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Virtual reality in the rehabilitation of the arm after hemiplegic stroke: A randomized controlled pilot study

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Crosbie, Jacqueline, Lennon, Sheila, McGoldrick, M C, McNeill, M Dj and McDonough, Suzanne (2012) Virtual reality in the rehabilitation of the arm after hemiplegic stroke: A randomized controlled pilot study. Clinical Rehabilitation, 26 (9). pp. 798-806. [Journal article]

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URL: http://www.ncbi.nlm.nih.gov/pubmed/22275463

DOI: 10.1177/0269215511434575


Objective: To assess the feasibility of a trial to investigate the effectiveness of virtual reality-mediated therapy compared to conventional physiotherapy in the motor rehabilitation of the arm following stroke, and to provide data for a power analysis to determine numbers for a future main trial.Design: Pilot randomized controlled trial.Setting: Clinical research facility.Participants: Eighteen people with a first stroke, 10 males and 8 females, 7 right and 2 left side most affected. Mean time since stroke 10.8 months.Interventions: Participants were randomized to a virtual reality group or a conventional arm therapy group for nine sessions over three weeks.Main measures: The upper limb Motricity Index and the Action Research Arm Test were completed at baseline, post intervention and six weeks follow-up.Results: Outcome data were obtained from 95% of participants at the end of treatment and at follow-up: one participant withdrew. Compliance was high; only two people reported side-effects from virtual reality exposure. Both groups demonstrated small (7-8 points on upper limb Motricity Index and 4 points on the Action Research Arm Test), but non-significant, changes to their arm impairment and activity levels.Conclusion: A randomized controlled trial of virtual reality-mediated therapy comparable to conventional therapy would be feasible, with some suggested improvements in recruitment and outcome measures. Seventy-eight participants (39 per group) would be required for a main trial.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
ID Code:22491
Deposited By:Professor Suzanne McDonough
Deposited On:14 Jun 2012 09:55
Last Modified:07 Sep 2012 10:59

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