scholarly journals EXERCISES WITH AND WITHOUT VIRTUAL REALITY ON PAIN IN PATIENTS WITH PARKINSON DISEASE: A RANDOMIZED, CONTROLLED, SINGLE-BLIND TRIAL

2017 ◽  
Vol 5 (4) ◽  
pp. 144-152
Author(s):  
Matheus Silva D'Alencar ◽  
Jean Ribeiro ◽  
Rafael Cruz ◽  
Kátia Sá ◽  
Elen Pinto ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Parkinson Disease ◽  
Pain Intensity ◽  
Functional Performance ◽  
Positive Impact ◽  
Exercise Program ◽  
Berg Balance Scale ◽  
Functional Markers ◽  
Before And After ◽  
The Central Nervous System

Introduction: Pain in individuals with Parkinson's Disease (PD) may result from factors such as progressive changes of the disease, originating from the Central Nervous System (CNS), until coming from classic symptoms such as stiffness, dyskinesia and dystonia, having possible correlations with important functional markers such as balance and gait. There is no consensus with regard to the treatment of pain in this condition, and exercises associated with virtual reality (VR) may be an effective intervention. Objective: To evaluate the influence of an exercise program associated with virtual reality (VR) on pain intensity, correlating changes in this symptom with the functional performance of elders with Parkinson Disease (PD). Design: randomized comparative clinical trial. Setting: clinical facility from a school of physiotherapy in Brazil. Participants: 29 elders with PD. Interventions: exercises with VR and exercises without VR. Main Outcome Measures: pain, balance and gait, evaluated before and after 10 sessions, by Visual Analog Scale (VAS), Berg Balance Scale and 10 Meter Walk Test. Results: Reduction in pain intensity in the VR Group, and groups improved their balance and gait performance. Significant correlation was between the improvement in pain intensity and reduction in gait timing in the non VR Group (r = 0.713; p < 0.005). Conclusion: VR in elders with PD may be a tool for reducing pain intensity, and independently of the type, physical exercises had positive impact on their functional performance.

A Case Report: Balance Training with Virtual Reality in Patients with Bilateral Peripheral Vestibulopathy

2017 ◽  
pp. 24-28
Author(s):  
Esra Dogru Huzmeli
Keyword(s):  
Virtual Reality ◽  
Balance Training ◽  
Berg Balance Scale ◽  
Bilateral Vestibulopathy ◽  
Balance Confidence ◽  
Before And After ◽  
Peripheral Vestibulopathy ◽  
The Subject ◽  
Balance Rehabilitation ◽  
Confidence Scale

The use of computerised imaging technologies in vestibular rehabilitation is a new concept. We aimed to examine the effects of virtual reality in a bilateral vestibulopathy patient. The subject was a 22-year old male patient. The bilateral semi-circular channels of patient were ossified, which showed advanced stage sensorineural hearing loss. Balance was analysed with Berg balance Scale (BBS), state of balanced feeling with visual analogue scale (VAS), and daily living activities with the activitiesspecific balance confidence scale (ABC). The scales were applied before and after treatment. The patient’s balance was treated with virtual reality for 18 sessions, after which the patient was feeling his balance better. The patient’s VAS score before rehabilitation was 5 and later it was 7. The ABC scores changed from 60 to 90. The BBS score was 51 before rehabilitation and later it was 56. Balance rehabilitation was successful in bilateral vestibulopathy. Keywords: Bilateral vestibulopathy, virtual reality, balance, vertigo.

scholarly journals Phototherapy versus Occlusal Splint to control painful symptoms in Temporomandibular Disorder: controlled, randomized cost-effectiveness clinical trial

2020 ◽  
Vol 9 (11) ◽  
pp. e66991110251
Author(s):  
Ana Paula Taboada Sobral ◽  
Sergio de Sousa Sobral ◽  
Glaucia Gurnhak Giacon ◽  
Thalita Molinos Campos ◽  
Anna Carolina Ratto Tempestini Horliana ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cost Effectiveness ◽  
Pain Intensity ◽  
Myofascial Pain ◽  
Positive Impact ◽  
Temporomandibular Disorder ◽  
Cost Effective ◽  
Cost Ratio ◽  
Occlusal Splint ◽  
Before And After

