Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial
Abstract Background Chronicity and lack of motivation often go together during the upper limb rehabilitation process in stroke. Virtual reality is a useful tool in this context, providing safe, intensive, individualised treatments in a playful environment. B-cost, easy-to-use devices with personalis...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Journal of NeuroEngineering and Rehabilitation |
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| Online Access: | https://doi.org/10.1186/s12984-024-01303-2 |
| _version_ | 1797276677685903360 |
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| author | Ángela Aguilera-Rubio Isabel M. Alguacil-Diego Ana Mallo-López Alberto Jardón Huete Edwin D. Oña Alicia Cuesta-Gómez |
| author_facet | Ángela Aguilera-Rubio Isabel M. Alguacil-Diego Ana Mallo-López Alberto Jardón Huete Edwin D. Oña Alicia Cuesta-Gómez |
| author_sort | Ángela Aguilera-Rubio |
| collection | DOAJ |
| description | Abstract Background Chronicity and lack of motivation often go together during the upper limb rehabilitation process in stroke. Virtual reality is a useful tool in this context, providing safe, intensive, individualised treatments in a playful environment. B-cost, easy-to-use devices with personalised and motivating games for a specific population seem to be the most effective option in the treatment of the upper limbs. Methods A randomised clinical study with follow-up was carried out to assess the effectiveness of the Leap Motion Controller® device in improving the functionality of the upper limb in patients with chronic stroke. Patients (n = 36) were randomised into a control group that performed conventional therapy and an experimental group that combined the virtual reality protocol with conventional therapy. The outcome measures used were grip strength; the Block and Box Test; the Action Research Arm Test; the Disabilities of the Arm, Shoulder and Hand; as well as a Technology Satisfaction Questionnaire and adherence to treatment. Results Inter-group statistical analysis showed no significant differences except in subsection D of the Action Research Arm Test. Intra-group analysis showed significant differences in both groups, but the experimental group reached significance in all long-term variables. Satisfaction and adherence levels were very high. Conclusions The Leap Motion Controller® system, as a complementary tool, produces improvements in grip strength, dexterity and motor function in patients with chronic stroke. It is perceived as a safe, motivating, and easy-to-use device. Clinical Registration: NCT04166617 Clinical Trials. |
| first_indexed | 2024-03-07T15:31:41Z |
| format | Article |
| id | doaj.art-6170360b861043158f375eed74c00ad7 |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-03-07T15:31:41Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-6170360b861043158f375eed74c00ad72024-03-05T16:22:02ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032024-01-0121111110.1186/s12984-024-01303-2Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trialÁngela Aguilera-Rubio0Isabel M. Alguacil-Diego1Ana Mallo-López2Alberto Jardón Huete3Edwin D. Oña4Alicia Cuesta-Gómez5Department of Physiotherapy, HM Hospitals Faculty of Health Sciences of the Camilo José Cela UniversityDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine. Faculty of Health Sciences, Rey Juan Carlos UniversityDepartment of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de MadridSystems and Automatics Department, Universidad Carlos III de MadridSystems and Automatics Department, Universidad Carlos III de MadridDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine. Faculty of Health Sciences, Rey Juan Carlos UniversityAbstract Background Chronicity and lack of motivation often go together during the upper limb rehabilitation process in stroke. Virtual reality is a useful tool in this context, providing safe, intensive, individualised treatments in a playful environment. B-cost, easy-to-use devices with personalised and motivating games for a specific population seem to be the most effective option in the treatment of the upper limbs. Methods A randomised clinical study with follow-up was carried out to assess the effectiveness of the Leap Motion Controller® device in improving the functionality of the upper limb in patients with chronic stroke. Patients (n = 36) were randomised into a control group that performed conventional therapy and an experimental group that combined the virtual reality protocol with conventional therapy. The outcome measures used were grip strength; the Block and Box Test; the Action Research Arm Test; the Disabilities of the Arm, Shoulder and Hand; as well as a Technology Satisfaction Questionnaire and adherence to treatment. Results Inter-group statistical analysis showed no significant differences except in subsection D of the Action Research Arm Test. Intra-group analysis showed significant differences in both groups, but the experimental group reached significance in all long-term variables. Satisfaction and adherence levels were very high. Conclusions The Leap Motion Controller® system, as a complementary tool, produces improvements in grip strength, dexterity and motor function in patients with chronic stroke. It is perceived as a safe, motivating, and easy-to-use device. Clinical Registration: NCT04166617 Clinical Trials.https://doi.org/10.1186/s12984-024-01303-2Leap Motion Controller®NeurorehabilitationStrokeUpper limbVideo gamesVirtual reality |
| spellingShingle | Ángela Aguilera-Rubio Isabel M. Alguacil-Diego Ana Mallo-López Alberto Jardón Huete Edwin D. Oña Alicia Cuesta-Gómez Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial Journal of NeuroEngineering and Rehabilitation Leap Motion Controller® Neurorehabilitation Stroke Upper limb Video games Virtual reality |
| title | Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial |
| title_full | Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial |
| title_fullStr | Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial |
| title_full_unstemmed | Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial |
| title_short | Use of low-cost virtual reality in the treatment of the upper extremity in chronic stroke: a randomized clinical trial |
| title_sort | use of low cost virtual reality in the treatment of the upper extremity in chronic stroke a randomized clinical trial |
| topic | Leap Motion Controller® Neurorehabilitation Stroke Upper limb Video games Virtual reality |
| url | https://doi.org/10.1186/s12984-024-01303-2 |
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