Scoping review of outcome measures used in telerehabilitation and virtual reality for post-stroke rehabilitation

2016 ◽  
Vol 23 (6) ◽  
pp. 567-587 ◽  
Author(s):  
Mirella Veras ◽  
Dahlia Kairy ◽  
Marco Rogante ◽  
Claudia Giacomozzi ◽  
Silvia Saraiva
Keyword(s):  
Virtual Reality ◽  
Outcome Measures ◽  
Scoping Review ◽  
Stroke Rehabilitation ◽  
Data Extraction ◽  
Controlled Trial ◽  
International Classification Of Functioning ◽  
Cochrane Central Register ◽  
Wide Range ◽  
Evidence Database

Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature that reports outcome measures used in TR or VR for stroke rehabilitation. Our specific objectives included: 1) to identify the outcome measures used in TR and VR studies; and 2) to describe which parts of the International Classification of Functioning are measured in the studies. Methods We conducted a comprehensive search of relevant electronic databases (e.g. PubMed, the Cumulative Index to Nursing and Allied Health Literature, Embase, PSYCOINFO, The Cochrane Central Register of Controlled Trial and the Physiotherapy Evidence Database). The scoping review included all study designs. Two reviewers conducted pilot testing of the data extraction forms and independently screened all the studies and extracted the data. Disagreements about inclusion or exclusion were resolved by consensus or by consulting a third reviewer. Results In total, 28 studies were included in this scoping review. The results were synthesized and reported considering the implications of the findings within the clinical practice and policy context. Discussion This scoping review identified a wide range of outcome measures used in VR and TR studies and helped identify gaps in current use of outcome measures in the literature. The review also informs researchers and end users (i.e. clinicians, policymakers and researchers) regarding the most appropriate outcome measures for TR or VR.

scholarly journals Outcome Measures in Tele-Rehabilitation and Virtual Reality for Stroke Survivors: Protocol for a Scoping Review

2015 ◽  
Vol 8 (1) ◽  
pp. 79 ◽  
Author(s):  
Mirella Veras ◽  
Dahlia Kairy ◽  
Marco Rogante ◽  
Claudia Giacomozzi
Keyword(s):  
Virtual Reality ◽  
Outcome Measures ◽  
Scoping Review ◽  
Stroke Rehabilitation ◽  
Data Extraction ◽  
Controlled Trial ◽  
International Classification Of Functioning ◽  
Cochrane Central Register ◽  
Open Access Journals ◽  
Central Register

<p>Despite the increased interest about tele-rehabilitation, virtual reality and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and summarize the most common outcome measures used in tele-rehabilitation. For this review, we propose to conduct a systematic search of the literature that reports outcome measures used in tele-rehabilitation or virtual reality for stroke rehabilitation. Specific objectives include: 1) to identify the outcome measures used in tele-rehabilitation studies; 2) to describe the psychometric properties of the outcome measures in the included studies; 3) to describe which parts of the International Classification of Functioning are measured in the studies. Methods: we will conduct a comprehensive search of relevant electronic databases (e.g., PUBMED, CINAHL, EMBASE, PSYCOINFO, Cochrane Central Register of Controlled Trial and PEDRO). The scoping review will include all study designs. Two reviewers will pilot-test the data extraction forms and will independently screen all the studies and extract the data. Disagreements about inclusion or exclusion will be resolved by consensus or by consulting a third reviewer. The results will be synthesized and reported considering the implications of the findings within the clinical practice and policy context. Dissemination: we anticipate that this scoping review will contribute to inform researchers and end-users (ie, clinicians and policy-makers), regarding the most appropriate outcome measures for tele-rehabilitation or virtual reality as well as help to identify gaps in current measures. Results will be disseminated through reports and open access journals, conference presentations, as well as newsletters, podcasts and meetings targeting all the relevant stakeholders.</p>

scholarly journals Scanxiety: a scoping review about scan-associated anxiety

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043215
Author(s):  
Kim Tam Bui ◽  
Roger Liang ◽  
Belinda E Kiely ◽  
Chris Brown ◽  
Haryana M Dhillon ◽  
...  
Keyword(s):  
Scoping Review ◽  
Perceived Risk ◽  
Data Extraction ◽  
Depression Scale ◽  
Cochrane Central Register ◽  
Contributing Factors ◽  
Positron Emission ◽  
Severity Scores ◽  
Almost All ◽  
Risk Of Cancer

