scholarly journals Virtual reality in the rehabilitation of patients with stroke: an integrative review

2019 ◽  
Vol 77 (4) ◽  
pp. 268-278 ◽  
Author(s):  
Alberto Luiz Aramaki ◽  
Rosana Ferreira Sampaio ◽  
Ana Caroline Silva Reis ◽  
Alessandra Cavalcanti ◽  
Fabiana Caetano Martins Silva e Dutra
Keyword(s):  
Quality Of Life ◽  
Virtual Reality ◽  
Upper Limb ◽  
Daily Living ◽  
Randomized Clinical Trials ◽  
Outcome Measurement ◽  
Dynamic Balance ◽  
Integrative Review ◽  
Daily Living Activities

ABSTRACT Objective: To describe the intervention protocols to using commercial video games as virtual reality (VR) in rehabilitation of patients with stroke. Methods: Integrative review using the descriptors “rehabilitation”, “virtual reality exposure therapy” and “videogames” in the LILACS and PUBMED databases. Articles published from 2011 to 2018 were selected. Results: We found 1,396 articles, 1,383 were excluded and 13 were selected. Most of the articles were randomized clinical trials published in 2014 or later. The sample size varied from 5–47 adults, or adults and elders, with chronic stroke. The Nintendo Wii® was the most used video game system. The intervention happened two or three times a week, each session lasting from 30 to 60 minutes, over 2–12 weeks. Balance, upper limb motor functions, quality of life and daily living activities were the most common evaluated outcomes. The Fugl-Meyer Assessment, Berg Balance Scale, Timed Up and Go test, Barthel Scale and SF-36 were the most common outcome measurement tools. Conclusions: The studies indicated improvement in dynamic balance, upper limb motor function and quality of life after rehabilitation using VR. The VR was more effective than conventional treatments for the outcome of dynamic balance. Two studies did not find any changes in static balance and daily living activities. Physical aspects and quality of life were the outcomes most evaluated by the researchers; as were the population with chronic strokes and protocols of long duration and low intensity. Few studies targeted immediate VR effects, performance in daily living activities and social participation.

Rehabilitation training based on virtual reality for patients with Parkinson’s disease in improving balance, quality of life, activities of daily living, and depressive symptoms: A systematic review and meta-regression analysis

2021 ◽  
pp. 026921552199517
Author(s):  
Runze Li ◽  
Yanran Zhang ◽  
Yunxia Jiang ◽  
Mengyao Wang ◽  
Wei How Darryl Ang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Virtual Reality ◽  
Depressive Symptoms ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Meta Analysis ◽  
Rehabilitation Training

Objective: To examine the effectiveness of rehabilitation training based on virtual reality in improving balance, quality of life, activities of daily living, and depressive symptoms of patients with Parkinson’s disease. Data sources: PubMed, EMBASE, CINAHL, Scopus, Cochrane Library, PsycINFO, ProQuest, Physiotherapy Evidence Database, IEEE Xplore, China National Knowledge Infrastructure, Wanfang, and VIP Information databases were searched from their inception to October 15, 2020. Trial registries, gray literature, and target journals were also searched. Methods: Eligible randomized controlled trials included studies with patients with Parkinson’s disease in rehabilitation training based on virtual reality. Comprehensive Meta-Analysis 3.0 software was used. Physiotherapy Evidence Database Scale and the Grading of Recommendation, Assessment, Development, and Evaluation system were used to assess the methodological quality of individual trials and the overall quality of the evidence, respectively. Results: A total of 22 randomized controlled trials with 836 patients were included. Meta-analysis revealed that training significantly improved balance ( g = 0.66, P < 0.001), quality of life ( g = 0.28, P = 0.015), activities of daily living ( g = 0.62, P < 0.001), and depressive symptoms ( g = 0.67, P = 0.021) compared to the control group. Subgroup analysis indicated that training should utilize video game consoles. Meta-regression analyses showed that age, sessions, and frequency of training had statistically significant impacts on balance scores. Quality of individual trials was high and overall evidence ranged from very low to low. Conclusion: Virtual rehabilitation training could be adopted in healthcare institutions as supplementary training for patients with Parkinson’s disease.

