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High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis

(1) Background: To improve existing rehabilitation technologies, we conducted a systematic review and meta-analysis to identify the effect size of home-based rehabilitation using robotic, virtual reality, and game devices on physical function for stroke survivors. (2) Methods: Embase, PubMed, Cochra...

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Autores principales: Bok, Soo-Kyung, Song, Youngshin, Lim, Ancho, Jin, Sohyun, Kim, Nagyeong, Ko, Geumbo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095213/
https://www.ncbi.nlm.nih.gov/pubmed/37048751
http://dx.doi.org/10.3390/jcm12072668
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author Bok, Soo-Kyung
Song, Youngshin
Lim, Ancho
Jin, Sohyun
Kim, Nagyeong
Ko, Geumbo
author_facet Bok, Soo-Kyung
Song, Youngshin
Lim, Ancho
Jin, Sohyun
Kim, Nagyeong
Ko, Geumbo
author_sort Bok, Soo-Kyung
collection PubMed
description (1) Background: To improve existing rehabilitation technologies, we conducted a systematic review and meta-analysis to identify the effect size of home-based rehabilitation using robotic, virtual reality, and game devices on physical function for stroke survivors. (2) Methods: Embase, PubMed, Cochrane Library, ProQuest, and CINAHL were used to search the randomized controlled trials that applied technologies via home-based rehabilitation, such as virtual reality, robot-assisted devices, and games. The effect size (Hedges’s g) of technology type and affected limb on physical function were calculated. (3) Results: Ten studies were included. The effect size of home-based rehabilitation in virtual reality had the greatest value (Hedges’s g, 0.850; 95% CI, 0.314–1.385), followed by robot-assisted devices (Hedges’s g, 0.120; 95% CI, 0.003–0.017) and games (Hedges’s g, −0.162; 95% CI, −0.036 to −0.534). The effect size was larger in the upper limbs (Hedges’s g, 0.287; 95% CI, 0.128–0.447) than in the lower limbs (Hedges’s g, −0.113; 95% CI, −0.547 to 0.321). (4) Conclusions: Virtual reality home rehabilitation was highly effective for physical function compared to other rehabilitation technologies. Interventions that consisted of a pre-structured and tailored program applied to the upper limbs were effective for physical function and psychological outcomes.
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spelling pubmed-100952132023-04-13 High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis Bok, Soo-Kyung Song, Youngshin Lim, Ancho Jin, Sohyun Kim, Nagyeong Ko, Geumbo J Clin Med Review (1) Background: To improve existing rehabilitation technologies, we conducted a systematic review and meta-analysis to identify the effect size of home-based rehabilitation using robotic, virtual reality, and game devices on physical function for stroke survivors. (2) Methods: Embase, PubMed, Cochrane Library, ProQuest, and CINAHL were used to search the randomized controlled trials that applied technologies via home-based rehabilitation, such as virtual reality, robot-assisted devices, and games. The effect size (Hedges’s g) of technology type and affected limb on physical function were calculated. (3) Results: Ten studies were included. The effect size of home-based rehabilitation in virtual reality had the greatest value (Hedges’s g, 0.850; 95% CI, 0.314–1.385), followed by robot-assisted devices (Hedges’s g, 0.120; 95% CI, 0.003–0.017) and games (Hedges’s g, −0.162; 95% CI, −0.036 to −0.534). The effect size was larger in the upper limbs (Hedges’s g, 0.287; 95% CI, 0.128–0.447) than in the lower limbs (Hedges’s g, −0.113; 95% CI, −0.547 to 0.321). (4) Conclusions: Virtual reality home rehabilitation was highly effective for physical function compared to other rehabilitation technologies. Interventions that consisted of a pre-structured and tailored program applied to the upper limbs were effective for physical function and psychological outcomes. MDPI 2023-04-03 /pmc/articles/PMC10095213/ /pubmed/37048751 http://dx.doi.org/10.3390/jcm12072668 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Bok, Soo-Kyung
Song, Youngshin
Lim, Ancho
Jin, Sohyun
Kim, Nagyeong
Ko, Geumbo
High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
title High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
title_full High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
title_fullStr High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
title_full_unstemmed High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
title_short High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
title_sort high-tech home-based rehabilitation after stroke: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095213/
https://www.ncbi.nlm.nih.gov/pubmed/37048751
http://dx.doi.org/10.3390/jcm12072668
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