Therapeutic Effect of Virtual Reality on Post-Stroke Patients: Randomized Clinical Trial
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- 作者：Erika Pedreira da Fonseca ; PT ; MSc* ; &dagger ; ; erikapedreira@gmail.com ; Nildo Manoel Ribeiro da Silva ; PT ; PhD&Dagger ; ; Elen Beatriz Pinto ; PT ; PhD&dagger ;
- 关键词：Stroke ; balance ; virtual reality ; rehabilitation
- 刊名：Journal of Stroke and Cerebrovascular Diseases
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：26
- 期：1
- 页码：94-100
- 全文大小：263 K
- 卷排序：26
文摘
The study aimed to check the therapeutic effect of virtual reality associated with conventional physiotherapy on gait balance and the occurrence of falls after a stroke.MethodsThis was a randomized, blinded clinical trial conducted with post-stroke patients, randomized into two groups—treatment group and control group—and subjected to balance assessments by the Dynamic Gait Index and investigation of falls before and after 20 intervention sessions. Statistically significant difference was considered at P < .05.ResultsWe selected 30 patients, but there were three segment losses, resulting in a total of 13 patients in the control group and 14 in the treatment group. There was an improvement in gait balance and reduced occurrence of falls in both groups. After intervention, the differences in gait balance in the control group (P = .047) and the reduction in the occurrence of falls in the treatment group (P = .049) were significant. However, in intergroup analysis, there was no difference in the two outcomes.ConclusionsTherapy with games was a useful tool for gait balance rehabilitation in post-stroke patients, with repercussions on the reduction of falls.