Virtuālās realitātes terapijas efektivitāte hronisko insulta pacientu augšējo ekstremitāšu rehabilitācijā: sistemātisks pārskats
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums: Virtuālās realitātes terapijas efektivitāte hronisko insulta pacientu augšējo ekstremitāšu rehabilitācijā:
sistemātiskais literatūras pārskats.
Aktualitāte: Insults ir galvenais invaliditātes cēlonis un trešā izplatītākā slimība pasaulē, kas var izraisīt dzīvībai bīstamu stāvokli un
paliekošās sekas, kuras var negatīvi ietekmēt slimnieka funkcionālo stāvokli visas dzīves garumā. Latvijā katru gadu tiek reģistrēti
vairāk par 7000 insulta saslimšanas gadījumu un vairāk par 17% no slimniekiem mirst, Latvijas mirstības rādītāji no kardiovaskulārām
slimībām ierindojās 3 vietā ES valstu vidū. (OECD, 2017). Virtuālā realitāte ir trīs dimensiju datorģenerēta vide, kuru lietotājs spēj
pētīt veikt aktivitātes mijiedarbojoties ar VR objektiem, tā nodrošina interaktīvu motvējošu atmosfēru un ļauj lietotājam piedzīvot
interaktīvo un atalgojošu pieredzi.
Darba mērķis:Apkopot un izanalizēt zinātniskos rakstus par virtuālās realitātes izmantošanas efektivitāti augsējo ekstremitāšu
funkciju uzlabošanai pacientiem ar hronisko insultu.
Pētījuma metodes: Pētījumā izmantoto datu meklēšana tika veikta Rīgas Stradiņa universitātes abonētajās datubāzēs PubMed un
EBSCO, pēc atslēgas vārdiem Stroke AND treatment, VR AND Upper extremity rehabilitation chronic stroke, Virtual reality AND
Upper limb chronic stroke rehabilitation. Pētījumā tika iekļauti raksti kuri tika publicēti iepriekšminētajās datubāzēs laika psomā no
2012.gada līdz 2022. gadam un bija atbilstoši izvirzītajiem iekļaušanas un izslēgšanas kritērijiem.
Pētījuma rezultāti: Sistemātiskajā literatūras pārskatā tika iekļauti un analizēti 18 pētījumi, kurus darba autors identificēja un atlasīja
izmantojot iekļaušanas un izslēgšanas kritērijus. Pētījumu kvalitāte tika noteikta pēc PEDro skalas 11 baļļu sistēmā. Kopumā
pētījumos piedalījās 533 pacienti (215 sievietes un 318 vīrieši) ar hronisko insultu, kuru vidējais vecums bija 56 gadi. Iekļautajos
pētījumos tika salīdzināta konvencionālās rehabilitācijas efektivitāte ar virtuālās realitātes terapijas efektivitāti augšējo ekstremitāšu
funkciju uzlabošanai pacientiem ar insultu hroniskajā fāzē. Augšējo ekstremitāšu aktivitātes, motorās funkcija un muskuļu spēka
noteikšanai izmantoja Fugl-Mayer motorās funkcijas novērtēšanas skalu, adaptētu augšējāi ekstremitātei (FMA-UE-Fugl-Mayer
Assesment-Upper Extremity)
Secinājumi: Virtuālās realitātes pielietošana hronisko insulta pacientu augšējo ekstremitāšu funkcijas rehabilitācijas nolūkos ir tikpat
efektīva cik konvencionālās rehabilitācijas metodes, turklāt kombinējot virtuālās realitātes terapiju ar konvencionālo rehabilitāciju ir
iespējams iegūt vēl augstākus rādītājus.
