OBJECTIVE: To evaluate the influence of conventional rehabilitation combined with virtual reality on improving quality of life related to post-stroke health. DESIGN: Randomized controlled trial. SETTING:Rehabilitation and neurology departments of a general hospital (Talavera de la Reina, Spain). SUBJECTS: A total of 43 participants with subacute stroke. INTERVENTION: Participants were randomized into experimental group (conventional treatment + virtual reality) and control (conventional treatment). MAIN MEASURES: Health-related quality of life as measured by the EuroQoL-5 dimensions instrument (EQ-5D-5L) and EuroQoL visual analog scale (EQ-VAS). RESULTS: A total of 23 patients in the experimental group (62.6 ± 13.5 years) and 20 in the control (63.6 ± 12.2 years) completed the study. In the experimental group, EQ-VAS score was 29.1 ± 12.8 at baseline, 86.5 ± 7.1 post-intervention, and 78.3 ± 10.3 at the three-month follow-up. The control group obtained scores of 25.5 ± 5.1, 57.0 ± 4.7, and 58.5 ± 5.9, respectively. We identified significant differences at the post-intervention and follow-up timepoints (p = 0.000) and a partial η2 of 0.647. In EQ-5D-5L, the severity of issues decreased after intervention in the experimental group, while pain and anxiety dimensions increased between post-intervention and follow-up. CONCLUSIONS: The conventional rehabilitative approach combined with virtual reality appears to be more effective for improving the perceived health-related quality of life in stroke survivors.
RCT Entities:
OBJECTIVE: To evaluate the influence of conventional rehabilitation combined with virtual reality on improving quality of life related to post-stroke health. DESIGN: Randomized controlled trial. SETTING: Rehabilitation and neurology departments of a general hospital (Talavera de la Reina, Spain). SUBJECTS: A total of 43 participants with subacute stroke. INTERVENTION: Participants were randomized into experimental group (conventional treatment + virtual reality) and control (conventional treatment). MAIN MEASURES: Health-related quality of life as measured by the EuroQoL-5 dimensions instrument (EQ-5D-5L) and EuroQoL visual analog scale (EQ-VAS). RESULTS: A total of 23 patients in the experimental group (62.6 ± 13.5 years) and 20 in the control (63.6 ± 12.2 years) completed the study. In the experimental group, EQ-VAS score was 29.1 ± 12.8 at baseline, 86.5 ± 7.1 post-intervention, and 78.3 ± 10.3 at the three-month follow-up. The control group obtained scores of 25.5 ± 5.1, 57.0 ± 4.7, and 58.5 ± 5.9, respectively. We identified significant differences at the post-intervention and follow-up timepoints (p = 0.000) and a partial η2 of 0.647. In EQ-5D-5L, the severity of issues decreased after intervention in the experimental group, while pain and anxiety dimensions increased between post-intervention and follow-up. CONCLUSIONS: The conventional rehabilitative approach combined with virtual reality appears to be more effective for improving the perceived health-related quality of life in stroke survivors.
Authors: Mónica da Silva Cameirão; Sergi Bermúdez I Badia; Esther Duarte; Paul F M J Verschure Journal: Restor Neurol Neurosci Date: 2011 Impact factor: 2.406
Authors: Gustavo Saposnik; Leonardo G Cohen; Muhammad Mamdani; Sepideth Pooyania; Michelle Ploughman; Donna Cheung; Jennifer Shaw; Judith Hall; Peter Nord; Sean Dukelow; Yongchai Nilanont; Felipe De Los Rios; Lisandro Olmos; Mindy Levin; Robert Teasell; Ashley Cohen; Kevin Thorpe; Andreas Laupacis; Mark Bayley Journal: Lancet Neurol Date: 2016-06-27 Impact factor: 44.182
Authors: Stefanie Schnabel; Frederike van Wijck; Brenda Bain; Mark Barber; Philippa Dall; Alexander Fleming; Andrew Kerr; Peter Langhorne; Alex McConnachie; Kathleen Molloy; Bethany Stanley; Heather Jane Young; Lisa Kidd Journal: Clin Rehabil Date: 2020-09-09 Impact factor: 3.477