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Suitability, usability and safety of fully immersive Virtual Reality applications for motor and cognitive rehabilitation in stroke patients preliminary data.

Vol. 10 No. 3 (2024)
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Published: Jul 4, 2024
DOI: https://doi.org/10.12681/healthresj.34734
Keywords:
Immersive virtual reality Stroke neurorehabilitation cognitive rehabilitation motor rehabilitation
Georgia Roussou
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece
Akylina Despoti
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece
Irini Patsaki
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece/ Department of Physiotherapy, University of West Attica, Athens
Dimitra Tzoumi
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece
Nikolaos Leventakis
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece
Nefeli Dimitriadi
School of Film, Faculty of Fine Arts, Aristotle University of Thessaloniki, Greece
Argyro Papathanasiou
School of Film, Faculty of Fine Arts, Aristotle University of Thessaloniki, Greece
Anna Alexandropoulou
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece
Serafeim Nanas
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece
Eleftherios Karatzanos
Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Intensive Care Department, School of Medicine, NKUA
https://orcid.org/0000-0002-6735-4183
Abstract

Background: The use of immersive Virtual Reality (VR) in stroke rehabilitation appears to be promising for the improvement of motor and cognitive functions.


Methods: The purpose of this pilot study was to investigate the suitability, usability and safety of VR applications that combine motor and cognitive training. Patients suffering from stroke in a subacute phase, and with Mini Mental State Examination (MMSE) ≥18/30, participated in the study. In the context of the REACT project, two IVR applications were designed and created, combining the use of motor and cognitive skills. Full immersion was achieved using the Head Mounted Display (HMD) Oculus Rift S. The intervention lasted for 4 weeks. The Suitability Evaluation Questionnaire (SEQ) was used for measurements. Values are expressed in the median      (25th-75th percentile).


Results: Four patients [age: 64.5(61.0-69.5) years, gender:1 female / 3 male] in the 3rd-14th week of rehabilitation were finally included. Overall, the patient's      SEQ score was 61(55-63). No adverse effects were reported, only one patient reported mild      confusion 5.0(4.8-5.0) in one assessment. No differences were found in the comparison between first and second evaluation [61(58-62) vs 61(48-64), p>0.05].


Conclusions: The primary results of this study show that the equipment is usable, safe, and suitable for use in the rehabilitation of patients with stroke in the early stages of rehabilitation. However, more large-scale studies are needed to investigate the validity and effects of VR applications in the neurorehabilitation of various disorders.

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