Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients

<i>Background and Objectives</i>: The consequences of stroke have a significant impact on self-sufficiency and health-related quality of life (HRQoL). Virtual reality (VR)-based rehabilitation has the potential to impact these modalities, but information on timing, volume, and intensity...

Full description

Bibliographic Details
Main Authors: Marcela Dąbrowská, Dalibor Pastucha, Miroslav Janura, Hana Tomášková, Lucie Honzíková, Šárka Baníková, Michal Filip, Iva Fiedorová
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/9/1669
_version_ 1797578919141965824
author Marcela Dąbrowská
Dalibor Pastucha
Miroslav Janura
Hana Tomášková
Lucie Honzíková
Šárka Baníková
Michal Filip
Iva Fiedorová
author_facet Marcela Dąbrowská
Dalibor Pastucha
Miroslav Janura
Hana Tomášková
Lucie Honzíková
Šárka Baníková
Michal Filip
Iva Fiedorová
author_sort Marcela Dąbrowská
collection DOAJ
description <i>Background and Objectives</i>: The consequences of stroke have a significant impact on self-sufficiency and health-related quality of life (HRQoL). Virtual reality (VR)-based rehabilitation has the potential to impact these modalities, but information on timing, volume, and intensity is not yet available. The aim of this randomized controlled trial (1:1) was to evaluate the impact of conventional rehabilitation combined with VR on self-care and domains of HRQoL in patients ≤6 months post-stroke. <i>Materials and Methods</i>: The intervention group completed a total of 270 min of conventional VR + rehabilitation sessions. The control group underwent conventional rehabilitation only. Primary assessments with the WHO disability assessment schedule 2.0 (WHODAS 2) questionnaire were conducted before rehabilitation (T0), after completion of the intervention (T1), and at the 4-week follow-up (T2); secondary outcomes included self-sufficiency and balance assessments. <i>Results</i>: Fifty patients completed the study (mean age 61.2 ± 9.0 years, time since stroke 114.3 ± 39.4 days). There were no statistically significant differences between the groups in WHODAS 2, self-sufficiency, and balance scores (<i>p</i> > 0.05). <i>Conclusions</i>: In the experimental group, there was a statistically significant difference in WHODAS 2, assessment of self-sufficiency, and balance scores before and after therapy (<i>p</i> < 0.05). VR appears to be a suitable tool to supplement and modify rehabilitation in patients after stroke.
first_indexed 2024-03-10T22:29:31Z
format Article
id doaj.art-ef31d279fd354afbb1069d33576f11e2
institution Directory Open Access Journal
issn 1010-660X
1648-9144
language English
last_indexed 2024-03-10T22:29:31Z
publishDate 2023-09-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj.art-ef31d279fd354afbb1069d33576f11e22023-11-19T11:53:13ZengMDPI AGMedicina1010-660X1648-91442023-09-01599166910.3390/medicina59091669Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke PatientsMarcela Dąbrowská0Dalibor Pastucha1Miroslav Janura2Hana Tomášková3Lucie Honzíková4Šárka Baníková5Michal Filip6Iva Fiedorová7Department of Epidemiology and Public Health Protection, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Epidemiology and Public Health Protection, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech RepublicDepartment of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic<i>Background and Objectives</i>: The consequences of stroke have a significant impact on self-sufficiency and health-related quality of life (HRQoL). Virtual reality (VR)-based rehabilitation has the potential to impact these modalities, but information on timing, volume, and intensity is not yet available. The aim of this randomized controlled trial (1:1) was to evaluate the impact of conventional rehabilitation combined with VR on self-care and domains of HRQoL in patients ≤6 months post-stroke. <i>Materials and Methods</i>: The intervention group completed a total of 270 min of conventional VR + rehabilitation sessions. The control group underwent conventional rehabilitation only. Primary assessments with the WHO disability assessment schedule 2.0 (WHODAS 2) questionnaire were conducted before rehabilitation (T0), after completion of the intervention (T1), and at the 4-week follow-up (T2); secondary outcomes included self-sufficiency and balance assessments. <i>Results</i>: Fifty patients completed the study (mean age 61.2 ± 9.0 years, time since stroke 114.3 ± 39.4 days). There were no statistically significant differences between the groups in WHODAS 2, self-sufficiency, and balance scores (<i>p</i> > 0.05). <i>Conclusions</i>: In the experimental group, there was a statistically significant difference in WHODAS 2, assessment of self-sufficiency, and balance scores before and after therapy (<i>p</i> < 0.05). VR appears to be a suitable tool to supplement and modify rehabilitation in patients after stroke.https://www.mdpi.com/1648-9144/59/9/1669virtual realityquality of lifeactivities of daily livingstroke
spellingShingle Marcela Dąbrowská
Dalibor Pastucha
Miroslav Janura
Hana Tomášková
Lucie Honzíková
Šárka Baníková
Michal Filip
Iva Fiedorová
Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients
Medicina
virtual reality
quality of life
activities of daily living
stroke
title Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients
title_full Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients
title_fullStr Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients
title_full_unstemmed Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients
title_short Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients
title_sort effect of virtual reality therapy on quality of life and self sufficiency in post stroke patients
topic virtual reality
quality of life
activities of daily living
stroke
url https://www.mdpi.com/1648-9144/59/9/1669
work_keys_str_mv AT marceladabrowska effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT daliborpastucha effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT miroslavjanura effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT hanatomaskova effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT luciehonzikova effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT sarkabanikova effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT michalfilip effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients
AT ivafiedorova effectofvirtualrealitytherapyonqualityoflifeandselfsufficiencyinpoststrokepatients