ObjectivesTo identify available literature on prevalence, severity and contributing factors of scan-associated anxiety (‘scanxiety’) and interventions to reduce it.DesignSystematic scoping review.Data sourcesOvid MEDLINE, Ovid EMBASE, Ovid PsycINFO, Ovid Cochrane Central Register of Controlled Trials, Scopus, EBSCO CINAHL and PubMed up to July 2020.Study selectionEligible studies recruited people having cancer-related non-invasive scans (including screening) and contained a quantitative assessment of scanxiety.Data extractionDemographics and scanxiety outcomes were recorded, and data were summarised by descriptive statistics.ResultsOf 26 693 citations, 57 studies were included across a range of scan types (mammogram: 26/57, 46%; positron-emission tomography: 14/57, 25%; CT: 14/57, 25%) and designs (observation: 47/57, 82%; intervention: 10/57, 18%). Eighty-one measurement tools were used to quantify prevalence and/or severity of scanxiety, including purpose-designed Likert scales (17/81, 21%); the State Trait Anxiety Inventory (14/81, 17%) and the Hospital Anxiety and Depression Scale (9/81, 11%). Scanxiety prevalence ranged from 0% to 64% (above prespecified thresholds) or from 13% to 83% (‘any’ anxiety, if no threshold). Mean severity scores appeared low in almost all measures that quantitatively measured scanxiety (54/62, 87%), regardless of whether anxiety thresholds were prespecified. Moderate to severe scanxiety occurred in 4%–28% of people in studies using descriptive measures. Nine of 20 studies assessing scanxiety prescan and postscan reported significant postscan reduction in scanxiety. Lower education, smoking, higher levels of pain, higher perceived risk of cancer and diagnostic scans (vs screening scans) consistently correlated with higher scanxiety severity but not age, gender, ethnicity or marital status. Interventions included relaxation, distraction, education and psychological support. Six of 10 interventions showed a reduction in scanxiety.ConclusionsPrevalence and severity of scanxiety varied widely likely due to heterogeneous methods of measurement. A uniform approach to evaluating scanxiety will improve understanding of the phenomenon and help guide interventions.

Virtual Reality in Medical Students’ Education: A Scoping Review (Preprint)

2021 ◽  
Author(s):  
Haowen Jiang ◽  
Sunitha Vimalesvaran ◽  
Jeremy King Wang ◽  
Kee Boon Lim ◽  
Sreenivasulu Reddy Mogali ◽  
...  
Keyword(s):  
Medical Education ◽  
Virtual Reality ◽  
Virtual Worlds ◽  
Scoping Review ◽  
Data Extraction ◽  
3D Models ◽  
Bibliographic Databases ◽  
Future Research ◽  
Psychomotor Skills ◽  
Group Setting

BACKGROUND Virtual reality (VR) is a digital education modality that produces a virtual manifestation of the real world and it has been increasingly used in medical education. As VR encompasses different modalities, tools and applications, there is a need to explore how VR has been employed in medical education. OBJECTIVE The objective of this scoping review is to map existing research on the use of VR in undergraduate medical education and to identify areas of future research METHODS We performed a search of 4 bibliographic databases in December 2020, with data extracted using a standardized data extraction form. The data was narratively synthesized and reported in line with the PRISMA-ScR guidelines. RESULTS Of 114 included studies, 69 studies (61%) reported the use of commercially available surgical VR simulators. Other VR modalities included 3D models (15 [14%]) and virtual worlds (20 [18%]), mainly used for anatomy education. Most of the VR modalities included were semi-immersive (68 [60%]) and of high interactivity (79 [70%]). There is limited evidence on the use of more novel VR modalities such as mobile VR and virtual dissection tables (8 [7%]), as well as the use of VR for training of non-surgical and non-psychomotor skills (20 [18%]) or in group setting (16 [14%]). Only 3 studies reported the use conceptual frameworks or theories in the design of VR. CONCLUSIONS Despite extensive research available on VR in medical education, there continues to be important gaps in the evidence. Future studies should explore the use of VR for the development of non-psychomotor skills and in areas other than surgery and anatomy.

scholarly journals The Use of the Term Virtual Reality in Post-Stroke Rehabilitation: A Scoping Review and Commentary

