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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10095213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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