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European Review of Aging and Physical Activity

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01-12-2022 | Stroke | Review article

The effects of virtual reality training in stroke and Parkinson’s disease rehabilitation: a systematic review and a perspective on usability

Authors: Ksenija Sevcenko, Ingrid Lindgren

Published in: European Review of Aging and Physical Activity | Issue 1/2022

Abstract

Background

Virtual Reality (VR) training is emerging in the neurorehabilitation field. Technological advancement is often faster than clinical implementation. Previous reviews stressed the study design and methodological weaknesses of research in the field of VR for neurorehabilitation. Clinically relevant conclusions on implementation in particular patient groups are needed.

The aim was to update the existing knowledge with the recent evidence on the effects of VR training on functional ability of patients with stroke and Parkinson’s Disease (PD). Secondary objective was to analyze the aspects of usability of VR intervention in these populations.

Methods

Systematic literature search (via PubMed, CENTRAL) was conducted from inception to February 29, 2020 to identify suitable articles for two population subcategories. Randomized controlled trials published from 2016 to 2020, investigating the effectiveness of VR on a variety of outcomes contributing to the functional independence were included. Critical Appraisal Skills Programme (CASP) checklist was used for a methodological quality assessment of the primary studies. Given the heterogeneity in types of VR intervention and outcomes, a descriptive synthesis was conducted.

Results

A total of 18 randomized controlled trials were included (10 in stroke subcategory, 8 in PD). CASP grading ranged 9–11, suggesting high methodological quality. All studies concluded that overall VR might be as effective as the conventional training, but more motivating. In some studies, VR was found to have a greater effect, taking the high response to treatment and satisfaction into account.

Conclusions

VR training is suggested as an effective intervention to improve the functional ability in stroke and PD patients. Addition of VR into a rehabilitation program might facilitate patient’s motivation, participation and improvement, as this method was generally well accepted, and the results of trials were promising. The consideration of disorder-specific aspects should take place during the decision-making of VR implementation.

Organization WH. Neurological disorders: public health challenges: World Health Organization; 2006.

United Nations. Department of Economic and Social Affairs, Population Division. World Population Ageing 2017 - Highlights (ST/ESA/SER.A/397); 2017.

De Keersmaecker E, Lefeber N, Geys M, Jespers E, Kerckhofs E, Swinnen E. Virtual reality during gait training: does it improve gait function in persons with central nervous system movement disorders? A systematic review and meta-analysis. NeuroRehabilitation. 2019;44(1):43–66. https://doi.org/10.3233/NRE-182551.CrossRefPubMed

Dockx K, Bekkers EM, Van den Bergh V, Ginis P, Rochester L, Hausdorff JM, et al. Virtual reality for rehabilitation in Parkinson’s disease. Cochrane Database Syst Rev. 2016;12(12):CD010760–CD.PubMed

Lohse KR, Hilderman CGE, Cheung KL, Tatla S, Van der Loos HFM. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014;9(3):e93318–e.CrossRef

Schröder J, van Criekinge T, Embrechts E, Celis X, Van Schuppen J, Truijen S, et al. Combining the benefits of tele-rehabilitation and virtual reality-based balance training: a systematic review on feasibility and effectiveness. Disabil Rehabil Assist Technol. 2019;14(1):2–11. https://doi.org/10.1080/17483107.2018.1503738.CrossRefPubMed

Lang CE, Macdonald JR, Reisman DS, Boyd L, Jacobson Kimberley T, Schindler-Ivens SM, et al. Observation of amounts of movement practice provided during stroke rehabilitation. Arch Phys Med Rehabil. 2009;90(10):1692–8. https://doi.org/10.1016/j.apmr.2009.04.005.CrossRefPubMedPubMedCentral

Cardinale AM. The opportunity for telehealth to support neurological healthcare. Telemed J E Health. 2018;24(12):969–78. https://doi.org/10.1089/tmj.2017.0290.CrossRef

Rogers JM, Duckworth J, Middleton S, Steenbergen B, Wilson PH. Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: evidence from a randomized controlled pilot study. J Neuroeng Rehabil. 2019;16(1):56. https://doi.org/10.1186/s12984-019-0531-y.CrossRefPubMedPubMedCentral

10.

