The efficacy of virtual reality-based rehabilitation in improving motor function in patients with stroke: a systematic review and meta-analysis

Author:

Prajjwal Priyadarshi1,Chandrasekar Kiran Kishor2,Battula Pavani3,Gaviria Elizabeth4,Awe Mishael Oluwadamilola5,Inban Pugazhendi6,Almutairi Adel S.7,Das Arpan8,Tekuru Yogesh9,Marsool Mohammed Dheyaa Marsool10,Reddy Murali Mohan11,Mitra Spandana12,Bamba Hyma13,Singh Gurmehar13,Jain Hritvik14,Gadam Srikanth15,Hussin Omniat Amir16

Affiliation:

1. Department of Neurology, Bharati Vidyapeeth Medical College, Pune

2. Neurology, Clinical Development Fellow, University Hospital Ayr, Ayr, Scotland, UK

3. Department of Neurology, NTR University of Health Sciences, Hyderabad

4. CES University, Medellin, Colombia

5. Federal Teaching Hospital, Lokoja, Nigeria

6. St. Mary’s General Hospital and St. Clare’s Health

7. College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

8. Department of Neurology, RG Kar Medical College and Hospital, Kolkata

9. Department of Neurology, RVM Institute of Medical Sciences and Research Center, Laxmakkapally

10. University of Baghdad, Al-Kindy College of Medicine, Baghdad, Iraq

11. Department of Neurology, Kasturba Medical College, Mangalore

12. Tata Main Hospital, Jamshedpur

13. Internal Medicine, Government Medical College and Hospital, Chandigarh

14. Internal Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

15. NYC Health+ hospitals, New York, NY, USA

16. Department of Internal Medicine, Al-Manhal Academy, Khartoum, Sudan

Abstract

Background: Stroke is a major cause of adult disability, prompting the exploration of innovative rehabilitation methods. Virtual rehabilitation (VR), leveraging technological advances, has gained popularity as a treatment for stroke recovery. Methodology: The authors conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) published in English within the last decade, adhering to the PRISMA guidelines. The authors searched databases such as Medline/PubMed, and the Cochrane Library using specific search keywords and Medical Subject Headings (MeSH). The methodological quality was assessed using the PEDro scale, focusing on RCTs involving adult stroke patients undergoing VR rehabilitation, with outcomes related to motor function and quality of life. Results: The authors included 15 studies in our meta-analysis. VR rehabilitation offers several advantages over traditional therapy, such as enhanced feedback and increased patient motivation. Engaging VR environments helps improve focus during treatment, potentially boosting recovery from post-stroke impairments. VR therapies significantly benefit motor function, which can improve activities of daily living and overall quality of life. Conclusion: VR has demonstrated efficacy in improving motor function and quality of life for stroke survivors. Future research should explore patient variability and refine intervention methods. Incorporating VR into rehabilitation programs could optimize stroke recovery outcomes.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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