2021 ◽  
Vol 61 (1) ◽  
Author(s):  
Hanne Huygelier ◽  
Emily Mattheus ◽  
Vero Vanden Abeele ◽  
Raymond Van Ee ◽  
Céline R. Gillebert
Keyword(s):  
Virtual Reality ◽  
Scoping Review ◽  
Stroke Rehabilitation ◽  
Post Stroke

Work Site–Based Environmental Interventions to Reduce Sedentary Behavior: A Systematic Review

2016 ◽  
Vol 32 (1) ◽  
pp. 32-47 ◽  
Author(s):  
Amanda K. Hutcheson ◽  
Andrew J. Piazza ◽  
Adam P. Knowlden
Keyword(s):  
Sedentary Behavior ◽  
Data Extraction ◽  
Controlled Trial ◽  
Included Study ◽  
Cochrane Central Register ◽  
Theoretical Frameworks ◽  
Exclusion Criteria ◽  
Environmental Interventions ◽  
Work Site ◽  
Meta Analyses

Objective: The purpose of this investigation was to systematically review work site–based, environmental interventions to reduce sedentary behavior following preferred reporting items for systematic reviews and meta-analyses guidelines. Data Source: Data were extracted from Medical Literature Analysis and Retrieval System Online, Cochrane Central Register of Controlled Trials, and Web of Science between January 2005 and December 2015. Study Inclusion and Exclusion Criteria: Inclusion criteria were work site interventions, published in peer-reviewed journals, employing environmental modalities, targeting sedentary behavior, and using any quantitative design. Exclusion criteria were noninterventions and non-English publications. Data Extraction: Data extracted included study design, population, intervention dosage, intervention activities, evaluation measures, and intervention effects. Data Synthesis: Data were tabulated quantitatively and synthesized qualitatively. Results: A total of 15 articles were identified for review and 14 reported statistically significant decreases in sedentary behavior. The majority of studies employed a randomized controlled trial design (n = 7), used inclinometers to measure sedentary behavior (n = 9), recruited predominantly female samples (n = 15), and utilized sit-to-stand desks as the primary intervention modality (n = 10). The mean methodological quality score was 6.2 out of 10. Conclusion: Environmental work site interventions to reduce sedentary behavior show promise because work sites often have more control over environmental factors. Limitations of this intervention stream include inconsistent measurement of sedentary behavior, absence of theoretical frameworks to guide program development, and absence of long-term evaluation. Future studies should include clear reporting of intervention strategies and explicit operationalization of theoretical constructs.

Principles of neurological rehabilitation

2011 ◽  
Author(s):  
Michael Donaghy
Keyword(s):  
Controlled Trial ◽  
Well Being ◽  
Primary Diagnosis ◽  
World Health ◽  
International Classification Of Functioning ◽  
Neurological Rehabilitation ◽  
Rehabilitation Team ◽  
Wide Range ◽  
Neurological Patients ◽  
Reasonable Evidence

Neurology has an undeserved reputation for being a speciality where diagnosis requires great intellectual effort, although from which little therapeutic intervention flows. The reader will form their own opinion about the difficulty of making diagnoses, but now neurological rehabilitation can offer all patients great help subsequently. Other chapters discuss the roles of specific medical and surgical treatments in transforming neurological patients’ lives; this chapter discusses the role of neurological rehabilitation in focusing primarily on reducing limitations on patient activities rather than by detailing the specific nature of these individual interventions.Neurological rehabilitation can be defined as a process that aims to optimize a person’s participation in society and sense of well-being. This definition highlights several important features: rehabilitation is not a particular type of intervention; the focus is on the patient as a person; the goals relate to social functioning, as well as health or well-being; it is not a process restricted to patients who may recover, partially or completely, but applies to all patients left with long-term problems. The contrast to traditional neurology is in the broader scope, extending well away from the underlying pathology but always being fully informed by the paramount importance of the primary diagnosis.This chapter will start by giving a fuller description of rehabilitation in terms of structure, represented by the resources needed, process, consisting of what happens, and outcome, defined by the goals. Subsequently the general evidence supporting neurological rehabilitation as a process is reviewed. It is not practicable to review the wide range of high class randomized controlled trial evidence investigating different and detailed aspects of the process. Some specific diseases and specific clinical problems are considered in Section 6.4.Neurological rehabilitation has a sound theoretical and conceptual basis derived from the World Health Organisation’s International Classification of Functioning, the WHO ICF (Wade and Halligan 2004) and from a general problem-solving approach (Wade 2005). There is strong evidence supporting its effectiveness as a process, and reasonable evidence in support of some specific treatments. The approach of neurological rehabilitation extends the intellectual challenge of neurology; in most clinical situations the physician and the wider rehabilitation team have to make pragmatic decisions based on incomplete information concerning many important factors.

