Deans' stroke musings: Effects of Virtual Reality Rehabilitation Training on Cognitive Function and Activities of Daily Living of Patients with Post-Stroke Cognitive Impairment: A Systematic Review and Meta-Analysis

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.

Thursday, April 14, 2022

Effects of Virtual Reality Rehabilitation Training on Cognitive Function and Activities of Daily Living of Patients with Post-Stroke Cognitive Impairment: A Systematic Review and Meta-Analysis

With these positive effects how long before your hospital implements them? I'd guess 50 years. Your children will probably be dead, maybe your grandchildren can be helped by this.

ShaohongLinMS^a LiqiangYuMS^b RuhuiLinPhD^c

https://doi.org/10.1016/j.apmr.2022.03.012 Get rights and content

ABSTRACT

Objective

To determine the effects of virtual reality (VR) rehabilitation training on the cognitive function and activities of daily living (ADLs) of patients with post-stroke cognitive impairment (PSCI).

Data sources

Four Chinese databases and six English databases were systematically searched for studies published until August 31, 2021, by using MeSH terms such as virtual reality, cognition disorders, cognitive dysfunction, and stroke, and free terms such as virtual environment, VR, cognition impairment, cerebrovascular accident, and PSCI.

Study Selection

Randomized controlled trials treating PSCI with VR training were included. The control groups received conventional treatments such as conventional rehabilitation training and drug therapy; the experimental groups received VR rehabilitation training. The outcome measures were cognitive function and ADLs.

Data Extraction

Two researchers independently extracted key information from eligible studies. The methodological quality of the studies was evaluated using the Cochrane Handbook for Systematic Reviews of Interventions v5.1.0. Meta-analysis was performed using RevMan v5.4. We followed the PRISMA 2020 guidelines.

Data synthesis

Twenty-one studies (1149 participants) were included. Meta-analyses found that compared with the control group, VR rehabilitation training increased MMSE, MoCA, LOTCA, RBMT-II, BI, MBI, and FIM scores, P300 amplitude, and the NAA/Cr ratio on ¹H-MRS, and reduced P300 latency, TMT scores, and the Cho/Cr ratio on ¹H-MRS (all P < 0.05). These results indicated that VR training improved cognitive function and ADLs in PSCI.

Conclusion

VR rehabilitation training promotes the rehabilitation of cognitive function and recovery of ADLs in PSCI patients, and may be a good complementary approach to conventional cognitive interventions.