Abstract
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.
Original language | English |
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Pages (from-to) | 738-746 |
Number of pages | 9 |
Journal | European Journal of Integrative Medicine |
Volume | 8 |
Issue number | 5 |
DOIs | |
Publication status | Published - 2016 Oct 1 |
Bibliographical note
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
Keywords
- Community
- Group-based rehabilitation
- Pilot study
- Randomized controlled trial
- Stroke
- Virtual reality
ASJC Scopus subject areas
- Complementary and alternative medicine