Current topics in behavioral neurosciences, Journal Year: 2023, Volume and Issue: unknown, P. 337 - 369
Published: Jan. 1, 2023
Language: Английский
European Heart Journal, Journal Year: 2023, Volume and Issue: 44(35), P. 3311 - 3322
Published: June 23, 2023
Abstract Technological advancement and the COVID-19 pandemic have brought virtual learning working into our daily lives. Extended realities (XR), an umbrella term for all immersive technologies that merge physical experiences, will undoubtedly be indispensable part of future clinical practice. The intuitive three-dimensional nature XR has great potential to benefit healthcare providers empower patients physicians. In past decade, implementation cardiovascular medicine flourished such it is now integrated medical training, patient education, pre-procedural planning, intra-procedural visualization, post-procedural care. This review article discussed how could provide innovative care complement traditional practice, as well addressing its limitations considering perspectives.
Language: Английский
Citations
30
Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15
Published: Aug. 13, 2024
Stroke remains a significant global health burden, necessitating comprehensive and innovative approaches in rehabilitation to optimize recovery outcomes. This paper provides thorough exploration of strategies stroke management, focusing on diagnostic methods, acute diverse modalities encompassing physical, occupational, speech, cognitive therapies. Emphasizing the importance early identification needs leveraging technological advancements, including neurostimulation techniques assistive technologies, this manuscript highlights challenges opportunities rehabilitation. Additionally, it discusses future directions, such as personalized approaches, neuroplasticity concepts, advancements which hold promise reshaping landscape By delineating these multifaceted aspects, aims provide insights directions for optimizing practices enhancing quality life survivors.
Language: Английский
Citations
14
BMC Medical Informatics and Decision Making, Journal Year: 2024, Volume and Issue: 24(1)
Published: May 24, 2024
Abstract Background Stroke frequently gives rise to incapacitating motor impairments in the upper limb. Virtual reality (VR) rehabilitation has exhibited potential for augmenting extremity recovery; nonetheless, optimal techniques such interventions remain a topic of uncertainty. The present systematic review and meta-analysis were undertaken comprehensively compare VR-based with conventional occupational therapy across spectrum immersion levels outcome domains. Methods A search was conducted PubMed, IEEE, Scopus, Web Science, PsycNET databases identify randomized controlled trials about limb stroke patients utilizing VR interventions. encompassed studies published English language up March 2023. identified stratified into different categories based on degree employed: non-immersive, semi-immersive, fully-immersive settings. Subsequent meta-analyses executed assess impact various measures. Results Of 11,834 screened, 55 2142 met predefined inclusion criteria. conferred benefits over function, functional independence, Quality life, Spasticity, dexterity. Fully immersive showed greatest gains gross while non-immersive approaches enhanced fine Interventions exceeding six weeks elicited superior results, initiating within months post-stroke optimized outcomes. Conclusions This demonstrates that adjunctive enhances recovery multiple domains compared alone after stroke. Optimal paradigms likely integrate VR’s capacity techniques. Trial registration retrospectively registered OSF registry under identifier [ https://doi.org/10.17605/OSF.IO/YK2RJ ].
Language: Английский
Citations
10
Bioelectronic Medicine, Journal Year: 2024, Volume and Issue: 10(1)
Published: Oct. 5, 2024
Language: Английский
Citations
9
Sensors, Journal Year: 2023, Volume and Issue: 23(2), P. 712 - 712
Published: Jan. 8, 2023
Stroke is one of the leading causes disability, including loss hand manipulative skills. It constitutes a major limitation in independence and ability to perform everyday tasks. Among numerous accessible physiotherapeutic methods, it becoming more common apply Virtual Reality "VR”. The aim this study was establish whether immersive VR worth considering as form physical therapy advisability applying restoring post-stroke function impairment. A proprietary application Mirror Hand 1.0 used research its effectiveness compared classical mirror therapy. total 20 survivors after ischaemic stroke with comparable functional status were divided into group (n = 10) control 10). Diagnostic tools included 36-Item Short Form Survey “SF-36” Fugl-Meyer Assessment Upper Extremity “FMA-UE”. Collected metrics showed normal distribution differences mean values tested by student’s t-test. In both, groups’ changes recorded. statistically significant outcome for FMA-UE SF-36 measured t-test dependent or independent samples (p > 0.05) obtained both groups. Importantly, proven conducted studies, an advantage subjective sensations amelioration pain sensory impressions. Applying treatment patients appears be good solution definitely provides opportunity consider applications integral part neurorehabilitation process. These results give basis plan further larger-scale observation attempts. Moreover, development innovative physiotherapy may become equivalent improving quality patients.
Language: Английский
Citations
19
Results in Engineering, Journal Year: 2023, Volume and Issue: 21, P. 101725 - 101725
Published: Dec. 30, 2023
Inconvenience caused by stroke brings physical disability found in many people which restricts their daily life activities. Globally, it was predicted that the prevalence of will rise to 21.9 % 2030. To improve sensory and motor recovery survivors, they required high attention for controllability adaptability. About 80 victims have upper-limb deficits affects living Due technological advancement rehabilitation engineering with new interventions, traditional therapy patients now translates into strategies help fast tasks intention motions. Electromyography (EMG) based being developed enhancement assessment motion control clinical settings. The integration EMG-based intervention provides feasibility use concept myoelectric therapeutic In this paper, robot aided has been discussed highlights contribution interventions rehabilitation. Furthermore, discussion also emphasis on virtual reality mirror latest approaches carried out different investigators evaluations lieu considerations improved functional task. most widely used outcome measures conducting randomized trials (RCTs) are Fugl-meyer assessment-upper extremity (FMA-UE), a score range from 0 66points, lower (FMA-LE) 34 points, Action Research Arm Test (ARAT), scale 57 Functional independence measure (FIM) 18–126 Modified Ashworth Scale (MAS), 5 points Box block test (BBT). RCTs statistical significance set at p < 0.05 (95 confidence interval). Moreover, future directions suggested real time autonomous detection intentions, machine learning must be involved robots, therapy-based achieve 95 accuracy could leads development intelligent survivors.
