REHAB 2014

Research Article

Virtual reality to improve lower extremity function, kinematic parameters, and walking speed post-stroke: Preliminary results.

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  • @INPROCEEDINGS{10.4108/icst.pervasivehealth.2014.255336,
        author={Carlos Luque-Moreno and \^{A}ngel Oliva Pascual-Vaca and Pawel Kiper and Cleof\^{a}s Rodr\^{\i}guez-Blanco and Michela Agostini and Andrea Turolla},
        title={Virtual reality to improve lower extremity function, kinematic parameters, and walking speed post-stroke: Preliminary results.},
        proceedings={REHAB 2014},
        publisher={ICST},
        proceedings_a={REHAB},
        year={2014},
        month={7},
        keywords={virtual reality stroke gait speed feedback physiotherapy},
        doi={10.4108/icst.pervasivehealth.2014.255336}
    }
    
  • Carlos Luque-Moreno
    Ángel Oliva Pascual-Vaca
    Pawel Kiper
    Cleofás Rodríguez-Blanco
    Michela Agostini
    Andrea Turolla
    Year: 2014
    Virtual reality to improve lower extremity function, kinematic parameters, and walking speed post-stroke: Preliminary results.
    REHAB
    ICST
    DOI: 10.4108/icst.pervasivehealth.2014.255336
Carlos Luque-Moreno1,*, Ángel Oliva Pascual-Vaca2, Pawel Kiper1, Cleofás Rodríguez-Blanco2, Michela Agostini1, Andrea Turolla1
  • 1: I.R.C.C.S. Fondazione Ospedale S Camillo, Venezia, Italy
  • 2: Departamento de Fisioterapia, Universidad de Sevilla
*Contact email: carloslm@us.es

Abstract

Virtual reality (VR) is a tool that can enrich physiotherapy treatment in individuals with stroke. The increased use of feedback provides them with useful additional information to improve walking speed, kinematics, and functionality of the lower extremity (LE). Our aim is to evaluate these changes and describe the intervention in two individuals with stroke. A 58-year-old man (4.5 months post-stroke) and a 49-year-old man (3 months post-stroke) followed a VR training. Each participant underwent 15 sessions (VR treatment one hour daily in addition to the one-hour CP program). The LE Fugl-Meyer scale (FM) improved in both participants. Participant 1 was highly functional but had difficulty in the race at baseline, while participant 2 improved on the Ambulatory Functional Scale (FAC) from 3/5 to 4/5 and the Berg Balance Scale (BBS) from 50 to 53. Both participants improved the kinematic parameters in leg stance on plegic LE (showed a decrease in the spatial error and in submovements) and walking speed > Minimally Clinically Important Difference (MCID) (participant 1: improvement of 0.16m/s, participant 2: 0.34m/s). Results of the combined treatment of CP and VR treatment are positive in improving the performance of motor tasks and stability in leg stance on the plegic side, with improvement of functionality during walking. Controlled studies are needed to determine the role of VR in these improvements.