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Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Author

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  • Roxana Steliana Miclaus

    (Faculty of Medicine, Transilvania University of Brașov, 500036 Brașov, Romania)

  • Nadinne Roman

    (Faculty of Medicine, Transilvania University of Brașov, 500036 Brașov, Romania)

  • Ramona Henter

    (Faculty of Psychology and Education Sciences, Transilvania University of Brașov, Str. N. Bălcescu 56, 500368 Brașov, Romania)

  • Silviu Caloian

    (Faculty of Medicine, Transilvania University of Brașov, 500036 Brașov, Romania)

Abstract

More innovative technologies are used worldwide in patient’s rehabilitation after stroke, as it represents a significant cause of disability. The majority of the studies use a single type of therapy in therapeutic protocols. We aimed to identify if the association of virtual reality (VR) therapy and mirror therapy (MT) exercises have better outcomes in lower extremity rehabilitation in post-stroke patients compared to standard physiotherapy. Fifty-nine inpatients from 76 initially identified were included in the research. One experimental group ( n = 31) received VR therapy and MT, while the control group ( n = 28) received standard physiotherapy. Each group performed seventy minutes of therapy per day for ten days. Statistical analysis was performed with nonparametric tests. Wilcoxon Signed-Rank test showed that both groups registered significant differences between pre-and post-therapy clinical status for the range of motion and muscle strength ( p < 0.001 and Cohen’s d between 0.324 and 0.645). Motor Fugl Meyer Lower Extremity Assessment also suggested significant differences pre-and post-therapy for both groups ( p < 0.05 and Cohen’s d 0.254 for the control group and 0.685 for the experimental group). Mann-Whitney results suggested that VR and MT as a therapeutic intervention have better outcomes than standard physiotherapy in range of motion ( p < 0.05, Cohen’s d 0.693), muscle strength ( p < 0.05, Cohen’s d 0.924), lower extremity functionality ( p < 0.05, Cohen’s d 0.984) and postural balance ( p < 0.05, Cohen’s d 0.936). Our research suggests that VR therapy associated with MT may successfully substitute classic physiotherapy in lower extremity rehabilitation after stroke.

Suggested Citation

  • Roxana Steliana Miclaus & Nadinne Roman & Ramona Henter & Silviu Caloian, 2021. "Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2654-:d:511772
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    References listed on IDEAS

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    1. Grzegorz Przysada & Ewelina Czenczek-Lewandowska & Justyna Wyszyńska & Aneta Weres & Joanna Baran & Andrzej Kwolek & Justyna Leszczak, 2020. "Effect of Post-Stroke Rehabilitation on Body Mass Composition in Relation to Socio-Demographic and Clinical Factors," IJERPH, MDPI, vol. 17(14), pages 1-16, July.
    2. Jiali Qian & Daniel J. McDonough & Zan Gao, 2020. "The Effectiveness of Virtual Reality Exercise on Individual’s Physiological, Psychological and Rehabilitative Outcomes: A Systematic Review," IJERPH, MDPI, vol. 17(11), pages 1-17, June.
    3. Sheyda Ghanbari Ghoshchi & Sara De Angelis & Giovanni Morone & Monica Panigazzi & Benedetta Persechino & Marco Tramontano & Edda Capodaglio & Pierluigi Zoccolotti & Stefano Paolucci & Marco Iosa, 2020. "Return to Work and Quality of Life after Stroke in Italy: A Study on the Efficacy of Technologically Assisted Neurorehabilitation," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
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    1. Beatriz Rey & Alejandro Oliver & Jose M. Monzo & Inmaculada Riquelme, 2022. "Development and Testing of a Portable Virtual Reality-Based Mirror Visual Feedback System with Behavioral Measures Monitoring," IJERPH, MDPI, vol. 19(4), pages 1-20, February.

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