scholarly journals The effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness: A systematic review

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 276 ◽  
Author(s):  
Burak Kundakci ◽  
Anjum Sultana ◽  
Alan J Taylor ◽  
Mansour Abdullah Alshehri
Keyword(s):  
Systematic Review ◽  
Controlled Trial ◽  
Vestibular Rehabilitation ◽  
Adult Patients ◽  
Cochrane Library ◽  
Subjective Perception ◽  
Cochrane Central Register ◽  
Symptom Scale ◽  
Chronic Dizziness ◽  
Evidence Database

Background: Dizziness is a non-specific term used by patients to describe several symptoms ranging from true vertigo, light headedness, disorientation or sense of imbalance. Vestibular rehabilitation (VR) is a specific form of exercise-based therapy programme aimed at alleviating the primary and secondary problems of a vestibular pathology. The aim of this study was to investigate the effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness. Methods: The following five databases were searched: the Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Library), MEDLINE, PubMed, the Physiotherapy Evidence Database (PEDro) and Scopus (Elsevier). Two investigators independently reviewed all articles and a systematic review of literature was performed using the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The articles were included if they met the following inclusion criteria: (1) randomised controlled trial, (2) people with chronic dizziness, (3) adults aged 18 or over, (4) exercise-based VR, (5) VR exercises compared with sham or usual care, non-treatment or placebo and (6) only studies published full text in English. Results: The initial search identified 304 articles, four of which met the criteria for analysis. All studies involved some form of vestibular rehabilitation, including vestibular compensation, vestibular adaptation and substitution exercises. These exercises were compared with usual medical care (three studies) or placebo eye exercise (one study). The Vertigo Symptom Scale was the most commonly used outcome measure to assess subjective perception of symptoms of dizziness (three studies). According to the PEDro scale, three studies were considered to be of high quality, and one was rated as fair.  Conclusions: This review suggests that exercise-based vestibular rehabilitation shows benefits for adult patients with chronic dizziness with regard to improvement in the vertigo symptom scale, fall risk, balance and emotional status.

scholarly journals Effect of Therapeutic Exercise on Pain and Disability in the Management of Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis of Randomized Trials

2013 ◽  
Vol 93 (8) ◽  
pp. 1026-1036 ◽  
Author(s):  
Lucia Bertozzi ◽  
Ivan Gardenghi ◽  
Francesca Turoni ◽  
Jorge Hugo Villafañe ◽  
Francesco Capra ◽  
...  
Keyword(s):  
Neck Pain ◽  
Randomized Trials ◽  
Data Extraction ◽  
Meta Analysis ◽  
Relevant Literature ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Therapeutic Exercise ◽  
Short Term ◽  
Evidence Database

BackgroundGiven the prevalence of chronic nonspecific neck pain (CNSNP) internationally, attention has increasingly been paid in recent years to evaluating the efficacy of therapeutic exercise (TE) in the management of this condition.PurposeThe purpose of this study was to conduct a current review of randomized controlled trials concerning the effect of TE on pain and disability among people with CNSNP, perform a meta-analysis, and summarize current understanding.Data SourcesData were obtained from MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Physiotherapy Evidence Database (PEDro), and Cochrane Central Register of Controlled Trials (CENTRAL) databases from their inception to August 2012. Reference lists of relevant literature reviews also were tracked.Study SelectionAll published randomized trials without any restriction regarding time of publication or language were considered for inclusion. Study participants had to be symptomatic adults with only CNSNP.Data ExtractionTwo reviewers independently selected the studies, conducted the quality assessment, and extracted the results. Data were pooled in a meta-analysis using a random-effects model.Data SynthesisSeven studies met the inclusion criteria. Therapeutic exercise proved to have medium and significant short-term and intermediate-term effects on pain (g=−0.53, 95% confidence interval [CI]=−0.86 to −0.20, and g=−0.45, 95% CI=−0.82 to −0.07, respectively) and medium but not significant short-term and intermediate-term effects on disability (g=−0.39, 95% CI=−0.86 to 0.07, and g=−0.46, 95% CI=−1.00 to −0.08, respectively).LimitationsOnly one study investigated the effect of TE on pain and disability at follow-up longer than 6 months after intervention.ConclusionsConsistent with other reviews, the results support the use of TE in the management of CNSNP. In particular, a significant overall effect size was found supporting TE for its effect on pain in both the short and intermediate terms.