Objective: To compare the efficacy of photobiomodulation and occlusal splint in patients with TMD-associated myofascial pain. Material and methods: 23 patients were randomized into 2 groups: laser group (LG) (n = 12) and occlusal splint group (OSG) (n=11). For the LG, laser was applied to 3 points on each side of the face. Twelve applications were made, 2 sessions per week. In the OSG, patients were instructed to use the device during sleep, 8 hours per night, for a period of 6 weeks, and 12 adjustment and follow-up sessions were performed. Patients in both groups were reevaluated 30 days after the end of the treatments. Results: There was a decrease in pain intensity, according to a visual analogue scale, in both groups before and after 1 month (LG, p = 0.008 and OSG p = 0.002), but with no difference between groups. For the quality of life, both treatments had a positive impact, with this impact being higher in the LG compared to the OSG (p <0.05). Regarding the cost-effectiveness analysis, laser was more cost-effective than the occlusal splint in the clinical trial. The incremental cost of the laser was $3,483.45 compared to the splint, but it had a cost ratio of $4,569.02 for controlled pain intensity while the splint showed $6,691.91 ratio for controlled pain intensity. Conclusion: The photobiomodulation was more cost-effective in controlling painful symptoms in patients with TMD and myofascial pain.

scholarly journals Dynamics of Mental States of Learners Working with Didactic VR Programs Using Virtual Reality Technologies

2021 ◽  
Vol 14 (4) ◽  
pp. 123-141
Author(s):  
V.G. Anikina ◽  
E.G. Khoze ◽  
I.V. Strizhova
Keyword(s):  
Virtual Reality ◽  
Activation Parameter ◽  
Positive Impact ◽  
Statistical Significance ◽  
Well Being ◽  
Mental States ◽  
Adolescent Students ◽  
Cognitive Motivation ◽  
Before And After ◽  
Different Levels

The article presents the results of studying the mental states of adolescent students involved in the work using didactic VR programs implemented using VR technologies of different levels, demonstrated using different technical means (stationary PC, VIVE helmet), causing immersive experience of different quality. Before and after work, the participants were controlled: activation, excitement, tone, well-being; mood, asthenia, euphoria; the severity of the presence effect. As a result, it was shown that the participants who were involved in the work with the help of a PC experienced a decrease in indicators at the level of reliable statistical significance for the activation parameter. When working with VIVE helmets, reliable increases are shown in terms of activation, arousal, tone, well-being, asthenic state and euphoria. In general, we can talk about the intensive and positive impact of didactic VR programs broadcast with the help of higher level VR technologies on the mental states of students, which can become a source of formation of their stable and productive educational and cognitive motivation.

scholarly journals The Effects of 12 Weeks Pilates Exercises on Functional and Cognitive Performance in Elderly People

2019 ◽  
Vol 7 (3S) ◽  
pp. 71
Author(s):  
Buket Kayaoğlu ◽  
İlbilge Özsu
Keyword(s):  
Elderly People ◽  
Cognitive Performance ◽  
Handgrip Strength ◽  
Elderly Care ◽  
Care Center ◽  
Exercise Program ◽  
Berg Balance Scale ◽  
Control Group ◽  
Functional Reach Test ◽  
Before And After

The aim of the study was to investigate the effects of 12 weeks Pilates exercises on functional and cognitive performance in elderly people which are living in an elderly care center. Forty three elderly were randomly allocated either to Pilates group (PG, n= 21; mean age, 72.8 ± 7.84 years), which performed three session of Pilates per week for 12 weeks, or to control group (CG, n= 22; mean age, 77.7 ± 7.25 years), which no performed any exercise is except from daily works. Participants tested to handgrip strength, Berg balance scale, Functional reach test and Mini Mental State Examination Test before and after the 12 weeks of exercise. Finally, PG demonstrated improvement in all variables. However, CG has no improvement any variables. Pilates exercises led to significant improvement in functional and cognitive performance. Therefore, elderly people can apply a well-structured Pilates exercise program under Pilates instructor and physiotherapist.

scholarly journals The effect of a group exercise program on functional performance of patients with moderate knee osteoarthritis

2020 ◽  
Vol 11 (Vol.11, no.3) ◽  
pp. 405-408
Author(s):  
Mihaela Giorgiana Varga ◽  
Andreea Luciana Rata
Keyword(s):  
Knee Osteoarthritis ◽  
Physical Performance ◽  
Muscular Strength ◽  
Functional Performance ◽  
Physical Therapist ◽  
Exercise Program ◽  
Group Exercise ◽  
Before And After ◽  
Grade Ii ◽  
Weekly Group

