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Titre : | Virtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study (2018) |
Auteurs : | Stephanie Hyeyoung Lee ; Ji-Yeong Lee ; Mi-Young Kim |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
Article en page(s) : | p. 1447-1453 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Rééducation et réadaptation |
Mots-clés: | Electric stimulation ; Stimulation électrique ; Stroke ; Upper extremity ; Virtual Reality Exposure Therapy ; Thérapie par réalité virtuelle |
Résumé : |
Objective To compare virtual reality (VR) combined with functional electrical stimulation (FES) with cyclic FES for improving upper extremity function and health-related quality of life in patients with chronic stroke. Design A pilot, randomized, single-blind, controlled trial. Setting Stroke rehabilitation inpatient unit. Participants Participants (N=48) with hemiplegia secondary to a unilateral stroke for >3 months and with a hemiplegic wrist extensor Medical Research Council scale score ranging from 1 to 3. Interventions FES was applied to the wrist extensors and finger extensors. A VR-based wearable rehabilitation device was used combined with FES and virtual activitybased training for the intervention group. The control group received cyclic FES only. Both groups completed 20 sessions over a 4-week period. Main Outcome Measures Primary outcome measures were changes in Fugl-Meyer AssessmentUpper Extremity and Wolf Motor Function Test scores. Secondary outcome measures were changes in Box and Block Test, Jebsen-Taylor Hand Function Test, and Stroke Impact Scale scores. Assessments were performed at baseline (t0) and at 2 weeks (t1), 4 weeks (t4), and 8 weeks (t8). Between-group comparisons were evaluated using a repeated-measures analysis of variance. Results Forty-one participants were included in the analysis. Compared with FES alone, VR-FES produced a substantial increase in Fugl-Meyer Assessmentdistal score (P=.011) and marginal improvement in Jebsen-Taylor Hand Function Testgross score (P=.057). VR-FES produced greater, although nonsignificant, improvements in all other outcome measures, except in the Stroke Impact Scaleactivities of daily living/instrumental activities of daily living score. Conclusions FES with VR-based rehabilitation may be more effective than cyclic FES in improving distal upper extremity gross motor performance poststroke. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318301400 |