TY - JOUR
T1 - Comparison of individualized virtual reality- and group-based rehabilitation in older adults with chronic stroke in community settings
T2 - a pilot randomized controlled trial
AU - Lee, Minyoung
AU - Son, Jaebum
AU - Kim, Jungjin
AU - Pyun, Sung Bom
AU - Eun, Seon Deok
AU - Yoon, Bum Chul
N1 - Funding Information:
This research was supported by Korea National Rehabilitation Research Institute [No. 2013004 , 2013006 ]. This funding source had no role in study design; collection, analysis, and interpretation of data; writing of the report; and decision to submit the article for publication.
Publisher Copyright:
© 2016 Elsevier GmbH
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Introduction This study aimed to compare the effects of individualized virtual reality (VR)- and group-based rehabilitation on upper extremity function, activities of daily living (ADL), and health-related quality of life (HRQoL) in older adults with chronic stroke in community settings. Methods Twenty-six older adults with chronic stroke were randomly assigned to the VR-based rehabilitation group (VRG) or the group-based rehabilitation group (GG). In both groups, a single 30-min session was conducted 3 days per week for 8 weeks. The Fugl-Meyer Assessment (FMA), Manual Function Test (MFT), Box and Block Test (BBT), Modified Barthel Index (MBI), and 12-item Short Form Health Survey (SF-12) were administered. Results Between-group analysis revealed a greater improvement in the FMA (P = 0.004) and MFT (P = 0.008) in the VRG than in the GG. Within-group analysis confirmed an increase in the objectively measured upper extremity function, as assessed using the FMA (P < 0.001) and MFT (P < 0.001), in the VRG, whereas improvements in patient-reported measures, such as the MBI (P = 0.020) and the physical component of the SF-12 (P = 0.012), were observed in the GG. Conclusions Health professionals might need to consider the different effects of VR- and group-based rehabilitation programs in community settings when selecting treatment depending on the specific objective of rehabilitation.
AB - Introduction This study aimed to compare the effects of individualized virtual reality (VR)- and group-based rehabilitation on upper extremity function, activities of daily living (ADL), and health-related quality of life (HRQoL) in older adults with chronic stroke in community settings. Methods Twenty-six older adults with chronic stroke were randomly assigned to the VR-based rehabilitation group (VRG) or the group-based rehabilitation group (GG). In both groups, a single 30-min session was conducted 3 days per week for 8 weeks. The Fugl-Meyer Assessment (FMA), Manual Function Test (MFT), Box and Block Test (BBT), Modified Barthel Index (MBI), and 12-item Short Form Health Survey (SF-12) were administered. Results Between-group analysis revealed a greater improvement in the FMA (P = 0.004) and MFT (P = 0.008) in the VRG than in the GG. Within-group analysis confirmed an increase in the objectively measured upper extremity function, as assessed using the FMA (P < 0.001) and MFT (P < 0.001), in the VRG, whereas improvements in patient-reported measures, such as the MBI (P = 0.020) and the physical component of the SF-12 (P = 0.012), were observed in the GG. Conclusions Health professionals might need to consider the different effects of VR- and group-based rehabilitation programs in community settings when selecting treatment depending on the specific objective of rehabilitation.
KW - Community
KW - Group-based rehabilitation
KW - Pilot study
KW - Randomized controlled trial
KW - Stroke
KW - Virtual reality
UR - http://www.scopus.com/inward/record.url?scp=84992597282&partnerID=8YFLogxK
U2 - 10.1016/j.eujim.2016.08.166
DO - 10.1016/j.eujim.2016.08.166
M3 - Article
AN - SCOPUS:84992597282
SN - 1876-3820
VL - 8
SP - 738
EP - 746
JO - European Journal of Integrative Medicine
JF - European Journal of Integrative Medicine
IS - 5
ER -