Torsney K. Advantages and disadvantages of telerehabilitation for persons with neurological disabilities. NeuroRehabilitation. 2003;18(2):183–5. https://doi.org/10.3233/NRE-2003-18211.CrossRefPubMed

11.

Perez-Marcos D. Virtual reality experiences, embodiment, videogames and their dimensions in neurorehabilitation. J Neuroeng Rehabil. 2018;15(1):113–21. https://doi.org/10.1186/s12984-018-0461-0.CrossRefPubMedPubMedCentral

12.

Keshner EA, Weiss PT, Geifman D, Raban D. Tracking the evolution of virtual reality applications to rehabilitation as a field of study. J Neuroeng Rehabil. 2019;16(1):76. https://doi.org/10.1186/s12984-019-0552-6.CrossRefPubMedPubMedCentral

13.

Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017;11(11):CD008349–CD.PubMed

14.

Weiss P, Kizony R, Feintuch U, Katz N. Virtual reality in neurorehabilitation. Textbook Neural Repair Rehabil. 2006:182–97. https://doi.org/10.1017/CBO9780511545078.015.

15.

Narasimha S, Madathil KC, Agnisarman S, Rogers H, Welch B, Ashok A, et al. Designing telemedicine Systems for Geriatric Patients: a review of the usability studies. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2017;23(6):459–72. https://doi.org/10.1089/tmj.2016.0178.CrossRef

16.

Bevan N, Carter J, Harker S. ISO 9241-11 revised: what have we learnt about usability since 1998? HCI. 2015:143-51. Original ISO document. available at: https://www.iso.org/obp/ui/#iso:std:iso:9241:-11:ed-2:v1:en [Accessed 10.06.2021.

17.

Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement Int J Surg. 2010. https://doi.org/10.1016/j.ijsu.2010.02.007.

18.

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al., editors. Cochrane handbook for systematic reviews of interventions. 2nd ed. Chichester (UK): John Wiley & Sons; 2019. https://doi.org/10.1002/9781119536604.CrossRef

19.

CASP Checklist for randomized controlled trials. Critical Appraisal Skills Programme UK. Available at: https://casp-uk.net/wp-content/uploads/2018/03/CASP-Randomised-Controlled-Trial-Checklist-2018_fillable_form.pdf. Accessed 10 Feb 2020.

20.

Fishbein P, Hutzler Y, Ratmansky M, Treger I, Dunsky A. A preliminary study of dual-task training using virtual reality: influence on walking and balance in chronic Poststroke survivors. J Stroke Cerebrovasc Dis. 2019;28(11):104343. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104343.CrossRefPubMed

21.

Ayça Utkan K, Elif Balevi B, Gülçin KK. Effectiveness of Wii-based rehabilitation in stroke: a randomized controlled study. J Rehabil Med. 2018;5(5):406–12. https://doi.org/10.2340/16501977-2331.CrossRef

22.

Lee H-C, Huang C-L, Ho S-H, Sung W-H. The effect of a virtual reality game intervention on balance for patients with stroke: a randomized controlled trial. Games for health journal. 2017;6(5):303–11. https://doi.org/10.1089/g4h.2016.0109.CrossRefPubMed

23.

Feng H, Li C, Liu J, Wang L, Ma J, Li G, et al. Virtual reality rehabilitation versus conventional physical therapy for improving balance and gait in Parkinson’s disease patients: a randomized controlled trial. Medical science monitor : international medical journal of experimental and clinical research. 2019;25:4186–92. https://doi.org/10.12659/MSM.916455.CrossRef

24.

de Melo GEL, Kleiner AFR, Lopes JBP, Dumont AJL, Lazzari RD, Galli M, et al. Effect of virtual reality training on walking distance and physical fitness in individuals with Parkinson’s disease. NeuroRehabilitation. 2018;42(4):473–80. https://doi.org/10.3233/NRE-172355.CrossRefPubMed

25.

Adie K, Schofield C, Berrow M, Wingham J, Humfryes J, Pritchard C, et al. Does the use of Nintendo Wii sports (TM) improve arm function? Trial of Wii (TM) in stroke: a randomized controlled trial and economics analysis. Clin Rehabil. 2017;31(2):173–85. https://doi.org/10.1177/0269215516637893.CrossRefPubMed

26.

