Topics in Stroke Rehabilitation,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 21
Published: March 10, 2025
Stroke
is
one
of
the
leading
causes
disability
worldwide,
with
low-
and
middle-
income
countries
(LMICs)
representing
69%
stroke
incidence.
Technology-based
interventions
offer
potential
for
improving
motor
function
rehabilitation
adherence;
however,
their
impact
in
LMICs
remains
unknown.
To
measure
efficacy
technological
compared
to
conventional
physical
post-
upper
limb
LMICs.
We
conducted
a
systematic
review
(PROSPERO
registration:
CRD42020213333)
randomized
clinical
trials
(RCTs)
from
PubMed,
Global
Index
Medicus,
Physiotherapy
Evidence
Databases.
Studies
included
survivors
receiving
rehabilitation.
Effectiveness
outcomes
function,
performance
activities
daily
living,
quality
life.
A
meta-analysis
was
performed
using
mean
differences
(MD)
95%
confidence
intervals
(95%
CI).
Risk
bias
assessed
Cochrane
Collaboration
tool
RCTs.
Fifty
studies
were
after
screening
phase,
comprising
total
2646
participants.
Nine
evaluated,
including:
virtual
reality
(40%),
robotics
(22%),
telerehabilitation
(10%),
among
others.
Meta-analysis
showed
significant
effect
immersive
on
Fugl-Meyer
Scale
(MD
5.65;
CI
4.88
6.43)
activity
Functional
Independence
Measure
4,82;
2,45-7,19).
difference
also
found
between
therapy
modified
Barthel
index
3.28;
0.86
5.70).
Immersive
are
effective
Journal of NeuroEngineering and Rehabilitation,
Journal Year:
2025,
Volume and Issue:
22(1)
Published: Jan. 20, 2025
Abstract
Background
Head-mounted
displays
can
be
used
to
offer
personalized
immersive
virtual
reality
(IVR)
training
for
patients
who
have
suffered
an
Acquired
Brain
Injury
(ABI)
by
tailoring
the
complexity
of
visual
and
auditory
stimuli
patient’s
cognitive
capabilities.
However,
it
is
still
open
question
how
these
environments
should
designed.
Methods
We
a
human-centered
design
approach
help
define
characteristics
suitable
ABI
patients.
conducted
(i)
observations,
(ii)
interviews
with
eleven
neurorehabilitation
experts,
(iii)
online
questionnaire
24
experts
examine
therapists
modify
current
promote
patients’
recovery
in
conventional
sensorimotor
settings.
Finally,
(iv)
we
involved
eight
participatory
workshop
co-create
examples
IVR
environments.
Results
Five
phases
process
(Screening,
Planning,
Training,
Reflecting,
Discharging)
six
key
themes
describing
(physical)
(Specific,
Meaningful,
Versatile,
Educational,
Safe,
Supportive)
were
identified.
The
agreed
that
modulating
number
elements
(e.g.,
objects,
people)
or
distractions
background
noise)
physical
environment
enables
provide
their
conditions
execute
functional
tasks.
Additionally,
highlighted
importance
developing
are
meaningful
realistic.
Conclusions
Through
consultations
gained
insights
into
adjust
execution
tasks
diverse
Their
recommendations
on
modulate
make
may
contribute
increased
motivation
skill
transfer.
Future
studies
IVR-based
involve
themselves.
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.
Technology and Disability,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 18, 2025
Background
Extended
reality
(XR)
has
previously
been
used
to
train
control
of
upper
limb
prostheses.
It
is
however
unclear
what
characteristics
an
XR
environment
should
have
in
order
become
a
usable
and
effective
training
tool.
Objective
The
objective
was
develop
framework
describing
the
most
important
factors
be
incorporated
when
designing
prosthesis
control.
Methods
A
mixed
method
approach
used.
narrative
review
conducted
explore
that
considered
for
Subsequently,
preliminary
framework,
based
on
these
factors,
rated
by
users
therapists
discussed
during
focus
groups.
Results
Fifty
out
489
articles
were
included.
comprised
62
four
domains:
feedback,
control,
exercise
environment.
Five
eight
participated
three
final
developed
which
contained
46
domains.
End-users
all
domains
equally
important,
since
influence
each
other.
Conclusions
can
guide
design
Healthcare,
Journal Year:
2025,
Volume and Issue:
13(2), P. 203 - 203
Published: Jan. 20, 2025
Background:
Virtual
reality-based
training
has
been
widely
used
for
post-stroke
patients
due
to
its
positive
effects
on
functional
aspects
by
promoting
brain
plasticity.
Objective:
This
study
aimed
investigate
the
effectiveness
of
gait
with
virtual
real-time
feedback
motor
function,
balance,
and
spatiotemporal
parameters
in
patients.
Methods:
Fifteen
(n
=
15)
chronic
stroke
were
randomly
assigned
either
treadmill
(experimental
group
n
8)
or
(control
7).
For
experimental
that
participated,
a
treadmill,
an
Oculus
Rift
VR
device,
smart
insoles
VR-based
feedback.
