Effects of home-based virtual reality upper extremity rehabilitation in persons with chronic stroke: a randomized controlled trial.

IF 5.2 2区医学 Q1 ENGINEERING, BIOMEDICAL Journal of NeuroEngineering and Rehabilitation Pub Date : 2025-02-03 DOI:10.1186/s12984-025-01564-5

Hiroyuki Ase, Kaoru Honaga, Mami Tani, Tomokazu Takakura, Futoshi Wada, Yuhei Murakami, Reina Isayama, Akira Tanuma, Toshiyuki Fujiwara

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Abstract

Background: Upper extremity rehabilitation in persons with stroke should be dose-dependent and task-oriented. Virtual reality (VR) has the potential to be used safely and effectively in home-based rehabilitation. This study aimed to investigate the effects of home-based virtual reality upper extremity rehabilitation in persons with chronic stroke.

Methods: This was a single-blind, randomized, controlled trial conducted at two centers. The subjects were 14 outpatients with chronic stroke more than 6 months after the onset of the stroke. The participants were randomly divided into two groups. The intervention group (n = 7) performed a home rehabilitation program for the paretic hand (30 min/day, five days/week) using a VR device (RAPAEL Smart Glove™; NEOFECT Co., Yung-in, Korea) for four weeks. The control group (n = 7) participated in a conventional home rehabilitation program at the same frequency. All participants received outpatient occupational therapy once a week during the study period. The outcome measures included the Fugl-Meyer Assessment of upper extremity motor function (FMA-UE), Motor Activity Log-14 (MAL), Jebsen-Taylor Hand Function Test (JTT), and Box and Block Test (BBT) scores.

Results: All 14 participants completed the study. Compared to the control group, the intervention group showed more significant improvements in FMA-UE (p = 0.027), MAL (p = 0.014), JTT (p = 0.002), and BBT (p = 0.014). No adverse events were observed during or after the intervention.

Conclusion: Compared to a conventional home program, combining a task-oriented virtual reality home program and outpatient occupational therapy might lead to greater improvements in upper extremity function and the frequency of use of the paretic hand.

Trial registration: This study was registered in the University Hospital Medical Information Network (UMIN) Clinical Trial Registry in Japan (Unique Identifier: UMIN000038469) on November 1, 2019; https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000043836 .

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基于家庭的虚拟现实上肢康复对慢性中风患者的影响：一项随机对照试验。

背景：中风患者的上肢康复应该是剂量依赖和任务导向的。虚拟现实（VR）具有安全有效地应用于家庭康复的潜力。本研究旨在探讨基于家庭的虚拟现实上肢康复对慢性脑卒中患者的影响。方法：这是一项在两个中心进行的单盲、随机、对照试验。研究对象为14例发病6个月以上的慢性脑卒中门诊患者。参与者被随机分为两组。干预组（n = 7）使用VR设备（RAPAEL Smart Glove™）对双亲手进行家庭康复计划（30分钟/天，5天/周）；NEOFECT公司（韩国永仁），为期四周。对照组（n = 7）以相同的频率参加传统的家庭康复计划。在研究期间，所有参与者每周接受一次门诊职业治疗。结果测量包括Fugl-Meyer上肢运动功能评估（FMA-UE）、运动活动日志-14 （MAL）、捷成-泰勒手功能测试（JTT）和框块测试（BBT）得分。结果：所有14名参与者完成了研究。与对照组相比，干预组在FMA-UE （p = 0.027）、MAL （p = 0.014）、JTT （p = 0.002）、BBT （p = 0.014）方面的改善更为显著。在干预期间或之后没有观察到不良事件。结论：与传统的家庭项目相比，将任务导向的虚拟现实家庭项目与门诊职业治疗相结合，可能会使上肢功能和家长手的使用频率得到更大的改善。试验注册：本研究于2019年11月1日在日本大学医院医疗信息网络（UMIN）临床试验注册中心注册（唯一标识符：UMIN000038469）；https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000043836。

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来源期刊

Journal of NeuroEngineering and Rehabilitation 工程技术-工程：生物医学

CiteScore

9.60

自引率

3.90%

发文量

122

审稿时长

24 months

期刊介绍： Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.