5. Effect of virtual reality therapy on quality of life and self-sufficiency in stroke patients
Mgr. Marcela Dabrowská
The consequences of a stroke (stroke) have a significant impact on self-sufficiency and quality of life. Virtual reality (VR)-based rehabilitation has the potential to impact these modalities, but information on timing, volume and intensity is not yet available. The aim of this study was to evaluate the impact of conventional rehabilitation combined with VR on the domains of self-sufficiency and quality of life in patients after CMP.
The randomized controlled trial included patients admitted for rehabilitation at a rehabilitation sanatorium ≤6 months after CMP in the a. cerebri media basin, between November 2022 and March 2023. A total of 75 patients were enrolled in the study, and 50 patients (mean age 61.2 ± 9.0 years, time since CMP 114.3 ± 39.4) completed the study and were divided into two groups. The experimental group included 25 patients (mean age 59.4 ± 8.9 years, time since CMP 111.2 ± 44.6) undergoing conventional RHB+VR. The control group included 25 patients (mean age 63.0 ± 8.8 years, time since CMP 117.4 ± 31.1) undergoing conventional rehabilitation. The intervention consisted of volume VR (20 minutes per day, 60 minutes per week, for a total of 270 minutes of therapy).
The primary outcome of interest was WHODAS 2 at 4 weeks, and secondary outcomes included BI and ZBI, BBS assessed at pre-RHB (T0), post-intervention (T1), and 4-week rehabilitation follow-up (T2). When comparing between groups, there was no statistically significant difference in WHODAS 2, BI, EBI and BBS test scores (p ˃0.05). Within the experimental group, there was a statistically significant difference in WHODAS 2, BI, EBI and BBS test scores (p < 0.05).
Conventional therapy combined with VR has a positive effect on quality of life and self-sufficiency in the experimental group. VR appears to be a suitable tool to complement and modify rehabilitation in patients after stroke.
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