Regarding
feedback,
patient
wore
performed
30
min
day,
three
times
week,
5
weeks.
The
control
participated
Motor
function
was
measured
using
Fugl-Meyer
assessment.
Balance
timed
up
go
test
Berg
balance
scale.
Gait
performance
Optogait.
normality
Shapiro–Wilk
test,
Wilcoxon
signed-rank
within-group
comparison,
Mann–Whitney
U
between-group
comparison.
Results:
In
analyses,
both
groups
showed
significant
improvements
ability.
According
pre-
post-treatment
results,
greater
improvement
assessment
group:
4.75
vs.
1.57)
observed
compared
(p
<
0.05).
ability,
−3.10
−1.12)
scale
3.00
1.71)
parameters,
affected
step
length
(5.35
2.01),
stride
(3.86
1.75),
single
support
(2.61
1.22),
cadence
(0.07
0.02)
Conclusions:
suggested
performance.
Frontiers in Public Health,
Journal Year:
2025,
Volume and Issue:
13
Published: Feb. 27, 2025
This
review
examines
the
existing
literature
regarding
utilization
of
combat
sports
in
virtual
reality
(VR)
for
disease
rehabilitation
and
adaptive
physical
activity.
A
total
18
studies
were
obtained
from
Web
Science
Scopus
databases.
The
results
suggest
that
Boxing,
most
studied
sport
VR
systems,
has
been
primarily
used
to
improve
motor
function
quality
life
patients
with
neurological
conditions
such
as
cerebral
palsy,
Parkinson's
disease,
stroke.
Furthermore,
have
shown
increase
energy
expenditure
activity
intensity
individuals
disabilities,
proving
effective
maintaining
overall
health.
Notably,
boxing
produces
higher
than
other
activities
(e.g.,
tennis),
heart
rate
(HR)
oxygen
consumption
(VO2)
during
sessions
consistently
exceeding
those
observed
tennis.
Overall,
research
this
field
remains
limited
further
explorations
are
warranted.
BMC Psychiatry,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: March 5, 2025
We
aimed
to
determine
the
psychometric
properties
of
Apathy
Evaluation
Scale
(AES)
in
chronic
stroke
survivors.
In
this
study,
112
non-cognitive
impairment
survivors
participated.
Acceptability,
inter-rater,
and
test-retest
reliability
three
Persian
versions
AES
(clinician,
informant,
self-rated)
were
evaluated.
The
correlation
with
Hospital
Anxiety
Depression
(HADS),
Modified
Rankin
(mRS),
Barthel
Index
(BI)
was
To
assess
diagnostic
accuracy
versions,
classified
as
apathetic
(n
=
43)
non-apathetic
69)
groups
using
'diagnostic
criteria
apathy'.
floor
ceiling
effect,
skewness,
kurtosis
within
acceptable
range
for
versions.
Internal
consistency
(α
0.88-0.91)
inter-rater
(ICC2,1
>0.90)
all
Standard
Error
Measurement
Minimal
Detectable
Change
values
and/or
ranged
1.6-2.5
4.42-6.93
AES,
respectively.
Significant
moderate
high
(r
or
ƿ
-0.34-0.69)
found
between
HADS-D,
HADS-A,
BI,
mRS.
cut-off
point
>
34
(sensitivity
87.5%,
specificity
72.22%,
AUC
0.80)
derived
discriminating
from
based
on
AES-
self-rated
total
score.
All
are
reliable
valid
screening
tools
evaluate
characterize
apathy
AES-self-rated
had
good
discriminative
validity
subjects
Journal of Clinical Medicine,
Journal Year:
2023,
Volume and Issue:
13(1), P. 146 - 146
Published: Dec. 27, 2023
Virtual
reality
(VR)
is
an
innovative
rehabilitation
tool
increasingly
used
in
stroke
rehabilitation.
Fully
immersive
VR
a
type
of
that
closely
simulates
real-life
scenarios,
providing
high
level
immersion,
and
has
shown
promising
results
improving
functions.
This
study
aimed
to
assess
the
effect
VR-based
therapy
for
patients
on
upper
extremities,
activities
daily
living
(ADLs),
pain
reduction
its
acceptability
side
effects.
For
this
review,
we
gathered
all
suitable
randomized
controlled
trials
from
PubMed,
EMBASE,
Cochrane
Library,
Scopus,
Web
Science.
Out
1532,
10
articles
were
included,
with
324
participants.
The
show
offers
greater
benefits
comparison
conventional
rehabilitation,
significant
improvements
observed
ADLs
(SMD
0.58,
95%
CI
0.25
0.91,
I2
=
0%,
p
0.0005),
overall
function
as
measured
by
Fugl-Meyer
Assessment
(MD
6.33,
4.15
8.50,
25%,
0.00001),
subscales
shoulder
4.96,
CI—1.90–8.03,
0.002),
wrist
2.41,
CI—0.56–4.26,
0.01),
hand
2.60,
CI—0.70–4.5°,
0.007).
These
findings
highlight
potential
valuable
therapeutic
option
survivors,
enhancing
their
ADL
performance
upper-limb
function.
nature
provides
engaging
environment
