Effects of a virtual reality-based exercise program on functional recovery in stroke patients: part 1
[Purpose]This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled...
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| Published in | Journal of Physical Therapy Science Vol. 27; no. 6; pp. 1637 - 1640 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 |
| DOI | 10.1589/jpts.27.1637 |
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| Abstract | [Purpose]This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. |
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| AbstractList | [Purpose]This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program.This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. Purpose:This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. Subjects: The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. Methods: The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. Results: In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. Conclusion: The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. [Abstract.] [Purpose] This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery of motor and cognitive function and the performance of activities of daily living in stroke patients. [Subjects] The study enrolled 10 patients diagnosed with stroke who received occupational therapy at the Department of Rehabilitation Medicine of Hospital A between January and March 2014. [Methods] The patients took part in the virtual reality exercise program for 30 minutes each day, three times per week, for 4 weeks. Then, the patients were re-evaluated to determine changes in upper extremity function, cognitive function, and performance of activities of daily living 4 weeks after the baseline assessment. [Results] In the experimental group, there were significant differences in the Korea-Mini Mental Status Evaluation, Korean version of the modified Barthel index, and Fugl-Meyer assessment scores between the baseline and endpoint. [Conclusion] The virtual reality exercise program was effective for restoring function in stroke patients. Further studies should develop systematic protocols for rehabilitation training with a virtual reality exercise program. |
| Author | Lee, Kyoung-Hee |
| Author_xml | – sequence: 1 fullname: Lee, Kyoung-Hee organization: Department of Occupational Therapy, Baekseok University: 76 Munam-ro, Dongnam-gu, Cheonan, Chungnam 330-704, Republic of Korea |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26180287$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.apmr.2005.04.015 10.1097/01253086-199923020-00013 10.2340/1650197771331 10.1016/j.apmr.2003.09.020 10.5535/arm.2011.35.4.450 10.1016/S0003-9993(99)90169-7 10.1016/0022-3956(75)90026-6 10.1016/j.ridd.2010.01.010 10.1589/jpts.25.575 10.1016/S0140-6736(11)60325-5 10.1186/s12883-014-0186-z 10.1002/gps.930050606 10.1310/tsr1402-52 10.1589/jpts.24.1205 10.1177/1545968309341646 10.1589/jpts.25.595 10.1589/jpts.26.271 10.1016/j.gaitpost.2007.11.007 |
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| Copyright | 2015 by the Society of Physical Therapy Science. Published by IPEC Inc. 2015©by the Society of Physical Therapy Science. Published by IPEC Inc. 2015 |
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| Keywords | Virtual reality-based exercise program Stroke Functional recovery |
