Functional outcomes and the influence of clinical factors on them in stroke patients who completed the training in immersive virtual realityстатьяТезисы
Статья опубликована в высокорейтинговом журнале
Статья опубликована в журнале из списка Web of Science и/или Scopus
Дата последнего поиска статьи во внешних источниках: 8 декабря 2021 г.
Аннотация:Background and Aims: Methods of rehabilitation based on virtual reality (VR) seem to be prominentin complex recovery of stroke patients. Current study aimed to investigate the dynamic of patientsfunctional outcomes and to determine the impact of clinical data on it after training in immersive VR.Methods: Thirty-four stroke patients (age 51.912.5; 17 females; 80% with ischemic type, 20% - hemorrhage;68% in subacute phase, 32% in chronic phase; 3 for Modified Rankin Scale, >25 scores on MoCA)were examined. They received ten sessions of VR training using the GRAIL system (Motekforce,Netherlands). Motor and daily activity functions (Berg scale, 6MWT, FIM, RMI), mental health (STAI, BDI),stabilometry were assessed before and after training. Multiple linear regression analysis (MLR) was used.Results: After undergoing rehabilitation in VR, up to 62% of patients showed improvements in motoractivity (according to Berg scale and 6MWT), up to 41% - in daily activity (FIM an RMI), and up to 73% -in the affective sphere (BDI). The results of MLR showed that the female gender (p¼0.03) lead tobetter balance recovery by Berg scale (R2¼0.11, p¼0.03). Assessment of the emotional sphererevealed that patients in subacute phase (p<0.01) experienced less depression symptoms (BDI,R2¼0.33, p<0.01). Also patients with the hemorrhagic type of stroke (p¼0.02) had decrease ofstate anxiety on the STAI (R2¼0.13, p¼0.05).Conclusions: Our results demonstrate the positive dynamic of functional outcomes after training inimmersive VR. Gender, subacute phase and type of stroke are significant for recovery of investigatedoutcomes.