Comparison of individualized virtual reality- and group-based rehabilitation in older adults with chronic stroke in community settings: a pilot randomized controlled trial

Minyoung Lee, Jaebum Son, Jungjin Kim, Sung Bom Pyun, Seon Deok Eun, Bum-Chul Yoon

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction This study aimed to compare the effects of individualized virtual reality (VR)- and group-based rehabilitation on upper extremity function, activities of daily living (ADL), and health-related quality of life (HRQoL) in older adults with chronic stroke in community settings. Methods Twenty-six older adults with chronic stroke were randomly assigned to the VR-based rehabilitation group (VRG) or the group-based rehabilitation group (GG). In both groups, a single 30-min session was conducted 3 days per week for 8 weeks. The Fugl-Meyer Assessment (FMA), Manual Function Test (MFT), Box and Block Test (BBT), Modified Barthel Index (MBI), and 12-item Short Form Health Survey (SF-12) were administered. Results Between-group analysis revealed a greater improvement in the FMA (P = 0.004) and MFT (P = 0.008) in the VRG than in the GG. Within-group analysis confirmed an increase in the objectively measured upper extremity function, as assessed using the FMA (P < 0.001) and MFT (P < 0.001), in the VRG, whereas improvements in patient-reported measures, such as the MBI (P = 0.020) and the physical component of the SF-12 (P = 0.012), were observed in the GG. Conclusions Health professionals might need to consider the different effects of VR- and group-based rehabilitation programs in community settings when selecting treatment depending on the specific objective of rehabilitation.

Original languageEnglish
Pages (from-to)738-746
Number of pages9
JournalEuropean Journal of Integrative Medicine
Volume8
Issue number5
DOIs
Publication statusPublished - 2016 Oct 1

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Rehabilitation
Randomized Controlled Trials
Stroke
Upper Extremity
Activities of Daily Living
Health Surveys
Quality of Life
Health

Keywords

  • Community
  • Group-based rehabilitation
  • Pilot study
  • Randomized controlled trial
  • Stroke
  • Virtual reality

ASJC Scopus subject areas

  • Complementary and alternative medicine

Cite this

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title = "Comparison of individualized virtual reality- and group-based rehabilitation in older adults with chronic stroke in community settings: a pilot randomized controlled trial",
abstract = "Introduction This study aimed to compare the effects of individualized virtual reality (VR)- and group-based rehabilitation on upper extremity function, activities of daily living (ADL), and health-related quality of life (HRQoL) in older adults with chronic stroke in community settings. Methods Twenty-six older adults with chronic stroke were randomly assigned to the VR-based rehabilitation group (VRG) or the group-based rehabilitation group (GG). In both groups, a single 30-min session was conducted 3 days per week for 8 weeks. The Fugl-Meyer Assessment (FMA), Manual Function Test (MFT), Box and Block Test (BBT), Modified Barthel Index (MBI), and 12-item Short Form Health Survey (SF-12) were administered. Results Between-group analysis revealed a greater improvement in the FMA (P = 0.004) and MFT (P = 0.008) in the VRG than in the GG. Within-group analysis confirmed an increase in the objectively measured upper extremity function, as assessed using the FMA (P < 0.001) and MFT (P < 0.001), in the VRG, whereas improvements in patient-reported measures, such as the MBI (P = 0.020) and the physical component of the SF-12 (P = 0.012), were observed in the GG. Conclusions Health professionals might need to consider the different effects of VR- and group-based rehabilitation programs in community settings when selecting treatment depending on the specific objective of rehabilitation.",
keywords = "Community, Group-based rehabilitation, Pilot study, Randomized controlled trial, Stroke, Virtual reality",
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AU - Kim, Jungjin

AU - Pyun, Sung Bom

AU - Eun, Seon Deok

AU - Yoon, Bum-Chul

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N2 - Introduction This study aimed to compare the effects of individualized virtual reality (VR)- and group-based rehabilitation on upper extremity function, activities of daily living (ADL), and health-related quality of life (HRQoL) in older adults with chronic stroke in community settings. Methods Twenty-six older adults with chronic stroke were randomly assigned to the VR-based rehabilitation group (VRG) or the group-based rehabilitation group (GG). In both groups, a single 30-min session was conducted 3 days per week for 8 weeks. The Fugl-Meyer Assessment (FMA), Manual Function Test (MFT), Box and Block Test (BBT), Modified Barthel Index (MBI), and 12-item Short Form Health Survey (SF-12) were administered. Results Between-group analysis revealed a greater improvement in the FMA (P = 0.004) and MFT (P = 0.008) in the VRG than in the GG. Within-group analysis confirmed an increase in the objectively measured upper extremity function, as assessed using the FMA (P < 0.001) and MFT (P < 0.001), in the VRG, whereas improvements in patient-reported measures, such as the MBI (P = 0.020) and the physical component of the SF-12 (P = 0.012), were observed in the GG. Conclusions Health professionals might need to consider the different effects of VR- and group-based rehabilitation programs in community settings when selecting treatment depending on the specific objective of rehabilitation.

AB - Introduction This study aimed to compare the effects of individualized virtual reality (VR)- and group-based rehabilitation on upper extremity function, activities of daily living (ADL), and health-related quality of life (HRQoL) in older adults with chronic stroke in community settings. Methods Twenty-six older adults with chronic stroke were randomly assigned to the VR-based rehabilitation group (VRG) or the group-based rehabilitation group (GG). In both groups, a single 30-min session was conducted 3 days per week for 8 weeks. The Fugl-Meyer Assessment (FMA), Manual Function Test (MFT), Box and Block Test (BBT), Modified Barthel Index (MBI), and 12-item Short Form Health Survey (SF-12) were administered. Results Between-group analysis revealed a greater improvement in the FMA (P = 0.004) and MFT (P = 0.008) in the VRG than in the GG. Within-group analysis confirmed an increase in the objectively measured upper extremity function, as assessed using the FMA (P < 0.001) and MFT (P < 0.001), in the VRG, whereas improvements in patient-reported measures, such as the MBI (P = 0.020) and the physical component of the SF-12 (P = 0.012), were observed in the GG. Conclusions Health professionals might need to consider the different effects of VR- and group-based rehabilitation programs in community settings when selecting treatment depending on the specific objective of rehabilitation.

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