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| References | 4) Tanaka T, Kudo A, Sugihara S, et al.: A study of upper extremity training for patients with stroke using a virtual environment system. J Phys Ther Sci, 2013, 25: 575–580. 14) Grealy MA, Johnson DA, Rushton SK: Improving cognitive function after brain injury: the use of exercise and virtual reality. Arch Phys Med Rehabil, 1999, 80: 661–667. 15) Piron L, Tonin P, Atzori AM, et al.: The augmented-feedback rehabilitation technique facilitates the arm motor recovery in patients after a recent stroke. Stud Health Technol Inform, 2003, 94: 265–267. 5) Park J, Lee D, Lee S: Effect of virtual reality exercise using the nintendo wii fit on muscle activities of the trunk and lower extremities of normal adults. J Phys Ther Sci, 2014, 26: 271–273. 6) Langhorne P, Bernhardt J, Kwakkel G: Stroke rehabilitation. Lancet, 2011, 377: 1693–1702. 13) Kim BR, Chun MH, Kim LS, et al.: Effect of virtual reality on cognition in stroke patients. Ann Rehabil Med, 2011, 35: 450–459. 11) Granger CV, Dewis LS, Peters NC, et al.: Stroke rehabilitation: analysis of repeated Barthel index measures. Arch Phys Med Rehabil, 1979, 60: 14–17. 2) Cho K, Yu J, Jung J: Effects of virtual reality-based rehabilitation on upper extremity function and visual perception in stroke patients: a randomized control trial. J Phys Ther Sci, 2012, 24: 1205–1208. 3) Folstein MF, Folstein SE, McHugh PR: “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 1975, 12: 189–198. 17) Henderson A, Korner-Bitensky N, Levin M: Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery. Top Stroke Rehabil, 2007, 14: 52–61. 18) Broeren J, Rydmark M, Sunnerhagen KS: Virtual reality and haptics as a training device for movement rehabilitation after stroke: a single-case study. Arch Phys Med Rehabil, 2004, 85: 1247–1250. 10) Park JH, Kwon YC: Modificataion of the minimental state examination for use in the elderly in a non-western society. Part 1. Development of Korean version of minimental state examination. Int J Geriatr Psychiatry, 1990, 5: 381–387. 9) Lotan M, Yalon-Chamovitz S, Weiss PL: Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and developmental disability. Res Dev Disabil, 2010, 31: 869–874. 8) Brunner I, Skouen JS, Hofstad H, et al.: Virtual reality training for upper extremity in subacute stroke (VIRTUES): study protocol for a randomized controlled multicenter trial. BMC Neurol, 2014, 14: 186–189. 21) Quaney BM, He J, Timberlake G, et al.: Visuomotor training improves stroke-related ipsilesional upper extremity impairments. Neurorehabil Neural Repair, 2010, 24: 52–61. 19) Jang SH, You SH, Hallett M, et al.: Cortical reorganization and associated functional motor recovery after virtual reality in patients with chronic stroke: an experimenter-blind preliminary study. Arch Phys Med Rehabil, 2005, 86: 2218–2223. 20) Lee G, Lee GC: Effects of training using video games on the muscle strength, muscle tone, and activities of daily living of chronic stroke patients. J Phys Ther Sci, 2013, 25: 595–597. 1) Fugl-Meyer AR, Jääskö L, Leyman I, et al.: The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7: 13–31. 16) Holden M, Todorov E, Callahan J, et al.: Virtual environment training improves motor performance in two patients with stroke: case report. Neurol Repair, 1999, 23: 57–67. 7) Yang YR, Tsai MP, Chuang TY, et al.: Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture, 2008, 28: 201–206. 12) Jung HY, Park BK, Shin HS, et al.: Development of the Korean version of Modified Barthel Index (K-MBI): multi-center study for subjects with stroke. J Korean Acad Rehabil Med, 2007, 31: 283–297. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 21 420565 - Arch Phys Med Rehabil. 1979 Jan;60(1):14-7 25261187 - BMC Neurol. 2014 Sep 28;14 :186 15295748 - Arch Phys Med Rehabil. 2004 Aug;85(8):1247-50 20346616 - Res Dev Disabil. 2010 Jul-Aug;31(4):869-74 24648647 - J Phys Ther Sci. 2014 Feb;26(2):271-3 19710285 - Neurorehabil Neural Repair. 2010 Jan;24(1):52-61 1202204 - J Psychiatr Res. 1975 Nov;12(3):189-98 21571152 - Lancet. 2011 May 14;377(9778):1693-702 17517575 - Top Stroke Rehabil. 2007 Mar-Apr;14 (2):52-61 22506159 - Ann Rehabil Med. 2011 Aug;35(4):450-9 24259805 - J Phys Ther Sci. 2013 May;25(5):575-80 10378492 - Arch Phys Med Rehabil. 1999 Jun;80(6):661-7 15455905 - Stud Health Technol Inform. 2003;94:265-7 18358724 - Gait Posture. 2008 Aug;28(2):201-6 24259810 - J Phys Ther Sci. 2013 May;25(5):595-7 16271575 - Arch Phys Med Rehabil. 2005 Nov;86(11):2218-23 1135616 - Scand J Rehabil Med. 1975;7(1):13-31 |
