Impact of Virtual Reality-Based Serious Games on Cognitive-Motor Rehabilitation for Stroke Patients in Daily Activities: Protocol for a Randomized Trial.

IF 1.8 Q3 REHABILITATION
Vahid Fatehi, Zahra Salahzadeh, Mehdi Farhoudi, Ahmad Mohammadi, Zeinab Mohammadzadeh
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Abstract

Background and purpose: Stroke is among the most prevalent medical conditions and often leads to persistent complications within the central nervous system. It results in both physical and cognitive impairments that can substantially affect individuals' ability to perform activities of daily living (ADL). Conventional rehabilitation exercises are frequently lengthy, repetitive, and unengaging, which may reduce adherence and limit therapeutic outcomes. Therefore, there is a pressing need to explore innovative approaches that enhance motivation, increase the frequency and duration of exercises, and improve patient satisfaction.

Methods: This protocol describes a randomized, two-blind controlled trial with blinded outcome assessment. The study will be conducted at a physiotherapy clinic in Tabriz and will compare standard rehabilitation with an intervention combining standard rehabilitation and a virtual reality (VR)-based serious game.

Results: A VR-based serious game is an innovative technology incorporating advanced user-computer interaction to deliver simulation and engagement through visual and auditory feedback. Due to the ongoing debate about the effectiveness of VR-based serious gaming interventions and the limited availability of high-quality clinical trials, further research is warranted. To date, no studies have examined the integration of VR with conventional treatments or compared it with standard physiotherapy practices.

Discussion: The aim of this study is to investigate the effect of a VR-based serious game on promoting cognitive-motor rehabilitation in stroke patients, with a focus on improving performance in daily life activities. This protocol outlines the methodology for a prospective randomized controlled trial designed to generate evidence supporting the use of VR technologies in stroke rehabilitation.

基于虚拟现实的严肃游戏对中风患者日常活动认知运动康复的影响:随机试验方案
背景和目的:中风是最常见的疾病之一,经常导致中枢神经系统的持续并发症。它会导致身体和认知障碍,从而严重影响个人进行日常生活活动的能力。传统的康复训练通常是冗长的、重复的和无吸引力的,这可能会降低依从性并限制治疗效果。因此,迫切需要探索创新的方法来增强动机,增加锻炼的频率和持续时间,并提高患者满意度。方法:本方案描述了一项随机、双盲对照试验,采用盲法结果评估。这项研究将在大不里士的一家理疗诊所进行,并将标准康复与标准康复和基于虚拟现实(VR)的严肃游戏相结合的干预进行比较。结果:基于vr的严肃游戏是一项创新技术,结合了先进的用户-计算机交互,通过视觉和听觉反馈来提供模拟和参与。由于关于基于vr的严肃游戏干预的有效性的持续争论和高质量临床试验的有限可用性,进一步的研究是有必要的。迄今为止,还没有研究将VR与常规治疗相结合,或将其与标准物理治疗进行比较。讨论:本研究的目的是探讨基于vr的严肃游戏对脑卒中患者认知运动康复的影响,重点是提高日常生活活动的表现。本方案概述了一项前瞻性随机对照试验的方法,该试验旨在生成支持VR技术在卒中康复中的应用的证据。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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