Introduction. The aim of this study was to evaluate the effects of a weekly group exercise program on the functional performance of patients with knee osteoarthritis. Material and methods. Patients (aged 51-78 years) with knee osteoarthritis Kellgren-Lawrence grade II-III were included in an exercise program. The exercise sessions were held once-a week, for six months, being supervised by a physical therapist. The scope of the program was to increase the mobility, muscular strength and balance. The physical function outcome was assessed using the Short Physical Performance Battery (SPPB) in two moments – before and after participating in the exercise program. Results. All patients completed the group exercise program. The SPPB score at the time of inclusion in the study was 8.33 ± 1.9. After six months of exercising in the weekly group exercise program, the score increased significantly at 9.07 ± 1.73 (p<0.0001). Conclusions. In conclusion, participating in a group-based exercise program for six months have been proved to have beneficial outcomes in physical performance in patients with knee osteoarthritis.

Effect of Virtual Reality on Balance in Individuals With Parkinson Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 100 (6) ◽  
pp. 933-945 ◽  
Author(s):  
Yi Chen ◽  
Qiang Gao ◽  
Cheng-Qi He ◽  
Rong Bian
Keyword(s):  
Virtual Reality ◽  
Parkinson Disease ◽  
Randomized Controlled Trials ◽  
Berg Balance Scale ◽  
Controlled Trials ◽  
Balance Scale ◽  
Randomized Controlled ◽  
Functional Gait ◽  
Dynamic Gait Index ◽  
Dynamic Gait

Abstract Background Virtual reality (VR) is a frequently used intervention for the rehabilitation of individuals with neurological disorders. Purpose The aims of this review were to identify the short-term effect of VR on balance and to compare it with the effect of active interventions in individuals with Parkinson disease (PD). Data Sources Searches for relevant articles available in English were conducted using the MEDLINE (via PubMed), EMBASE, CENTRAL, CINAHL, PsycINFO, and Physiotherapy Evidence Database databases from inception until March 2019. Study Selection All randomized controlled trials comparing the effect of training with VR and the effect of training without VR on balance in individuals with PD were included. Data Extraction Two authors independently extracted data, assessed the methodological quality, and evaluated the evidence quality of the studies. Data Synthesis Fourteen randomized controlled trials including 574 individuals were eligible for qualitative analyses, and 12 of the studies involving 481 individuals were identified as being eligible for meta-analyses. Compared with active interventions, the use of VR improved the Berg Balance Scale score (mean difference = 1.23; 95% CI = 0.15 to 2.31; I2 = 56%). The Dynamic Gait Index and Functional Gait Assessment results were also significant after the sensitivity analyses (mean difference = 0.69; 95% CI = 0.12 to 1.26; I2 = 0%). Both provided moderate statistical evidence. However, the Timed “Up & Go” Test and the Activities-Specific Balance Confidence Scale did not differ significantly. Limitations Publication bias and diversity in the interventions were the main limitations. Conclusions Existing moderate evidence of the effectiveness of VR with the Berg Balance Scale, Dynamic Gait Index, and Functional Gait Assessment for individuals with PD was promising. Although the differences did not reach the clinically important change threshold, VR was comparable to active interventions and could be considered an adjuvant therapy for balance rehabilitation in individuals with PD.

scholarly journals Transient Vision Restoration Training Using a Unique Virtual Reality Platform in Glaucoma

2020 ◽  
Author(s):  
Xiao Xia Li ◽  
Hang Chu ◽  
Li Yan ◽  
Yan Lu
Keyword(s):  
Virtual Reality ◽  
Positive Impact ◽  
Self Control ◽  
Glaucomatous Optic Neuropathy ◽  
Global Indices ◽  
Corrected Visual Acuity ◽  
Before And After ◽  
Vision Restoration ◽  
Global Mean ◽  
Control Prospective Study

Abstract Background To evaluate the efficacy of transient vision restoration training (tVRT) with an augmented virtual reality platform in glaucoma patients. Design: A self-control, prospective study. Methods This study recruited subjects with glaucoma. All participants were treated with tVRT which based on an augmented virtual reality platform for 20 minutes. The intraocular pressure (IOP), the best-corrected visual acuity (BCVA), global mean defect (MD) values, global indices mean sensitivity (MS) were evaluated and compared before and after treatment. Results While the IOP and BCVA after tVRT did not change obviously compared to baseline. However, the global MD significantly reduced, consistently the global MS changed better in the treated patients. Conclusions The glaucomatous optic neuropathy remains potentially neuroplasticity. And the training based on an augmented virtual reality platform may have a positive impact on vision restoration.