Santos P, Machado T, Santos L, Ribeiro N, Melo A. Efficacy of the Nintendo Wii combination with conventional exercises in the rehabilitation of individuals with Parkinson’s disease: a randomized clinical trial. NeuroRehabilitation. 2019;45(2):255–63. https://doi.org/10.3233/NRE-192771.CrossRefPubMed

27.

Ribas CG, Alves da Silva L, Correa MR, Teive HG, Valderramas S. Effectiveness of exergaming in improving functional balance, fatigue and quality of life in Parkinson’s disease: A pilot randomized controlled trial. Parkinsonism Relat Disord. 2017;38:13–8.CrossRef

28.

Gandolfi M, Geroin C, Dimitrova E, Boldrini P, Waldner A, Bonadiman S, et al. Virtual reality Telerehabilitation for postural instability in Parkinson’s disease: a multicenter, single-blind, randomized. Controlled Trial Biomed Res Int. 2017;2017:7962826–11. https://doi.org/10.1155/2017/7962826.CrossRefPubMed

29.

Adomaviciene A, Daunoraviciene K, Kubilius R, Varzaityte L, Raistenskis J. Influence of New Technologies on Post-Stroke Rehabilitation: A Comparison of Armeo Spring to the Kinect System. Medicina (Kaunas). 2019;55(4).

30.

Ferraz DD, Trippo KV, Duarte GP, Neto MG, Bernardes Santos KO, Filho JO. The effects of functional training, bicycle exercise, and exergaming on walking capacity of elderly patients with Parkinson disease: a pilot randomized controlled single-blinded trial. Arch Phys Med Rehabil. 2018;99(5):826–33. https://doi.org/10.1016/j.apmr.2017.12.014.CrossRefPubMed

31.

Lee MM, Lee KJ, Song CH. Game-based virtual reality canoe paddling training to improve postural balance and upper extremity function: a preliminary randomized controlled study of 30 patients with subacute stroke. Medical science monitor : international medical journal of experimental and clinical research. 2018;24:2590–8. https://doi.org/10.12659/MSM.906451.CrossRef

32.

Kiper P, Szczudlik A, Agostini M, Opara J, Nowobilski R, Ventura L, et al. Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2018;99(5):834–42.e4.CrossRef

33.

Aşkın A, Tosun A, Atar E, Koçyiğit H. Effects of Kinect-based virtual reality game training on upper extremity motor recovery in chronic stroke. Somatosens Mot Res. 2018;35(1):25–32. https://doi.org/10.1080/08990220.2018.1444599.CrossRefPubMed

34.

Schuster-Amft C, Eng K, Suica Z, Thaler I, Signer S, Lehmann I, et al. Effect of a four-week virtual reality-based training versus conventional therapy on upper limb motor function after stroke: A multicenter parallel group randomized trial. PLoS One. 2018;13(10):e0204455–e.CrossRef

35.

Brunner I, Skouen JS, Hofstad H, Aßmus J, Becker F, Sanders A-M, et al. Virtual reality training for upper extremity in subacute stroke (VIRTUES). Neurology. 2017;89(24):2413–21. https://doi.org/10.1212/WNL.0000000000004744.CrossRefPubMed

36.

Pazzaglia C, Imbimbo I, Tranchita E, Minganti C, Ricciardi D, Lo Monaco R, et al. Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson’s disease: a randomised controlled trial. Physiotherapy. 2020;106:36–42. https://doi.org/10.1016/j.physio.2019.12.007.CrossRefPubMed

37.

Yang W-C, Wang H-K, Wu R-M, Lo C-S, Lin K-H. Home-based virtual reality balance training and conventional balance training in Parkinson’s disease: a randomized controlled trial. J Formos Med Assoc. 2016;115(9):734–43. https://doi.org/10.1016/j.jfma.2015.07.012.CrossRefPubMed

38.

Palma GC, Freitas TB, Bonuzzi GM, Soares MA, Leite PH, Mazzini NA, et al. Effects of virtual reality for stroke individuals based on the international classification of functioning and health: a systematic review. Top Stroke Rehabil. 2017;24(4):269–78. https://doi.org/10.1080/10749357.2016.1250373.CrossRefPubMed

39.