Using Biological Feedback to Promote Health Behavior Change in Adults: Protocol for a Scoping Review (Preprint)

2021 ◽  
Author(s):  
Kelli Marie Richardson ◽  
Ahlam A Saleh ◽  
Michelle R Jospe ◽  
Yue Liao ◽  
Susan Schembre
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Scoping Review ◽  
Health Behavior Change ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Biological Feedback ◽  
Design And Implementation ◽  
Behavior Change Interventions ◽  
Wide Range

BACKGROUND Many health conditions can be prevented, managed, or improved through behavioral interventions. Biological feedback, as a component of health behavior change interventions, is of particular interest given recent advances in wearable biosensing technology, digital health apps, and personalized health and wellness. Yet, there is a paucity of literature to guide the design and implementation of interventions that incorporate biological feedback to motivate health behavior change. OBJECTIVE The goal of this scoping review is to deeply explore the use of biological feedback as a component of health behavior change interventions that target adults. Objectives of the review include: (1) mapping the domains of research that incorporate biological feedback and (2) describing the operational characteristics of using biological feedback in the context of health behavior change. METHODS A comprehensive list of search terms was developed to capture studies from a wide range of domains. Studies to be included are randomized controlled trials targeting adults ≥18 years old that use biological feedback to change a health-related behavior, and are published as primary research articles, theses, or dissertations. The following electronic databases were searched: Ovid MEDLINE, Embase.com Embase, Cochrane Central Register of Controlled Trials, EBSCOhost PsycINFO, and ProQuest Dissertations & Theses Global. The screening and data extraction process will be guided by the Joanna Briggs Institute Manual for Evidence Synthesis and conducted by trained reviewers. RESULTS Database searches were completed in June 2021. A total of 50,459 unique records were returned after the removal of 48,634 duplicate records. The scoping review is planned for completion in 2022. CONCLUSIONS To our knowledge, this will be the first scoping review to map the literature that uses biological feedback as a component of health behavior change interventions targeting adults. Findings will be used to develop a framework to guide the design and implementation of future health behavior change interventions that incorporate biological feedback. CLINICALTRIAL 10.17605/OSF.IO/YP5WA

Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation

2016 ◽  
Vol 80 (2) ◽  
pp. 73-88 ◽  
Author(s):  
Pauline Boland ◽  
William Levack ◽  
Meredith Perry ◽  
Fiona Graham
Keyword(s):  
Scoping Review ◽  
Stroke Rehabilitation ◽  
Training Needs ◽  
Personal Care ◽  
High Quality Evidence ◽  
Wide Range ◽  
Mobility Aids ◽  
Physical Abilities ◽  
The Relationship ◽  
And Training

Introduction The aim of this scoping review was to examine and synthesise literature on adaptive equipment use for personal care and mobility after stroke. Method We searched databases including Medline, EMBASE, AMED, CINAHL and Scopus to February 2016. Two authors independently screened 789 titles, identifying 28 studies for inclusion in the review. Results Findings were grouped into four themes: (1) stroke-specific impairments and consequences for equipment use and training; (2) meaning of equipment for people with stroke; (3) cost of equipment after stroke; and (4) conflicts between equipment provision and models of stroke rehabilitation. Conclusion The wide range of impairments after stroke increases complexity of how people use equipment. Nonetheless, training needs and the relationship between social context, identity and equipment use are increasingly better understood,. The findings highlight a tension between practice that seeks to re-train function by ‘normal’ movement without equipment and restoration of function by using compensation strategies involving use of equipment. However, there is no evidence that compensation strategies impede recovery of physical abilities. High-quality evidence about costs of equipment after stroke, which could inform policy decisions, is urgently needed.

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