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Neurological Sciences

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01-12-2021 | Stroke | Original Article

Effects of virtual reality in post-stroke aphasia: a systematic review and meta-analysis

Authors: Yun Cao, Xing Huang, Binlong Zhang, Georg S. Kranz, Danli Zhang, Xiaolin Li, Jingling Chang

Published in: Neurological Sciences | Issue 12/2021

Abstract

Objective

To investigate whether virtual reality (VR) interventions have beneficial effects on the functional communication and language function of patients with post-stroke aphasia (PSA).

Methods

We searched nine electronic literature databases and two clinical registry platforms to identify randomized controlled trials (RCTs) and quasi-RCTs performed up to September 2020. Screening, quality assessment, and data collection were performed by two authors independently, using standard protocols. Data aggregation and risk of bias evaluation were conducted using Review Manager Version 5.4. The quality of evidence was evaluated with GRADEpro.

Results

A total of five studies involving 121 participants met the inclusion criteria and were appraised. Four studies were included in the quantitative synthesis. VR reduced the severity of language impairment with borderline significance [SMD (95%CI) = 0.70[0.01, 1.39], P=0.05]. The meta-analysis showed no statistical difference in functional communication [SMD (95%CI) =0.41[−0.29, 1.12], P=0.25], word finding [SMD (95%CI) =0.42[−0.24, 1.08], P=0.21], and repetition [SMD (95%CI) =0.16[−0.62, 0.94], P=0.68] between VR group and the control group.

Conclusion

This review demonstrated a borderline positive clinical effect of VR for the severity of language impairment when compared with conventional rehabilitation therapy. Conversely, VR had no effect on functional communication, word finding, and repetition. Further research is warranted to reach more definite conclusions.

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Title: Effects of virtual reality in post-stroke aphasia: a systematic review and meta-analysis
Authors: Yun Cao
Xing Huang
Binlong Zhang
Georg S. Kranz
Danli Zhang
Xiaolin Li
Jingling Chang
Publication date: 01-12-2021
Publisher: Springer International Publishing
Keywords: Stroke
Aphasia
Published in: Neurological Sciences / Issue 12/2021
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-021-05202-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effects of virtual reality in post-stroke aphasia: a systematic review and meta-analysis

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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