Triegaardt J, Han TS, Sada C, Sharma S, Sharma P. The role of virtual reality on outcomes in rehabilitation of Parkinson’s disease: meta-analysis and systematic review in 1031 participants. Neurol Sci. 2020;41(3):529–36. https://doi.org/10.1007/s10072-019-04144-3.CrossRefPubMed

40.

Costa MTS, Vieira LP. Barbosa EdO, Mendes Oliveira L, Maillot P, Ottero Vaghetti CA, et al. Virtual Reality-Based Exercise with Exergames as Medicine in Different Contexts: A Short Review Clinical practice and epidemiology in mental health : CP & EMH. 2019;15(1):15–20. https://doi.org/10.2174/1745017901915010015.CrossRef

41.

Moran AL, Ramirez-Fernandez C, Meza-Kubo V, Orihuela-Espina F, Garcia-Canseco E, Grimaldo AI, et al. On the effect of previous technological experience on the usability of a virtual rehabilitation tool for the physical activation and cognitive stimulation of elders. J Med Syst. 2015;39(9):104. https://doi.org/10.1007/s10916-015-0297-0.CrossRefPubMed

42.

Lewis GN, Rosie JA. Virtual reality games for movement rehabilitation in neurological conditions: how do we meet the needs and expectations of the users? Disabil Rehabil. 2012;34(22):1880–6. https://doi.org/10.3109/09638288.2012.670036.CrossRefPubMed

43.

King M, Hale L, Pekkari A, Persson M, Gregorsson M, Nilsson M. An affordable, computerised, table-based exercise system for stroke survivors. Disabil Rehabil Assist Technol. 2010;5(4):288–93. https://doi.org/10.3109/17483101003718161.CrossRefPubMed

44.

Lewis GN, Woods C, Rosie JA, McPherson KM. Virtual reality games for rehabilitation of people with stroke: perspectives from the users. Disabil Rehabil Assist Technol. 2011;6(5):453–63. https://doi.org/10.3109/17483107.2011.574310.CrossRefPubMed

45.

Perez-Marcos D, Bieler-Aeschlimann M, Serino A. Virtual reality as a vehicle to empower motor-cognitive neurorehabilitation. Front Psychol. 2018;9:2120. https://doi.org/10.3389/fpsyg.2018.02120.CrossRefPubMedPubMedCentral

46.

Seligman MEP. Flourish: a visionary new a understanding of happiness and well-being. Policy. 2011;27(3):60–1.

47.

Joshua EA, Naveen e, IL eY, Juergen e. The effectiveness of proprioceptive training for improving motor function: a systematic review. Front Hum Neurosci. 2015;8:1075. https://doi.org/10.3389/fnhum.2014.01075.CrossRef

48.

Zhao Y, Bennett CL, Benko H, Cutrell E, Holz C, Morris MR, et al. CHI conference on human factors in computing systems. Montreal QC, Canada: Association for Computing Machinery. 2018:116.

49.

Larson EB, Feigon M, Gagliardo P, Dvorkin AY. Virtual reality and cognitive rehabilitation: a review of current outcome research. NeuroRehabilitation. 2014;34(4):759–72. https://doi.org/10.3233/NRE-141078.CrossRefPubMed

50.

Gamito P, Oliveira J, Coelho C, Morais D, Lopes P, Pacheco J, et al. Cognitive training on stroke patients via virtual reality-based serious games. Disabil Rehabil. 2017;39(4):385–8. https://doi.org/10.3109/09638288.2014.934925.CrossRefPubMed

51.

Killane I, Fearon C, Newman L, McDonnell C, Waechter SM, Sons K, et al. Dual motor-cognitive virtual reality training impacts dual-task performance in freezing of gait. IEEE J Biomed Health Inform. 2015;19(6):1855–61. https://doi.org/10.1109/JBHI.2015.2479625.CrossRefPubMed

52.

Lepkowsky C, Arndt S. The internet: barrier to health Care for Older Adults? Pract Innov. 2018;4(2):124–32. https://doi.org/10.1037/pri0000089.CrossRef

53.

