 3, pp. 523-530, 2012.
22 Y. J. Kang, J. Ku, K. Han, S. I. Kim, T. W. Yu, J. H. Lee and C. I. Park, "Development and Clinical Trial of Virtual Reality-Based Cognitive Assessment in People with Stroke: Preliminary Study", CyberPsychology & Behavior, vol. 11, no. 3, pp. 329-339, 2008.   DOI
23 S. H. Jang, S. H. You, M. Hallett, Y. W. Cho, C. M. Park, S. H. Cho and T. H. Kim, "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, vol. 86, no. 11, pp. 2218-2223, 2005.   DOI
24 J. Broeren, M. Rydmark, A. Bjorkdahl and K. S. Sunnerhagen, "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, vol. 21, no. 2, 180-189, 2007.   DOI
25 S. Katz, "Assessing Self-Maintenance: Activities of Daily Living, Mobility, and Instrumental Activities of Daily Living", Journal of the American Geriatrics Society, vol. 31, no. 12, pp. 721-727, 1983.   DOI