RT journal article
T1 Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke
A1 Kiper, Pawel
A1 Luque-Moreno, Carlos
A1 Pernice, Salvatore
A1 Maistrello, Lorenza
A1 Agostini, Michela
A1 Turolla, Andrea
A2 Enfermería y Fisioterapia
K1 virtual reality therapy
K1 stroke rehabilitation
K1 physical therapy modality
K1 lower extremity
K1 gait disorder
K1 neurological
AB Objective: To analyse the effect of virtual reality (VR) ther-apy combined with conventional physiotherapy on balance, gait and motor functional disturbances, and to determine whether there is an influence on motor recovery in the subacute (< 6 months) or chronic (> 6 months) phases after stroke.Methods: A total of 59 stroke inpatients (mean age 60.3 years (standard deviation (SD) 14.8); 14.0 months (SD 25.7) post-stroke) were stratified into 2 groups: subacute (n = 31) and chronic (n = 28). Clin-ical scales (Fugl-Meyer lower extremity (FM LE); Func-tional Independence Measure (FIM); Berg Balance Scale (BBS); Functional Ambulation Category (FAC); modified Ashworth scale (MAS); 10-metre walk test (10MWT); and kinematic parameters during specific motor tasks in sitting and standing position (speed; time; jerk; spatial error; length) were applied before and after treatment. The VR treatment lasted for 15 sessions, 5 days/week, 1 h/day.Results: The subacute group underwent significant change in all variables, except MAS and length. The chronic group underwent significant improvement in clinical scales, except MAS and kinematics. Motor impairment improved in the severe = 19 FM LE points, moderate 20-28 FM LE points, mild =29 FM LE points. Neither time since stroke onset nor affected hemisphere differed significantly between groups. The correlations were investigated between the clinical scales and the kinematic parameters of the whole sample. Moreover, FM LE, BBS, MAS, and speed showed high correlations (R2>0.70) with independent variables.Conclusion: VR therapy combined with conventional physiotherapy can contribute to func-tional improvement in the subacute and chronic phases after stroke.
PB FOUNDATION REHABILITATION INFORMATION
SN 1650-1977
YR 2020
FD 2020-11
LK http://hdl.handle.net/10498/24320
UL http://hdl.handle.net/10498/24320
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 11-nov-2026