Clinical Application of Virtual Reality for Upper Limb Motor Rehabilitation in Stroke: Review of Technologies and Clinical Evidence.

Clinical Application of Virtual Reality for Upper Limb Motor Rehabilitation in Stroke: Review of Technologies and Clinical Evidence.
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虚拟现实在上肢运动康复中的临床应用在中风中:综述技术和临床证据。

DOI:
10.3390/jcm9103369
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发表时间:
2020-10-21
影响因子:
3.9
通讯作者:
Paik NJ
Paik NJ
中科院分区:
医学2区
文献类型:
--
作者:
Kim WS;Cho S;Ku J;Kim Y;Lee K;Hwang HJ;Paik NJ

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中风患者的神经康复对上肢运动功能的恢复具有重要意义。已经使用了职业治疗等传统康复,但新技术有望为更好的康复开辟新的机会。虚拟现实(VR)是一种具有一套信息学的技术,为患者提供交互环境。VR可以通过提供更密集、更重复和更投入的训练来增强中风后的神经可塑性和恢复,因为它具有几个优势,包括:(1)不同难度水平的康复任务,(2)增强的实时反馈,(3)更沉浸式和更吸引人的体验,(4)更标准化的康复,以及(5)安全地模拟真实世界的日常生活活动。本文综述了VR在卒中后运动康复中的应用,主要包括:(1)VR康复中使用的技术,包括传感器;(2)VR在卒中康复中的临床应用和证据;(3)VR在卒中康复中应用的考虑。通过Ovid-MEDLINE、Ovid-EMBASE、Cochrane图书馆和Korea Med的在线搜索,确定了中风后上肢VR康复的Meta分析。我们期望这篇综述将为VR在中风后运动康复中的成功临床应用或试验提供启示。
Neurorehabilitation for stroke is important for upper limb motor recovery. Conventional rehabilitation such as occupational therapy has been used, but novel technologies are expected to open new opportunities for better recovery. Virtual reality (VR) is a technology with a set of informatics that provides interactive environments to patients. VR can enhance neuroplasticity and recovery after a stroke by providing more intensive, repetitive, and engaging training due to several advantages, including: (1) tasks with various difficulty levels for rehabilitation, (2) augmented real-time feedback, (3) more immersive and engaging experiences, (4) more standardized rehabilitation, and (5) safe simulation of real-world activities of daily living. In this comprehensive narrative review of the application of VR in motor rehabilitation after stroke, mainly for the upper limbs, we cover: (1) the technologies used in VR rehabilitation, including sensors; (2) the clinical application of and evidence for VR in stroke rehabilitation; and (3) considerations for VR application in stroke rehabilitation. Meta-analyses for upper limb VR rehabilitation after stroke were identified by an online search of Ovid-MEDLINE, Ovid-EMBASE, the Cochrane Library, and KoreaMed. We expect that this review will provide insights into successful clinical applications or trials of VR for motor rehabilitation after stroke.
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