The aim of this scoping review was to examine virtual reality (VR) interventions used within rehabilitation and their effect on the functional outcomes of individuals with stroke. Specifically, this study sought to determine the impact of VR on the upper extremity (UE) use of participants as it relates to body function, occupational participation, and overall UE function (UEfxn). Twenty-six articles were selected for inclusion and results were extracted to determine common themes of outcomes among the effects of VR intervention (VRI). Thematic analysis included details about the VRIs used, as well as the change in UE outcomes post-VRI. Overall, positive change in UEfxn was found across many of the studies, indicating that VR technologies may be an effective intervention technique for individuals, poststroke. Findings of this review encourage clinicians to conduct further research regarding VR technology for UE rehabilitation poststroke.
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References
1.
SubramanianSK, LourençoCB, ChilingaryanG, et al.Arm motor recovery using a virtual reality intervention in chronic stroke: Randomized control trial. Neurorehabil Neural Repair, 2013; 27(1):13–23; doi: 10.1177/1545968312449695
2.
LaverKE, LangeB, GeorgeS, et al.Virtual reality for stroke rehabilitation. AHA, 2018; 49(4):e160–e161; doi: 10.1161/STROKEAHA.117.020275
3.
StandenPJ, ThreapletonK, RichardsonA, et al.A low cost virtual reality system for home based rehabilitation of the arm following stroke: A randomised controlled feasibility trial. Clin Rehabil, 2017; 31(3):340–350; doi: 10.1177/0269215516640320
4.
ProffittR, LangeB. Considerations in the efficacy and effectiveness of virtual reality interventions for stroke rehabilitation: Moving the field forward. Phys Ther, 2015; 95(3):441–448; doi: 10.2522/ptj.20130571
5.
LangCE, BlandMD, BaileyRR, et al.Assessment of upper extremity impairment, function, and activity after stroke: Foundations for clinical decision making. J Hand Ther, 2013; 26:104–115; doi: 10.1016/j.jht.2012.06.005
6.
PollockA, FarmerSE, BradyMC, et al.Interventions for improving upper limb function after stroke. Cochrane Database Syst Rev, 2014; 12(11):1–15; doi: 10.1002/14651858.CD010820.pub2
7.
DeldenAEQ, PepperCE, BeekPJ, et al.Unilateral versus bilateral upper limb exercise therapy after stroke: A systematic review. J Rehabil Med, 2012; 44(2):106–117; doi: 10.2340/16501977-0928
8.
KollenBJ, LennonS, LyonsB, et al.The effectiveness of the bobath concept in stroke rehabilitation: what is the evidence?. Stroke, 2009; 40:e89–e97; doi: 10.1161/STROKEAHA.108.53382
9.
KnutsonJS, FuMJ, ShefflerLR, et al.Neuromuscular electrical stimulation for motor restoration in hemiplegia. Phys Med Rehabil Clin N Am, 2015; 26(4):729–745; doi: 10.1016/j.pmr.2015.06.002
10.
TakedaK, TaninoG, MiyasakaH. Review of devices used in neuromuscular electrical stimulation for stroke rehabilitation. Med Dev, 2017; 10:207–213; doi: 10.2147/MDER.S123464
11.
ChaudhariRT, DeviS, DumbreD. Effectiveness of mirror therapy on upper extremity functioning among stroke patients. Indian J Physiother Occup Ther, 2019; 13(1):128–132; doi: 10.5958/0973-5674.2019.00026.1
12.
LeeHS, ParkYJ, ParkSW. The effects of virtual reality training on function in chronic stroke patients: A systematic review and meta-analysis. Biomed Res Int, 2019; doi: 10.1155/2019/7595639
13.
ChoiY, KuJ, LimH, et al.Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke. Restor Neurol Neurosci, 2016; 34:455–463; doi: 10.3233/RNN-150626
14.
ShinJH, KimMY, LeeJY., et al.Effects of virtual reality-based rehabilitation on distal upper extremity function and health-related quality of life: A single-blinded, randomized controlled trial. J Neuroeng Rehabil, 2016; 13:17; doi: 10.1186/s12984-016-0125-x
15.
