Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Home-based upper extremity stroke therapy using a multi-user virtual reality environment: a randomized trial
Thielbar KO, Triandafilou KM, Barry AJ, Yuan N, Nishimoto A, Johnson J, Stoykov ME, Tsoupikova D, Kamper DG
Archives of Physical Medicine and Rehabilitation 2020 Feb;101(2):196-203
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To compare participation and subjective experience of participants in both home-based multi-user VR therapy and home-based single-user VR therapy. DESIGN: Crossover, randomized trial SETTING: Initial training and evaluations occurred in a rehabilitation hospital; the interventions took place in participants' homes PARTICIPANTS: Stroke survivors with chronic upper extremity impairment (n = 20) INTERVENTIONS: 4 weeks of in-home treatment using a custom, multi-user virtual reality system (VERGE): two weeks of both multi-user (MU) and single-user (SU) versions of VERGE. The order of presentation of SU and MU versions was randomized such that participants were divided into two groups, first multi-user (FMU) and first single-user (FSU). MAIN OUTCOME MEASURES: We measured arm displacement during each session (meters) as the primary outcome measure. Secondary outcome measures include: time participants spent using each MU and SU VERGE, and Intrinsic Motivation Inventory (IMI) scores. Fugl-Meyer Upper-Extremity (FMUE) score and compliance with prescribed training were also evaluated. Measures were recorded before, midway, and after the treatment. Activity and movement were measured during each training session. RESULTS: Arm displacement during a session was significantly affected the mode of therapy (MU 414.6m, SU 327.0m, p = 0.019). Compliance was very high (99% compliance for MU mode and 89% for SU mode). Within a given session, participants spent significantly more time training in the MU mode than in the SU mode (p = 0.04). FMUE score improved significantly across all participants (delta 3.2, p = 0.001). CONCLUSIONS: Multi-user VR exercises may provide an effective means of extending clinical therapy into the home.

Full text (sometimes free) may be available at these link(s):      help