Home-Based Nonimmersive Virtual Reality Training After Discharge From Inpatient or Outpatient Stroke Rehabilitation: Parallel Feasibility Randomized Controlled Trial.

Q2 Medicine
Lisa Sheehy, Anne Taillon-Hobson, Heidi Sveistrup, Martin Bilodeau, Christine Yang, Vivian Welch, Hillel Finestone
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引用次数: 0

Abstract

Background: Nonimmersive virtual reality training (NIVRT) can be used to continue rehabilitative exercise for stroke recovery at home after discharge from inpatient or outpatient therapy.

Objective: The objectives of this randomized controlled feasibility trial were to assess home-based NIVRT as telerehabilitation with patients living with stroke, and its potential to improve standing function and gait.

Methods: Patients approaching discharge from inpatient or outpatient stroke rehabilitation were randomly allocated to NIVRT or iPad interventions. NIVRT provided interactive games and exercises designed to improve balance, stepping, and aerobic capacity. iPad apps addressed cognition and fine motor skills. Participants were visited in their homes by a physiotherapist, taught to use the program, and asked to do 30 minutes of exercise 5 days a week for 6 weeks, asynchronously. Feasibility was assessed by measuring recruitment, adherence, ability to set up and learn NIVRT, enjoyment, intent to continue, perception of impact, and safety. Participants completed assessments of standing balance, gait, and general function, before and after the intervention, by a blinded assessor.

Results: NIVRT participants (n=11; 10 male participants; mean age 64, SD 12 years) did an average of 26 sessions (total 700 minutes), while iPad participants (n=9; 6 male participants; mean age 61, SD 20 years) did an average of 33 sessions (total 1241 minutes). Space was tight in 5 homes. All but 1 participant learned NIVRT and progressed. Most enjoyed it and felt that it improved their recovery. There were no serious adverse events. Most assessments showed improvement over time for both groups.

Conclusions: Home-based NIVRT is safe and feasible to continue rehabilitative exercise after discharge. More research on efficacy and effectiveness in this population is required.

Trial registration: ClinicalTrials.gov NCT03261713; https://clinicaltrials.gov/study/NCT03261713.

International registered report identifier (irrid): RR2-10.1186/s13063-019-3438-9.

住院或门诊卒中康复出院后的家庭非沉浸式虚拟现实训练:平行可行性随机对照试验》。
背景:非沉浸式虚拟现实训练(NIVRT)可用于卒中住院或门诊治疗出院后在家中继续进行康复训练。目的:本随机对照可行性试验的目的是评估基于家庭的NIVRT作为脑卒中患者远程康复的效果,以及其改善站立功能和步态的潜力。方法:将即将出院的住院或门诊脑卒中康复患者随机分配至NIVRT或iPad干预组。NIVRT提供互动游戏和练习,旨在提高平衡,步伐和有氧能力。iPad应用程序解决了认知和精细运动技能。一名物理治疗师到参与者家中拜访,教他们如何使用该程序,并要求他们每周5天进行30分钟的非同步运动,持续6周。通过测量招募、依从性、建立和学习NIVRT的能力、享受、继续的意图、影响的感知和安全性来评估可行性。参与者在干预前后由盲法评估员完成站立平衡、步态和一般功能的评估。结果:NIVRT参与者(n=11;10名男性受试者;平均年龄64岁,SD 12岁)平均进行了26次会话(总计700分钟),而iPad参与者(n=9;6名男性受试者;平均年龄61岁,标准差20岁),平均进行33次疗程(总计1241分钟)。5个家庭的空间很紧。除1名参与者外,所有参与者都学习了NIVRT并取得了进步。大多数人都很喜欢,并认为这有助于他们的康复。无严重不良事件发生。大多数评估显示,随着时间的推移,两组人的情况都有所改善。结论:居家NIVRT治疗出院后继续进行康复运动安全可行。需要对这一人群的疗效和效果进行更多的研究。试验注册:ClinicalTrials.gov NCT03261713;https://clinicaltrials.gov/study/NCT03261713.International注册报告标识符(irrid): RR2-10.1186/s13063-019-3438-9。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
31
审稿时长
12 weeks
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