WittmannF, HeldJP, LambercyO, et al.Self-directed arm therapy at home after stroke with a sensor-based virtual reality training system. J Neuroeng Rehabil, 2016; 13(1):75; doi: 10.1186/s12984-016-0182-1
16.
PrangeGB, KottinkAI, BuurkeJH, et al.The effect of arm support combined with rehabilitation games on upper-extremity function in subacute stroke: A randomized controlled trial. Neurorehabil Neural Repair, 2015; 29(2):174–182; doi: 10.1177/1545968314535985
17.
StandenPJ, ThreapletonK, ConnellL, et al.Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke. Phys Ther, 2015; 95(3):350–359; doi: 10.2522/ptj.20130564
18.
JoK, YuJ, JungJ. Effects of virtual reality-based rehabilitation on upper extremity function and visual perception in stroke patients: A randomized control trial. J Phys Ther Sci, 2012; 24(11):1205–1208; doi: 10.1589/jpts.24.1205
19.
da Silva CameirãoM, Bermúdez I BadiaS, DuarteE, et al.Virtual reality-based rehabilitation speeds up functional recovery of the upper extremities after stroke: A randomized controlled pilot study in the acute phase of stroke using the rehabilitation gaming system. Restor Neurol Neurosci, 2011; 29(5):287–298; doi: 10.3233/RNN-2011-0599
20.
HousmanSJ, ScottKM, ReinkensmeyerDJ. A randomized controlled trial of gravity-supported, computer-enhanced arm exercise for individuals with severe hemiparesis. Neurorehabil Neural Repair, 2009; 23(5):505–514; doi: 10.1177/1545968308331148
21.
McNultyPA, Thompson-ButelAG, FauxSG, et al.The efficacy of Wii-based movement therapy for upper limb rehabilitation in the chronic poststroke period: A randomized controlled trial. Int J Stroke, 2015; 10(8):1253–1260; doi: 10.1111/ijs.12594
22.
KimWS, ChoS, KuJ, et al.Clinical application of virtual reality for upper limb motor rehabilitation in stroke: Review of technologies and clinical evidence. J Clin Med, 2020; 9(10):3369; doi: 10.3390/jcm9103369
23.
YavuzerG, SenelA, AtayMB, et al.‘‘Playstation Eyetoy games’’ improve upper extremity-related motor functioning in subacute stroke: A randomized controlled clinical trial. Eur J Phys Rehabil Med, 2008:44(3):237–244.
24.
ImamB, JarusT. Virtual reality rehabilitation from social cognitive and motor learning theoretical perspectives in stroke population. Rehabil Res Pract, 2014; 2014:1–11; doi: 10.1155/2014/594540
PetersMD, GodfreyCM, KhalilH, et al.Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc, 2015; 13(3):141–146; doi: 10.1097/XEB.0000000000000050
27.
TriccoAC, LillieE, ZarinW, et al.PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med, 2018; 169(7):467–473.
28.
HernandezA, BubyrL, ArchambaultPS, et al.Virtual reality-based rehabilitation as a feasible and engaging tool for the management of chronic post-stroke upper-extremity function recovery: Randomized controlled trial. JMIR Serious Games, 2022; 10(3):e37506; doi: 10.2196/37506
29.
LongY, OuyangRG, ZhangJQ. Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke: A randomized controlled trial. J Neuroeng Rehabil, 2020; 17(150):1–9; doi: 10.1186/s12984-020-00783-2
30.
AssisGAD, CorrêaAGD, MartinsMBR. An augmented reality system for upper-limb post-stroke motor rehabilitation: A feasibility study. Disabil Rehabil Assist Technol, 2016; 11(6):521–528; doi: 10.3109/17483107.2014.979330
31.
MekbibDB, DebeliDK, ZhangL, et al.A novel fully immersive virtual reality environment for upper extremity rehabilitation in patients with stroke. Ann N Y Acad Sci, 2021; 1493:75–89; doi: 10.1111/nyas.14554
32.
GueyeT, DedkovaM, RogalewiczV, et al.Early post-stroke rehabilitation for upper limb motor function using virtual reality and exoskeleton: Equally efficient in older adults. Neurol Neurochir Polska, 2021; 55:91–96; doi: 10.5603/PJNNS.a2020.0096
33.
