Crosbie, Jacqueline, Lennon, Sheila, McGoldrick, M C, McNeill, M Dj and McDonough, Suzanne (2012) Virtual reality in the rehabilitation of the arm after hemiplegic stroke: A randomized controlled pilot study. Clinical Rehabilitation, 26 (9). pp. 798-806. [Journal article]
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Objective: To assess the feasibility of a trial to investigate the effectiveness of virtual reality-mediated therapy compared to conventional physiotherapy in the motor rehabilitation of the arm following stroke, and to provide data for a power analysis to determine numbers for a future main trial.Design: Pilot randomized controlled trial.Setting: Clinical research facility.Participants: Eighteen people with a first stroke, 10 males and 8 females, 7 right and 2 left side most affected. Mean time since stroke 10.8 months.Interventions: Participants were randomized to a virtual reality group or a conventional arm therapy group for nine sessions over three weeks.Main measures: The upper limb Motricity Index and the Action Research Arm Test were completed at baseline, post intervention and six weeks follow-up.Results: Outcome data were obtained from 95% of participants at the end of treatment and at follow-up: one participant withdrew. Compliance was high; only two people reported side-effects from virtual reality exposure. Both groups demonstrated small (7-8 points on upper limb Motricity Index and 4 points on the Action Research Arm Test), but non-significant, changes to their arm impairment and activity levels.Conclusion: A randomized controlled trial of virtual reality-mediated therapy comparable to conventional therapy would be feasible, with some suggested improvements in recruitment and outcome measures. Seventy-eight participants (39 per group) would be required for a main trial.
|Item Type:||Journal article|
|Faculties and Schools:||Faculty of Life and Health Sciences|
Faculty of Life and Health Sciences > School of Health Sciences
|Research Institutes and Groups:||Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies|
Institute of Nursing and Health Research
|Deposited By:||Professor Suzanne McDonough|
|Deposited On:||14 Jun 2012 08:55|
|Last Modified:||07 Sep 2012 09:59|
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