Language: Английский
Citations
18
Neurorehabilitation and neural repair, Journal Year: 2024, Volume and Issue: 38(4), P. 243 - 256
Published: Jan. 29, 2024
Despite a growing interest in gaming rehabilitation for upper limb (UL) recovery post-stroke, studies investigating the effects of game-based incorporating functional games are lacking.
Language: Английский
Citations
6
Chinese Medical Journal, Journal Year: 2021, Volume and Issue: 135(2), P. 153 - 163
Published: Dec. 13, 2021
Abstract Background: Physical therapy is regarded as an essential aspect in achieving optimal outcomes following total knee arthroplasty (TKA). The coronavirus disease 2019 (COVID-19) pandemic has made face-to-face rehabilitation inaccessible. Virtual reality (VR) increasingly a potentially effective option for offering health care interventions. This systematic review and meta-analysis investigate VR-based rehabilitation's effectiveness on TKA. Methods: From inception to May 22, 2021, PubMed/Medline, Embase, Web of Science, the Cochrane Central Register Controlled Trials, Scopus, PsycINFO, Physiotherapy Evidence Database, China National Knowledge Infrastructure, Wanfang were comprehensively searched identify randomized controlled trials (RCTs) evaluating effect patients TKA according Preferred Reporting Items Systematic Reviews Meta-Analyses statement Handbook Interventions. Results: Eight studies included review, seven meta-analysis. significantly improved visual analog scale (VAS) scores within 1 month (standardized mean difference [SMD]: −0.44; 95% confidence interval [CI]: −0.79 −0.08, P = 0.02), Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) (SMD: −0.71; CI: −1.03 −0.40, < 0.01), Hospital Special Surgery Knee Score (HSS) between 2 months 3 (MD: 7.62; 5.77 9.47, 0.01; MD: 10.15; 8.03 12.27, respectively) compared conventional rehabilitation. No significant was found terms Timed Up Go (TUG) test. Conclusions: pain function but not postural control More high-quality RCTs are needed prove advantage As COVID-19 continues, it necessary promote this model.
Language: Английский
Citations
40
Frontiers in Aging Neuroscience, Journal Year: 2021, Volume and Issue: 13
Published: Dec. 13, 2021
Background: The efficacy of virtual reality (VR)-based intervention for improving cognition in patients with the chronic stage stroke is controversial. aims this meta-analysis were to evaluate effect VR-based training combined traditional rehabilitation on cognition, motor function, mood, and activities daily living (ADL) after stroke. Methods: search was performed Cochrane Library (CENTRAL), EBSCO, EMBASE, Medline (OVID), Web Science databases, PubMed, CINAHL Ovid, Scopus from inception May 31, 2021. All included studies randomized controlled trials (RCTs) examining main outcomes study including overall (combined all cognitive measurement results), global (measured by Montreal Cognitive Assessment, MoCA, and/or Mini-Mental State Examination, MMSE), attention/execution. additional ADL. Subgroup analyses conducted verify potential factors heterogeneity. Results: Six RCTs 209 participants systematic review, five 177 meta-analyses. Main outcome showed large significant size (ES) (g = 0.642; 95% CI 0.134-1.149; P 0.013) attention/execution 0.695; 0.052-1.339; 0.034). Non-significant result found 0.553; -0.273-1.379; 0.189). Additional no superiority over function ES mood 1.421; 0.448-2.393; 0.004) significant. In subgroup analysis, effects higher intensity, weekly frequency, or greater dose VR found. Conclusion: Our findings indicate that better attention/execution, depressive individuals However, a non-significant ADL
Language: Английский
Citations
37
IEEE Transactions on Neural Systems and Rehabilitation Engineering, Journal Year: 2024, Volume and Issue: 32, P. 2060 - 2069
Published: Jan. 1, 2024
Stroke rehabilitation faces challenges in attaining enduring improvements hand motor function and is frequently constrained by interventional limitations. This research aims to present an innovative approach the integration of cognitive engagement within visual feedback incorporated into fully immersive virtual reality (VR) based games achieve improvements. These aspects interaction provide more functional advantages beyond motivation efficiently execute repeatedly tasks. The effectiveness with has been investigated for functions. A randomized controlled trial was conducted, a total (n=56) subacute stroke patients were assessed eligibility (n=52) fulfilled inclusion criteria. (n=26) assigned experimental group control group. VR intervention involves four games, developed on movements including flexion/extension, close/open, supination/pronation pinch. All got therapy 24 sessions, lasting 4 days/week 6 weeks. Five clinical outcome measures Fugl–Meyer Assessment-Upper Extremity, Action Research Arm Test, Box Block Modified Barthel Index, Stroke-Specific Quality Life evaluate patients' performance. Results revealed that after there significant improvement between groups (p<0.05) all assessment weeks however, observed significantly greater due VR-based games. indicated effectively improved
Language: Английский
Citations
5