FongKNK, TangYM, SieK, et al.Task-specific virtual reality training on hemiparetic upper extremity in patients with stroke. Virtual Real, 2022; 26(2):453–464; doi: 10.1007/s10055-021-00583-6
34.
AnwarN, KarimiH, AhmadA, et al.Virtual reality training using Nintendo Wii games for patients with stroke: Randomized controlled trial. JMIR Serious Games, 2022; 10(2):e29830; doi: 10.2196/29830
35.
LinCW, KuoLC, LinYC, et al.Development and testing of a virtual reality mirror therapy system for the sensorimotor performance of upper extremity: A pilot randomized controlled trial. IEEE Access, 2021; 9:14725–14734; doi: 10.1109/ACCESS.2021.3050656
36.
HuangCY, ChiangWC, YehYC, et al.Effects of virtual reality-based motor control training on inflammation, oxidative stress, neuroplasticity, and upper limb motor function in patients with chronic stroke: A randomized controlled trial. BMC Neurol, 2022; 22(1):21; doi: 10.1186/s12883-021-02547-4
37.
ShinS, LeeHJ, ChangWH, et al.A smart glove digital system promotes restoration of upper limb motor function and enhances cortical hemodynamic changes in subacute stroke patients with mild to moderate weakness: A randomized controlled trial. J Clin Med, 2022; 11(24):7343; doi: 10.3390/jcm11247343
38.
Ul AinQ, KhanS, IlyasS, et al.Additional effects of Xbox Kinect training on upper limb function in chronic stroke patients: A randomized control trial. Healthcare, 2021; 9(3):242; doi: 10.3390/healthcare9030242
39.
LamSSL, LiuTW, NgSSM, et al.Bilateral movement-based computer games improve sensorimotor functions in subacute stroke survivors. J Rehabil Med, 2022; 54; jrm00307; doi: 10.2340/jrm.v54.913
40.
BorstadAL, CrawfisR, PhillipsK, et al.In-home delivery of constraint-induced movement therapy via virtual reality gaming. J Patient Cent Res Rev, 2018; 5(1):6–17; doi: 10.17294/2330-0698.1550
41.
LevinMF, SnirO, LiebermannDG, et al.Virtual reality versus conventional treatment of reaching ability in chronic stroke: Clinical feasibility study. Neurol Ther, 2012; 1(3):1–15; doi: 10.1007/s40120-012-0003-9
42.
Aguilera-RubioA, Cuesta-GomezA, Mallo-LopezA, et al.Feasibility and efficacy of a virtual reality game-based upper extremity motor function rehabilitation therapy in patients with chronic stroke: A pilot study. Int J Environ Res Public Health, 2022; 19(6):3381; doi: 10.3390/ijerph19063381
43.
Abd El-KafyEM, AlshehriMA, El FikyAAR, et al.The effect of virtual reality-based therapy on improving upper limb functions in individuals with stroke: A randomized control trial. Front Aging Neurosci, 2021; 13; doi: 10.3389/fnagi.2021.731343
44.
SantistebanL, TeremetzM, BletonJP, et al.Upper limb outcome measures used in stroke rehabilitation studies: A systematic literature review. PLoS One, 2016; 11(5):1–12; doi: 10.1371/journal.pone.0154792
45.
LyleRC. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res, 1981; 4(4):483–92.
46.
LaverK, GeorgeS, ThomasS, Deutsch, et al. Virtual reality for stroke rehabilitation. Am Heart Assoc, 2012; 43(2):e20–e21; doi: 10.1161/STROKEAHA.111.642439
47.
LaverKE, LangeB, GeorgeS, et al.Virtual reality for stroke rehabilitation (review). Cochrane Library, 2017; 11:1–161; doi: 10.1002%2F14651858.CD008349.pub4
48.
LohseKR, HildermanCGE, CheungKL, et al.Virtual reality therapy for adults post-stroke: A systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One, 2014; 9(3):e93318; doi: 10.1371/journal.pone.0093318
