Deans' stroke musings: Evolving trends of systematic reviews on virtual reality for stroke rehabilitation

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.

Sunday, January 19, 2025

Evolving trends of systematic reviews on virtual reality for stroke rehabilitation

With NO protocols created; ABSOLUTELY FUCKING USELESS!

Evolving trends of systematic reviews on virtual reality for stroke rehabilitation

Silvia Bargeri ¹, Mariachiara Baggio ², Stefania Guida ^1,^✉, Greta Castellini ¹, Silvia Gianola ¹

PMCID: PMC11736645

ABSTRACT

Objective:

Virtual reality (VR) therapies have increasingly been adopted across medical fields, including neurorehabilitation for stroke recovery. Evidence from several systematic reviews (SRs) was explored, covering different aspects. We aim to explore overlaps, gaps, and trends of SRs focusing on VR stroke rehabilitation providing a foundation for improving the field and addressing current limitations.

Materials and methods:

We moved from a recent overview of reviews, searching multiple databases for all published SRs and the international database of prospectively registered SRs (PROSPERO) for ongoing SRs. Data extraction of study characteristics and methodological quality of SRs using AMSTAR 2 were obtained from a recent overview of reviews. Two independent reviewers conducted data analysis and visualization by the trend over time of published SRs with their included primary studies and ongoing SRs, methodological quality and other SR characteristics.

Results:

The data set consisted of 58 SRs, including 345 primary studies and 45 ongoing SRs, published between 2007 and 2022. The number of published and ongoing SRs significantly increased over time (R² = 0.8654; R² = 0.747, respectively). In the last three years, Asia accounts for the majority of publications (31%). Overall, the main outcome assessed over time was upper extremity function and activity in 67.2% of SRs. Most of the published SRs were judged “critically low” (77.6%). The number of included studies increased over time reaching a median of 17 studies with a median of 493 participants.

Conclusions:

In stroke rehabilitation, the published and ongoing SRs on VR have risen over time in terms of the number of publications, with some concerns about methodological quality and representation of countries around the world.