4.2 Review

Effectiveness of virtual reality-based rehabilitation versus conventional therapy on upper limb motor function of chronic stroke patients: a systematic review and meta-analysis of randomized controlled trials

Journal

PHYSIOTHERAPY THEORY AND PRACTICE
Volume 38, Issue 13, Pages 2402-2416

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/09593985.2021.1941458

Keywords

Stroke; virtual reality; conventional therapy; upper limb

Categories

Funding

  1. Deanship of Scientific Research at Princess Nourah bint Abdulrahman University, Saudi Arabia [RGP1440-0012]

Ask authors/readers for more resources

The review found that virtual reality rehabilitation interventions can significantly improve upper limb motor function in chronic stroke patients. Virtual reality interventions showed comparable effectiveness to conventional rehabilitation, although no statistically significant difference was found.
Objective: To systematically review the available randomized controlled trials in the literature concerning the application of virtual reality (VR) rehabilitation interventions compared to conventional physical therapy, in regaining the upper limb motor function among patients with chronic stroke. Methods: A systematic electronic database search was conducted for related studies published from inauguration and until June 25, 2020 in nine databases. Another new search was done on February 1, 2021 and no new studies were identified. Results: Six studies were included in the analysis. Significant improvement was seen following the VR therapy in patients with chronic stroke, compared to their scores prior to it (SMD = 0.28; 95% CI = 0.03-0.53; p = .03). There was neither heterogeneity (I-2 = 0% and P = .5) nor a risk of bias (P = .8) among the included studies. VR interventions produced a comparable effectiveness to that of the conventional rehabilitation, with no statistically significant difference (SMD = 0.15; 95% CI = -0.14-0.44; P = .3). There was neither heterogeneity (I-2 = 40% and P = .1) nor a risk of bias (P = .5) among the included studies. Conclusions: The upper limb motor function of patients with chronic stroke who underwent VR-based rehabilitative intervention showed significant improvement as compared to the pre-treatment state. Our analysis also revealed no superiority of VR interventions over conservative therapies; however, the difference observed did not accomplish statistical significance.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Audiology & Speech-Language Pathology

Effect of a Hybrid Maneuver in Treating Posterior Canal Benign Paroxysmal Positional Vertigo

Wanees M. A. Badawy, Ebtessam K. Gad El-Mawla, Ahmed E. F. Chedid, Ahmed H. A. Mustafa

JOURNAL OF THE AMERICAN ACADEMY OF AUDIOLOGY (2015)

Article Environmental Sciences

Impact of Somatosensory Training on Neural and Functional Recovery of Lower Extremity in Patients with Chronic Stroke: A Single Blind Controlled Randomized Trial

Reem M. Alwhaibi, Noha F. Mahmoud, Mye A. Basheer, Hoda M. Zakaria, Mahmoud Y. Elzanaty, Walaa M. Ragab, Nisreen N. Al Awaji, Hager R. Elserougy

Summary: The study showed that somatosensory rehabilitation training for chronic stroke patients can improve lower extremity function and enhance neural control, resulting in significant rehabilitation effects.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Medicine, General & Internal

Effect of compressive therapy on sensorimotor function of the more affected upper extremity in chronic stroke patients: A randomized clinical trial

Reem M. Alwhaibi, Noha F. Mahmoud, Hoda M. Zakaria, Walaa M. Ragab, Nisreen N. Al Awaji, Hager R. Elserougy

Summary: This study evaluated the effect of passive somatosensory stimulation on the sensorimotor function of the more affected upper extremity in chronic stroke patients. The results showed that both upper extremity motor program and passive somatosensory stimulation techniques were effective in improving sensorimotor function of the more affected upper extremity, with no significant difference between the two.

MEDICINE (2022)

Article Health Care Sciences & Services

Therapeutic Efficacy of Transcutaneous Electrical Nerve Stimulation Acupoints on Motor and Neural Recovery of the Affected Upper Extremity in Chronic Stroke: A Sham-Controlled Randomized Clinical Trial

Reem M. Alwhaibi, Noha E. Mahmoud, Hoda M. Zakaria, Walaa M. Ragab, Nisreen N. Al Awaji, Mahmoud Y. Elzanaty, Hager R. Elserougy

Summary: The study aimed to investigate the therapeutic effects of transcutaneous electrical nerve stimulation (TENS) acupoints on cortical activity and motor function of the affected upper extremity (UE) in chronic stroke patients. Results showed that task-specific training (TST) combined with TENS acupoints can effectively improve motor function of the affected UE in chronic stroke patients, with better outcomes in terms of improving brain plasticity compared to TST alone.

HEALTHCARE (2021)

Article Environmental Sciences

A Comparative Study on the Effect of Task Specific Training on Right Versus Left Chronic Stroke Patients

Reem M. Alwhaibi, Noha F. Mahmoud, Hoda M. Zakaria, Wanees M. Badawy, Mahmoud Y. Elzanaty, Walaa M. Ragab, Maher S. Benjadid, Nisreen N. Al Awaji, Hager R. Elserougy

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

Article Biology

Task Oriented Approach Via Virtual Reality for Improving Postural Control in Stroke Patients

Sahar Mohamed Adel Elhakk, Walaa Mohamed Ragab, Hoda Mohamed Zakaria, Mona Selim Faggal, Shreen Ibrahim Taha, Wanees Mohamed Badawy, Azza Sayed Abdelrehim Khalil

BIOSCIENCE RESEARCH (2018)

Article Medicine, Research & Experimental

Influence of Gluteus Maximus Inhibition on Upper Trapezius Overactivity in Chronic Mechanical Neck Pain with Radiculopathy

Ghada Mohamed Koura, Eman Abd Allah Kamel, Wanees Mohamed Badawy, Hamada Ahmed Hamada, Hoda Mohamed Zakaria

INTERNATIONAL JOURNAL OF MEDICAL RESEARCH & HEALTH SCIENCES (2017)

No Data Available