scholarly journals Effect of virtual reality in Parkinson's disease: a prospective observational study

2018 ◽  
Vol 76 (2) ◽  
pp. 78-84 ◽  
Author(s):  
Maria Izabel Rodrigues Severiano ◽  
Bianca Simone Zeigelboim ◽  
Hélio Afonso Ghizoni Teive ◽  
Geslaine Janaína Barbosa Santos ◽  
Vinícius Ribas Fonseca
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Virtual Reality ◽  
Berg Balance Scale ◽  
Dizziness Handicap Inventory ◽  
Virtual Rehabilitation ◽  
Balance Scale ◽  
Sf 36 ◽  
Balance Exercises ◽  
Before And After

ABSTRACT Objective: To assess the effectiveness of balance exercises by means of virtual reality games in Parkinson's disease. Methods: Sixteen patients were submitted to anamnesis, otorhinolaryngological and vestibular examinations, as well as the Dizziness Handicap Inventory, Berg Balance Scale, SF-36 questionnaire, and the SRT, applied before and after rehabilitation with virtual reality games. Results: Final scoring for the Dizziness Handicap Inventory and Berg Balance Scale was better after rehabilitation. The SRT showed a significant result after rehabilitation. The SF-36 showed a significant change in the functional capacity for the Tightrope Walk and Ski Slalom virtual reality games (p < 0.05), as well as in the mental health aspect of the Ski Slalom game (p < 0.05). The Dizziness Handicap Inventory and Berg Balance Scale showed significant changes in the Ski Slalom game (p < 0.05). There was evidence of clinical improvement in patients in the final assessment after virtual rehabilitation. Conclusion: The Tightrope Walk and Ski Slalom virtual games were shown to be the most effective for this population.

scholarly journals The effects of McKenzie exercises for patients with low back pain, our experience

2003 ◽  
Vol 3 (4) ◽  
pp. 70-75 ◽  
Author(s):  
Emela Mujić Skikić ◽  
Suad Trebinjac
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Exercise Program ◽  
Low Back ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Significant Difference ◽  
Before And After ◽  
Difference Test

OBJECTIVE:To investigate influence of McKenzie exercises on decreasing the pain in patients with low back pain, to show occurrence of Centralization sign, as a predictor of good treatment outcomes and to evaluate use of McKenzie exercises, as a routine method for lower back pain in Physical Medicine and Rehabilitation Centres.DESIGN:Clinical, prospective, manipulative study.SETTING:Physiotherapy and Rehabilitation Clinic in Community Based Rehabilitation Centers and Institute for Physical Medicine and Rehabilitation affiliated with a Medical College Sarajevo.PARTICIPANTS:Thirty-four patients with symptoms of low back pain.INTERVENTIONS:McKenzie exercise program for low back pain were performed individually to the need and possibility of each patient. Patients attended exercise program daily, under supervision of physiatrist and physiotherapist and do it also at home, five times a day in series of 5 to 10 repetition each time, depending of stage of disease and pain intensity. The average training period was 15,5 days.MAIN OUTCOME MEASURES:All patients were assessed before and after the treatment. Visual Analog Scale (VAS) measured intensity of pain, localization of pain was noted on special forms and Shober test was used to show differences in spinal movement before and after the treatment.RESULTS:Measurements of spinal movements and flexibility of spine showed significant improvement in all patients. Average difference in values of Shober test before and after treatment was 1,1 cm with SD 0,98. Difference test was t=6,263 with significant difference p<0,01. Mean pain intensity was reduced significantly as a result of treatment. Pain was reduced on VAS for X=2,8 with S.D. 1,56. Difference Test was t=10,332, with significant difference p<0.01. 61,5% of total number of participants had signs of centralisation (6% were in acute stage of pain, 32% in subacute and 23,5% in chronic pain). Centralisation sign was noted in 40% of acute patients, 57.5% subacute and 80% of chronic patients with a low back pain who exercised McKenzieprogram.CONCLUSIONS:McKenzie exercises for low back pain are beneficial treatment for increasing flexibility of spine and improving the pain with better results in pain relief. Although done by minimally trained physiotherapists in McKenzie approach, McKenzieexercises are successful method for decreasing and centralising the pain and increasing spinal movements in patients with lowback pain.

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