Title of the study: The efficiency of virtual reality therapy in the rehabilitation of the upper extremities of chronic stroke patients: a systematic review. Background: Stroke is the third most common disease in the world, which can lead to a a major disability, life-threatening condition and permanent consequences that can adversely affect a patient's functional condition throughout life. More than 7,000 insults are registered in Latvia every year and more than 17% of patients die during that. Latvia's mortality rate from cardiovascular diseases ranks 3rd among EU countries. (OECD, 2017). Virtual reality is a three-dimensional computer-generated environment The user of which is able to study the interaction of the activity with VR objects it provides an interactive, motivating atmosphere where intensity and positive feedback can be controlled while retraining the movement. Allows the patient to participate in experiences pleasing and rewarding Patient and therapist are able to interact with a multisensory in real time. Aims of the study: To compile and analyze a scientific articles on the effectiveness of the use of virtual reality in the rehabilitation of the upper limb function in patients with chronic stroke. Methods: The data used in the research were searched in the of Riga Stradins university subscripted databases PubMed and EBSCO, by keywords Stroke AND treatment, VR AND Upper extremity rehabilitation chronic stroke, Virtual reality AND Upper limb chronic stroke rehabilitation. The study included articles that were published in the mentioned databases in period from 2012 to 2022 and met the inclusion and exclusion criteria. Results: The systematic literature review included 18 studies that were identified and selected by using inclusion and exclusion criteria. The quality of the studies was determined according to the PEDro 11-point system scale. The studies involved 533 patients (215 women and 318 men) with chronic stroke, with a mean age of 56 years. The included studies compared the effectiveness of conventional rehabilitation with the effectiveness of virtual reality therapy to improve upper extremity function with chronic stroke. Upper limb activity, motor function, muscle strenght, were evaluated using Fugl-Mayer motor function assessment scale, adapted upper limb (FMA-UE-Fugl-Mayer Assessment-Upper Extremity). Conclusions: The efficiency of using virtual reality therapy for the rehabilitation of upper extremity function in patients with chronic stroke is as effective as well as conventional rehabilitation methods, and combined virtual reality therapy with conventional rehabilitation can achieve even results.
Title of the study: The efficiency of virtual reality therapy in the rehabilitation of the upper extremities of chronic stroke patients: a systematic review. Background: Stroke is the third most common disease in the world, which can lead to a a major disability, life-threatening condition and permanent consequences that can adversely affect a patient's functional condition throughout life. More than 7,000 insults are registered in Latvia every year and more than 17% of patients die during that. Latvia's mortality rate from cardiovascular diseases ranks 3rd among EU countries. (OECD, 2017). Virtual reality is a three-dimensional computer-generated environment The user of which is able to study the interaction of the activity with VR objects it provides an interactive, motivating atmosphere where intensity and positive feedback can be controlled while retraining the movement. Allows the patient to participate in experiences pleasing and rewarding Patient and therapist are able to interact with a multisensory in real time. Aims of the study: To compile and analyze a scientific articles on the effectiveness of the use of virtual reality in the rehabilitation of the upper limb function in patients with chronic stroke. Methods: The data used in the research were searched in the of Riga Stradins university subscripted databases PubMed and EBSCO, by keywords Stroke AND treatment, VR AND Upper extremity rehabilitation chronic stroke, Virtual reality AND Upper limb chronic stroke rehabilitation. The study included articles that were published in the mentioned databases in period from 2012 to 2022 and met the inclusion and exclusion criteria. Results: The systematic literature review included 18 studies that were identified and selected by using inclusion and exclusion criteria. The quality of the studies was determined according to the PEDro 11-point system scale. The studies involved 533 patients (215 women and 318 men) with chronic stroke, with a mean age of 56 years. The included studies compared the effectiveness of conventional rehabilitation with the effectiveness of virtual reality therapy to improve upper extremity function with chronic stroke. Upper limb activity, motor function, muscle strenght, were evaluated using Fugl-Mayer motor function assessment scale, adapted upper limb (FMA-UE-Fugl-Mayer Assessment-Upper Extremity). Conclusions: The efficiency of using virtual reality therapy for the rehabilitation of upper extremity function in patients with chronic stroke is as effective as well as conventional rehabilitation methods, and combined virtual reality therapy with conventional rehabilitation can achieve even results.
Description
Rehabilitācija
Rehabilitation
Veselības aprūpe
Health Care
Rehabilitation
Veselības aprūpe
Health Care
Keywords
insults, virtuālā realitāte, VR, augšējā ekstremitāte, rehabilitācija, cerebral stroke, virtual reality, VR, upper extremity, rehabilitation