| References_xml | – reference: 7) Yang YR, Tsai MP, Chuang TY, et al.: Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture, 2008, 28: 201–206. – reference: 3) Folstein MF, Folstein SE, McHugh PR: “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 1975, 12: 189–198. – reference: 4) Tanaka T, Kudo A, Sugihara S, et al.: A study of upper extremity training for patients with stroke using a virtual environment system. J Phys Ther Sci, 2013, 25: 575–580. – reference: 19) Jang SH, You SH, Hallett M, et al.: Cortical reorganization and associated functional motor recovery after virtual reality in patients with chronic stroke: an experimenter-blind preliminary study. Arch Phys Med Rehabil, 2005, 86: 2218–2223. – reference: 21) Quaney BM, He J, Timberlake G, et al.: Visuomotor training improves stroke-related ipsilesional upper extremity impairments. Neurorehabil Neural Repair, 2010, 24: 52–61. – reference: 5) Park J, Lee D, Lee S: Effect of virtual reality exercise using the nintendo wii fit on muscle activities of the trunk and lower extremities of normal adults. J Phys Ther Sci, 2014, 26: 271–273. – reference: 15) Piron L, Tonin P, Atzori AM, et al.: The augmented-feedback rehabilitation technique facilitates the arm motor recovery in patients after a recent stroke. Stud Health Technol Inform, 2003, 94: 265–267. – reference: 17) Henderson A, Korner-Bitensky N, Levin M: Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery. Top Stroke Rehabil, 2007, 14: 52–61. – reference: 20) Lee G, Lee GC: Effects of training using video games on the muscle strength, muscle tone, and activities of daily living of chronic stroke patients. J Phys Ther Sci, 2013, 25: 595–597. – reference: 10) Park JH, Kwon YC: Modificataion of the minimental state examination for use in the elderly in a non-western society. Part 1. Development of Korean version of minimental state examination. Int J Geriatr Psychiatry, 1990, 5: 381–387. – reference: 1) Fugl-Meyer AR, Jääskö L, Leyman I, et al.: The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7: 13–31. – reference: 2) Cho K, Yu J, Jung J: Effects of virtual reality-based rehabilitation on upper extremity function and visual perception in stroke patients: a randomized control trial. J Phys Ther Sci, 2012, 24: 1205–1208. – reference: 18) Broeren J, Rydmark M, Sunnerhagen KS: Virtual reality and haptics as a training device for movement rehabilitation after stroke: a single-case study. Arch Phys Med Rehabil, 2004, 85: 1247–1250. – reference: 6) Langhorne P, Bernhardt J, Kwakkel G: Stroke rehabilitation. Lancet, 2011, 377: 1693–1702. – reference: 9) Lotan M, Yalon-Chamovitz S, Weiss PL: Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and developmental disability. Res Dev Disabil, 2010, 31: 869–874. – reference: 16) Holden M, Todorov E, Callahan J, et al.: Virtual environment training improves motor performance in two patients with stroke: case report. Neurol Repair, 1999, 23: 57–67. – reference: 14) Grealy MA, Johnson DA, Rushton SK: Improving cognitive function after brain injury: the use of exercise and virtual reality. Arch Phys Med Rehabil, 1999, 80: 661–667. – reference: 13) Kim BR, Chun MH, Kim LS, et al.: Effect of virtual reality on cognition in stroke