Shulver W, Killington M, Morris C, Crotty M. ‘Well, if the kids can do it, I can do it’: older rehabilitation patients’ experiences of telerehabilitation. In: ‘Well, if the kids can do it, I can do it’: older rehabilitation patients’ experiences of telerehabilitation: John Wiley and Sons Inc.; 2016.

54.

Galloway M, Marsden DL, Callister R, Nilsson M, Erickson KI, English C. The Feasibility of a Telehealth Exercise Program Aimed at Increasing Cardiorespiratory Fitness for People After Stroke. 2019;11(2):20.

55.

Castilla D, Garcia-Palacios A, Bretón-López J, Miralles I, Baños RM, Etchemendy E, et al. Process of design and usability evaluation of a telepsychology web and virtual reality system for the elderly: Butler. Int J Hum Comput Stud. 2013;71(3):350–62. https://doi.org/10.1016/j.ijhcs.2012.10.017.CrossRef

56.

Vichitvanichphong S, Talaei-Khoei A, Kerr D, Ghapanchi AH. Adoption of Assistive Technologies for Aged Care: A Realist Review of Recent Studies. In: 2014 47th Hawaii International Conference on System Sciences; 2014.

57.

Caughlin S, Mehta S, Corriveau H, Eng JJ, Eskes G, Kairy D, et al. Implementing Telerehabilitation after stroke: lessons learned from Canadian trials. Telemed J E Health. 2019;9(6):710–9. https://doi.org/10.1089/tmj.2019.0097.CrossRef

58.

Laver K, Ratcliffe J, George S, Burgess L, Crotty M. Is the Nintendo Wii fit really acceptable to older people? A discrete choice experiment BMC Geriatr. 2011;11(1):64. https://doi.org/10.1186/1471-2318-11-64.CrossRefPubMed

59.

van Houwelingen CT, Ettema RG, Antonietti MG, Kort HS. Understanding Older People’s Readiness for Receiving Telehealth: Mixed-Method Study. J Med Internet Res. 2018;20(4):e123–e.CrossRef

60.

Salovaara A, Lehmuskallio A, Hedman L, Valkonen P, Näsänen J. Information technologies and transitions in the lives of 55–65-year-olds: the case of colliding life interests. Int J Hum Comput Stud. 2010;68(11):803–21. https://doi.org/10.1016/j.ijhcs.2010.06.007.CrossRef

61.

Kiryu T, So RHY. Sensation of presence and cybersickness in applications of virtual reality for advanced rehabilitation. J Neuroeng Rehabil. 2007;4(1):34. https://doi.org/10.1186/1743-0003-4-34.CrossRefPubMedPubMedCentral

62.

Albani G, Pedroli E, Cipresso P, Bulla D, Cimolin V, Thomas A, et al. Visual hallucinations as incidental negative effects of virtual reality on Parkinson’s disease patients: a link with neurodegeneration? Parkinsons Dis. 2015;2015:194629–6. https://doi.org/10.1155/2015/194629.CrossRefPubMedPubMedCentral

63.

Fénelon G. Hallucinations associated with neurological disorders and sensory loss. In: Jardri R, Cachia A, Thomas P, Pins D, editors. The neuroscience of hallucinations. New York, NY: Springer New York; 2013. p. 59–83. https://doi.org/10.1007/978-1-4614-4121-2_4.CrossRef

64.

Weech S, Kenny S, Barnett-Cowan M. Presence and Cybersickness in virtual reality are negatively related: a review. Front Psychol. 2019;10:158. https://doi.org/10.3389/fpsyg.2019.00158.CrossRefPubMedPubMedCentral

65.

Proffitt R, Warren J, Lange B, Chang CY. Safety and feasibility of a first-person view, full-body interaction game for Telerehabilitation post-stroke. Int J Telerehabil. 2018;10(1):29–36. https://doi.org/10.5195/ijt.2018.6250.CrossRefPubMedPubMedCentral

Title: The effects of virtual reality training in stroke and Parkinson’s disease rehabilitation: a systematic review and a perspective on usability
Authors: Ksenija Sevcenko
Ingrid Lindgren
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Stroke
Parkinson's Disease
Published in: European Review of Aging and Physical Activity / Issue 1/2022
Print ISSN: 1813-7253
Electronic ISSN: 1861-6909
DOI: https://doi.org/10.1186/s11556-022-00283-3

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