Deans' stroke musings: Virtual reality in the rehabilitation of patients with stroke: an integrative review

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, May 18, 2019

Virtual reality in the rehabilitation of patients with stroke: an integrative review

We don't need reviews we need protocols. WHEN THE HELL will we get them? After everyone in the existing stroke medical world is dead? All these posts that have been out there for years with nothing done to help survivors.

Virtual reality in the rehabilitation of patients with stroke: an integrative review

Realidade virtual na reabilitação de pacientes após acidente vascular cerebral: uma revisão integrativa

Alberto Luiz Aramaki¹²

http://orcid.org/0000-0002-1740-6686

Rosana Ferreira Sampaio³

http://orcid.org/0000-0002-4775-9650

Ana Caroline Silva Reis²⁴

http://orcid.org/0000-0001-6943-2600

Alessandra Cavalcanti⁴

http://orcid.org/0000-0002-2306-2031

Fabiana Caetano Martins Silva e Dutra¹²⁴

http://orcid.org/0000-0003-3295-1583

^¹Universidade Federal do Triângulo Mineiro, Programa de Pós-Graduação em Atenção à Saúde, Uberaba MG, Brasil;

^²NETRAS - Núcleo de Estudos e Pesquisas em Trabalho, Participação Social e Saúde, Uberaba MG, Brasil.

^³Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Ciências da Reabilitação, Belo Horizonte MG, Brasil;

^⁴Universidade Federal do Triângulo Mineiro, Departamento de Terapia Ocupacional, Uberaba MG, Brasil.

ABSTRACT

Objective:

To describe the intervention protocols to using commercial video games as virtual reality (VR) in rehabilitation of patients with stroke.

Methods:

Integrative review using the descriptors “rehabilitation”, “virtual reality exposure therapy” and “videogames” in the LILACS and PUBMED databases. Articles published from 2011 to 2018 were selected.

Results:

We found 1,396 articles, 1,383 were excluded and 13 were selected. Most of the articles were randomized clinical trials published in 2014 or later. The sample size varied from 5–47 adults, or adults and elders, with chronic stroke. The Nintendo Wii^® was the most used video game system. The intervention happened two or three times a week, each session lasting from 30 to 60 minutes, over 2–12 weeks. Balance, upper limb motor functions, quality of life and daily living activities were the most common evaluated outcomes. The Fugl-Meyer Assessment, Berg Balance Scale, Timed Up and Go test, Barthel Scale and SF-36 were the most common outcome measurement tools.

Conclusions:

The studies indicated improvement in dynamic balance, upper limb motor function and quality of life after rehabilitation using VR. The VR was more effective than conventional treatments for the outcome of dynamic balance. Two studies did not find any changes in static balance and daily living activities. Physical aspects and quality of life were the outcomes most evaluated by the researchers; as were the population with chronic strokes and protocols of long duration and low intensity. Few studies targeted immediate VR effects, performance in daily living activities and social participation.