Skuteczność terapii w oerodowisku wirtualnym w pierwszych 12 miesia{ogonek}cach po udarze mózgu

Translated title of the contribution: The effectiveness of reinforced feedback in virtual environment in the first 12 months after stroke

Paweł Kiper, Lamberto Piron, Andrea Turolla, Joanna Stozek, Paolo Tonin

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background and purpose: Reinforced feedback in virtual environment (RFVE) therapy is emerging as an innovative method in rehabilitation, which may be advantageous in the treatment of the affected arm after stroke. The purpose of this study was to investigate the impact of assisted motor training in a virtual environment for the treatment of the upper extremity (UE) after stroke compared to traditional neuromotor rehabilitation (TNR), studying also if differences exist related to the type of stroke (haemorrhagic or ischaemic). Material and methods: Eighty patients affected by a stroke (48 ischaemic and 32 haemorrhagic) that occurred at least 1 year before were enrolled. The clinical assessment comprising the Fugl-Meyer UE (F-M UE), modified Ashworth (Bohannon & Smith) and Functional Independence Measure scale (FIM) was administered before and after the treatment. Results: A statistically significant difference between RFVE and TNR groups (Mann-Whitney U-test) was observed in the clinical outcomes of F-M UE and FIM (both p <0.001), but not Ashworth (p = 0.053). The outcomes of F-M UE and FIM improved in the RFVE haemorrhagic group and in the TNR haemorrhagic group with a significant difference between groups (both p <0.001), but not for Ashworth (p = 0.651). Comparing the RFVE ischaemic group to the TNR ischaemic group, statistically significant differences emerged in F-M UE (p <0.001), FIM (p <0.001), and Ashworth (p = 0.036). Conclusions: The RFVE therapy in combination with TNR showed better improvements compared to the TNR treatment only. The RFVE therapy combined with the TNR treatment was more effective than the TNR double training, in both postischaemic and post-haemorrhagic groups. We observed improvements in both groups of patients: post-haemorrhagic and post-ischaemic stroke after RFVE training.

Original languagePolish
Pages (from-to)436-444
Number of pages9
JournalNeurologia i Neurochirurgia Polska
Volume45
Issue number5
Publication statusPublished - 2011

Fingerprint

Rehabilitation
Stroke
Therapeutics
Upper Extremity
Nonparametric Statistics
Arm

Keywords

  • Motor learning
  • Rehabilitation
  • Stroke
  • Virtual reality

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Skuteczność terapii w oerodowisku wirtualnym w pierwszych 12 miesia{ogonek}cach po udarze mózgu. / Kiper, Paweł; Piron, Lamberto; Turolla, Andrea; Stozek, Joanna; Tonin, Paolo.

In: Neurologia i Neurochirurgia Polska, Vol. 45, No. 5, 2011, p. 436-444.

Research output: Contribution to journalArticle

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abstract = "Background and purpose: Reinforced feedback in virtual environment (RFVE) therapy is emerging as an innovative method in rehabilitation, which may be advantageous in the treatment of the affected arm after stroke. The purpose of this study was to investigate the impact of assisted motor training in a virtual environment for the treatment of the upper extremity (UE) after stroke compared to traditional neuromotor rehabilitation (TNR), studying also if differences exist related to the type of stroke (haemorrhagic or ischaemic). Material and methods: Eighty patients affected by a stroke (48 ischaemic and 32 haemorrhagic) that occurred at least 1 year before were enrolled. The clinical assessment comprising the Fugl-Meyer UE (F-M UE), modified Ashworth (Bohannon & Smith) and Functional Independence Measure scale (FIM) was administered before and after the treatment. Results: A statistically significant difference between RFVE and TNR groups (Mann-Whitney U-test) was observed in the clinical outcomes of F-M UE and FIM (both p <0.001), but not Ashworth (p = 0.053). The outcomes of F-M UE and FIM improved in the RFVE haemorrhagic group and in the TNR haemorrhagic group with a significant difference between groups (both p <0.001), but not for Ashworth (p = 0.651). Comparing the RFVE ischaemic group to the TNR ischaemic group, statistically significant differences emerged in F-M UE (p <0.001), FIM (p <0.001), and Ashworth (p = 0.036). Conclusions: The RFVE therapy in combination with TNR showed better improvements compared to the TNR treatment only. The RFVE therapy combined with the TNR treatment was more effective than the TNR double training, in both postischaemic and post-haemorrhagic groups. We observed improvements in both groups of patients: post-haemorrhagic and post-ischaemic stroke after RFVE training.",
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