scholarly journals Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response

2018 ◽  
Vol 76 (10) ◽  
pp. 654-662 ◽  
Author(s):  
Maicon Gabriel Gonçalves ◽  
Mariana Floriano Luiza Piva ◽  
Carlos Leonardo Sacomani Marques ◽  
Rafael Dalle Molle da Costa ◽  
Rodrigo Bazan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Virtual Reality ◽  
Upper Limb ◽  
Internal Capsule ◽  
Functional Independence ◽  
Reality Therapy ◽  
Limb Function ◽  
Virtual Reality Therapy ◽  
Upper Limb Function

ABSTRACT Background: Virtual reality therapy (VRT) is an interactive intervention that induces neuroplasticity. The aim was to evaluate the effects of VRT associated with conventional rehabilitation for an upper limb after stroke, and the neuroimaging predictors of a better response to VRT. Methods: Patients with stroke were selected, and clinical neurological, upper limb function, and quality of life were evaluated. Statistical analysis was performed using a linear model comparing pre- and post-VRT. Lesions were segmented in the post-stroke computed tomography. A voxel-based lesion-symptom mapping approach was used to investigate the relationship between the lesion and upper limb function. Results: Eighteen patients were studied (55.5 ± 13.9 years of age). Quality of life, functional independence, and dexterity of the upper limb showed improvement after VRT (p < 0.001). Neuroimaging analysis showed negative correlations between the internal capsule lesion and functional recovery. Conclusion: VRT showed benefits for patients with stroke, but when there was an internal capsule lesion, a worse response was observed.

scholarly journals Health-related quality of life in Brazilian community-dwelling and institutionalized elderly: Comparison between genders

2016 ◽  
Vol 62 (9) ◽  
pp. 848-852 ◽  
Author(s):  
GABRIEL GRIZZO CUCATO ◽  
RAPHAEL MENDES RITTI-DIAS ◽  
MAYSA SEABRA CENDOROGLO ◽  
JOSÉ MARIA MALUF DE CARVALHO ◽  
FÁBIO NASRI ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Daily Living ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Elderly Men ◽  
Men And Women ◽  
Daily Living Activities ◽  
Related Quality ◽  
Health Related

SUMMARY Objective To compare the health-related quality of life (HRQL) indicators between institutionalized and community-dwelling elderly men and women. Method This was a cross-sectional study with a sample of 496 elderly men and women, surveyed by researchers at a private hospital that attends institutionalized and community-dwelling elderly. HRQL (World Health Organization Quality of Life), daily living activities (Katz questionnaire), and instrumental daily living activities (Lawton questionnaire), mini-mental state examination, handgrip strength test, and function capacity (timed up and go test) were obtained. Results Institutionalized men presented higher scores in physical and psychological domains of HRQL compared to elderly men living alone (p<0.05). Among women, the scores in all domains (physical, psychological, relationship, and environment) were similar between institutionalized and community-dwelling individuals. Conclusion Institutionalized elderly men reported better scores in physical and psychological domains of HRQL compared to their community-dwelling pairs, while both institutionalized and community-dwelling elderly women presented similar HRQL.

scholarly journals The newly revised interview for deteriorations in daily living activities in dementia (R-IDDD2): distinguishing initiative from performance at assessment

2016 ◽  
Vol 29 (3) ◽  
pp. 497-507 ◽  
Author(s):  
Clarissa M. Giebel ◽  
David Challis ◽  
Daniela Montaldi
Keyword(s):  
Quality Of Life ◽  
Daily Living ◽  
Medication Management ◽  
Well Being ◽  
Everyday Functioning ◽  
Repair Work ◽  
Daily Living Activities ◽  
Mild Dementia ◽  
And Performance