patients. Ann Rehabil Med, 2011, 35: 450–459. – reference: 12) Jung HY, Park BK, Shin HS, et al.: Development of the Korean version of Modified Barthel Index (K-MBI): multi-center study for subjects with stroke. J Korean Acad Rehabil Med, 2007, 31: 283–297. – reference: 11) Granger CV, Dewis LS, Peters NC, et al.: Stroke rehabilitation: analysis of repeated Barthel index measures. Arch Phys Med Rehabil, 1979, 60: 14–17. – reference: 8) Brunner I, Skouen JS, Hofstad H, et al.: Virtual reality training for upper extremity in subacute stroke (VIRTUES): study protocol for a randomized controlled multicenter trial. BMC Neurol, 2014, 14: 186–189. – ident: 19 doi: 10.1016/j.apmr.2005.04.015 – ident: 16 doi: 10.1097/01253086-199923020-00013 – ident: 1 doi: 10.2340/1650197771331 – ident: 18 doi: 10.1016/j.apmr.2003.09.020 – ident: 13 doi: 10.5535/arm.2011.35.4.450 – ident: 12 – ident: 11 – ident: 14 doi: 10.1016/S0003-9993(99)90169-7 – ident: 3 doi: 10.1016/0022-3956(75)90026-6 – ident: 9 doi: 10.1016/j.ridd.2010.01.010 – ident: 4 doi: 10.1589/jpts.25.575 – ident: 6 doi: 10.1016/S0140-6736(11)60325-5 – ident: 15 – ident: 8 doi: 10.1186/s12883-014-0186-z – ident: 10 doi: 10.1002/gps.930050606 – ident: 17 doi: 10.1310/tsr1402-52 – ident: 2 doi: 10.1589/jpts.24.1205 – ident: 21 doi: 10.1177/1545968309341646 – ident: 20 doi: 10.1589/jpts.25.595 – ident: 5 doi: 10.1589/jpts.26.271 – ident: 7 doi: 10.1016/j.gaitpost.2007.11.007 – reference: 21571152 - Lancet. 2011 May 14;377(9778):1693-702 – reference: 24648647 - J Phys Ther Sci. 2014 Feb;26(2):271-3 – reference: 20346616 - Res Dev Disabil. 2010 Jul-Aug;31(4):869-74 – reference: 24259805 - J Phys Ther Sci. 2013 May;25(5):575-80 – reference: 22506159 - Ann Rehabil Med. 2011 Aug;35(4):450-9 – reference: 17517575 - Top Stroke Rehabil. 2007 Mar-Apr;14 (2):52-61 – reference: 1202204 - J Psychiatr Res. 1975 Nov;12(3):189-98 – reference: 16271575 - Arch Phys Med Rehabil. 2005 Nov;86(11):2218-23 – reference: 25261187 - BMC Neurol. 2014 Sep 28;14 :186 – reference: 18358724 - Gait Posture. 2008 Aug;28(2):201-6 – reference: 24259810 - J Phys Ther Sci. 2013 May;25(5):595-7 – reference: 420565 - Arch Phys Med Rehabil. 1979 Jan;60(1):14-7 – reference: 10378492 - Arch Phys Med Rehabil. 1999 Jun;80(6):661-7 – reference: 15455905 - Stud Health Technol Inform. 2003;94:265-7 – reference: 1135616 - Scand J Rehabil Med. 1975;7(1):13-31 – reference: 15295748 - Arch Phys Med Rehabil. 2004 Aug;85(8):1247-50 – reference: 19710285 - Neurorehabil Neural Repair. 2010 Jan;24(1):52-61 |
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| Snippet | [Purpose]This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the... [Abstract.] [Purpose] This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System... This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery... Purpose:This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the... This study aimed to determine the effects of a virtual reality exercise program using the Interactive Rehabilitation and Exercise System (IREX) on the recovery... |
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| SubjectTerms | Functional recovery Original Stroke Virtual reality-based exercise program |
| Title | Effects of a virtual reality-based exercise program on functional recovery in stroke patients: part 1 |
| URI | https://www.jstage.jst.go.jp/article/jpts/27/6/27_jpts-2014-720/_article/-char/en http://mol.medicalonline.jp/en/journal/download?GoodsID=ca8jjpts/2015/002706/001&name=1637-1640e https://www.ncbi.nlm.nih.gov/pubmed/26180287 https://www.proquest.com/docview/1697210479 https://www.proquest.com/docview/1705082952 https://pubmed.ncbi.nlm.nih.gov/PMC4499950 |
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