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Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors

Virtual reality (VR) games has the potential to improve patient outcomes in stroke rehabilitation. However, there is limited information on VR games as an adjunct to standard physiotherapy in improving upper limb function. This study involved 36 participants in both experimental (n = 18) and control...

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Autores principales: Ahmad, Mohd Azzuan, Singh, Devinder Kaur Ajit, Mohd Nordin, Nor Azlin, Hooi Nee, Khor, Ibrahim, Norliza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950522/
https://www.ncbi.nlm.nih.gov/pubmed/31888293
http://dx.doi.org/10.3390/ijerph16245144
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author Ahmad, Mohd Azzuan
Singh, Devinder Kaur Ajit
Mohd Nordin, Nor Azlin
Hooi Nee, Khor
Ibrahim, Norliza
author_facet Ahmad, Mohd Azzuan
Singh, Devinder Kaur Ajit
Mohd Nordin, Nor Azlin
Hooi Nee, Khor
Ibrahim, Norliza
author_sort Ahmad, Mohd Azzuan
collection PubMed
description Virtual reality (VR) games has the potential to improve patient outcomes in stroke rehabilitation. However, there is limited information on VR games as an adjunct to standard physiotherapy in improving upper limb function. This study involved 36 participants in both experimental (n = 18) and control (n = 18) groups with a mean age (SD) of 57 (8.20) and 63 (10.54) years, respectively. Outcome measures were the Fugl-Meyer assessment for upper extremities (FMA-UE), Wolf motor function test (WMFT), intrinsic motivation inventory (IMI), Lawton of instrumental activities of daily living (IADL), and stroke impact scale (SIS) assessed at pre-post intervention. The experimental group had 0.5 h of upper limb (UL) VR games with 1.5 h of standard physiotherapy, and the control group received 2 h of standard physiotherapy. The intervention for both groups was performed once a week for eight consecutive weeks. The results showed a significant time–group interaction effect for IMI (p = 0.001), Lawton IADL (p = 0.01) and SIS domain of communication (p = 0.03). A significant time effect was found in FMA-UE (p = 0.001), WMFT (p = 0.001), Lawton IADL (p = 0.01), and SIS domains; strength, ADL and stroke recovery (p < 0.05). These results indicated an improvement in UL motor ability, sensory function, instrumental ADL, and quality of life in both groups after eight weeks of intervention. However, no significant (p > 0.05) group effect on all the outcome measures was demonstrated. Thus, replacing a portion of standard physiotherapy time with VR games was equally effective in improving UL function and general health compared to receiving only standard physiotherapy among stroke survivors.
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spelling pubmed-69505222020-01-16 Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors Ahmad, Mohd Azzuan Singh, Devinder Kaur Ajit Mohd Nordin, Nor Azlin Hooi Nee, Khor Ibrahim, Norliza Int J Environ Res Public Health Article Virtual reality (VR) games has the potential to improve patient outcomes in stroke rehabilitation. However, there is limited information on VR games as an adjunct to standard physiotherapy in improving upper limb function. This study involved 36 participants in both experimental (n = 18) and control (n = 18) groups with a mean age (SD) of 57 (8.20) and 63 (10.54) years, respectively. Outcome measures were the Fugl-Meyer assessment for upper extremities (FMA-UE), Wolf motor function test (WMFT), intrinsic motivation inventory (IMI), Lawton of instrumental activities of daily living (IADL), and stroke impact scale (SIS) assessed at pre-post intervention. The experimental group had 0.5 h of upper limb (UL) VR games with 1.5 h of standard physiotherapy, and the control group received 2 h of standard physiotherapy. The intervention for both groups was performed once a week for eight consecutive weeks. The results showed a significant time–group interaction effect for IMI (p = 0.001), Lawton IADL (p = 0.01) and SIS domain of communication (p = 0.03). A significant time effect was found in FMA-UE (p = 0.001), WMFT (p = 0.001), Lawton IADL (p = 0.01), and SIS domains; strength, ADL and stroke recovery (p < 0.05). These results indicated an improvement in UL motor ability, sensory function, instrumental ADL, and quality of life in both groups after eight weeks of intervention. However, no significant (p > 0.05) group effect on all the outcome measures was demonstrated. Thus, replacing a portion of standard physiotherapy time with VR games was equally effective in improving UL function and general health compared to receiving only standard physiotherapy among stroke survivors. MDPI 2019-12-16 2019-12 /pmc/articles/PMC6950522/ /pubmed/31888293 http://dx.doi.org/10.3390/ijerph16245144 Text en © 2019 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ahmad, Mohd Azzuan
Singh, Devinder Kaur Ajit
Mohd Nordin, Nor Azlin
Hooi Nee, Khor
Ibrahim, Norliza
Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
title Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
title_full Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
title_fullStr Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
title_full_unstemmed Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
title_short Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
title_sort virtual reality games as an adjunct in improving upper limb function and general health among stroke survivors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950522/
https://www.ncbi.nlm.nih.gov/pubmed/31888293
http://dx.doi.org/10.3390/ijerph16245144
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