ABSTRACTBackground:Minimal evidence exists on the detailed deficits in complex instrumental activities of daily living (IADLs) in mild dementia. The aim of this study was twofold, to validate a revised questionnaire focusing measuring the initiative and performance of IADLs in mild dementia and to explore the relationship between individual IADLs and patient and carer well-being.Methods:A total of 183 carers of people with mild dementia completed a further modified Revised Interview for Deterioration in Daily Living Activities 2 (R-IDDD2), which comprised new activities such as computer use, as well as sub-activities on the performance scale. Carers also completed questionnaires assessing patient quality of life (QoL-AD), carer quality of life (AC-QoL), and burden (GHQ-12).Results:Persons with dementia were significantly poorer initiating than performing cleaning, doing repair work, and preparing a hot or cold meal, whereas being poorer at performing dressing and following current affairs. Using the computer, preparing a hot meal, finance, and medication management were most impaired, whereas more basic activities of dressing, washing oneself, brushing hair or teeth, and preparing a hot drink were most preserved. Poor initiative and performance on nearly all activities were significantly related to reduced carer and patient well-being.Conclusions:The R-IDDD2 offers a platform to comprehensively assess everyday functioning. Deteriorations in initiative and performance need to be targeted separately in interventions, as the former requires effective triggering and the latter structured training and support. Most activities were significantly associated with well-being, particularly patient quality of life so that improving any activity should improve well-being.

scholarly journals QOL-22. THE EFFECTS OF FATIGUE ON DAILY LIVING ACTIVITIES AND QUALITY OF LIFE IN CHILDREN WITH BRAIN TUMOR

2018 ◽  
Vol 20 (suppl_2) ◽  
pp. i161-i162
Author(s):  
Muberra Tanriverdi ◽  
Fatma Karantay Mutluay ◽  
Fatma Betul Cakir
Keyword(s):  
Quality Of Life ◽  
Brain Tumor ◽  
Daily Living ◽  
Daily Living Activities

scholarly journals The Relationship Between Activity Daily Living Level And Quality Of Life Of Geriatric Patients In RSUP Dr. Mohammad Hoesin Palembang

2020 ◽  
Vol 3 (3) ◽  
pp. 129-137
Author(s):  
Angela Maria Linata ◽  
Jalalin
Keyword(s):  
Quality Of Life ◽  
Significant Relationship ◽  
Daily Living ◽  
Geriatric Patients ◽  
Activity Level ◽  
Age Group ◽  
Daily Living Activities ◽  
Daily Living Activity ◽  
The Relationship

Background The quality of life of the elderly is influenced by several factors such as physical health, psychological health,and good social relationships. Physical health is related to daily living activities that a person does in his daily lifeincluding ambulation, eating, dressing, bathing, brushing teeth and making up. At old age, a person will experience adecrease in physical condition which will affect the value of fulfilling one's daily living activities. This study aims toanalyze the relationship between the level of independence of daily living activities and the level of quality of life ofgeriatric patients. Methods: This study was an observational analytic study with a cross sectional design. The sampleswere geriatric patients in Dr. Mohammad Hoesin Palembang in September-October 2019. The sample of this study was55 respondents. Results: From 55 Geriatric patients in Dr. Mohammad Hoesin Palembang found 60% male respondentsand 40% female respondents, the 60-74 years age group as much as 74.5%, the 75-90 year age group as much as 25.5%,the 50-60 year age group as much as 26%. Chi-square test results showed a significant relationship between the level ofActivity Daily Living and the level of quality of life of geriatric patients (p value = 0.000). The results of the odds ratio ingeriatric patients state that the probability of improving the quality of life is 27.7 times greater in patients who have anindependent daily living activity level than in patients who have a total dependent daily living activity level. In theanalysis, it was also found that the level of daily living activity of geriatric patients is a protective factor for the quality oflife of geriatric patients. (95% CI = 0.006-0.206). Conclusion: There is a significant relationship between the level of dailyliving activity and the quality of life of geriatric patients in , dr. Mohammad Hoesin Palembang.

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