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Virtual reality therapy for upper limb rehabilitation in patients with stroke: a meta-analysis of randomized clinical trials

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posted on 2020-02-17, 10:35 authored by Destaw B. Mekbib, Jiawei Han, Li Zhang, Shan Fang, Hongjie Jiang, Junming Zhu, Anna W. Roe, Dongrong Xu

Background: Stroke is a major cause of life-long disability in adults, associated with poor quality of life. Virtual reality (VR)-based therapy systems are known to be helpful in improving motor functions following stroke, but recent clinical findings have not been included in the previous publications of meta-analysis studies.

Aims: This meta-analysis was based on the available literature to evaluate the therapeutic potential of VR as compared to dose-matched conventional therapies (CT) in patients with stroke.

Methods: We retrieved relevant articles in EMBASE, MEDLINE, PubMed, and Web of Science published between 2010 and February 2019. Peer-reviewed randomized controlled trials that compared VR with CT were included.

Results: A total of 27 studies met the inclusion criteria. The analysis indicated that the VR group showed statistically significant improvement in the recovery of UL function (Fugl-Meyer Upper Extremity [FM-UE]: n = 20 studies, Mean Difference [MD] = 3.84, P = .01), activity (Box and Block Test [BBT]: n = 13, MD = 3.82, P = .04), and participation (Motor Activity Log [MAL]: n = 6, MD = 0.8, P = .0001) versus the control group.

Conclusion: VR appears to be a promising therapeutic technology for UL motor rehabilitation in patients with stroke.

Funding

This work was supported in part by a grant sponsored by the China National Key R&D Program (No. 2017YFC1308500/2017YFC1308502) and in part by the China National Natural Science Foundation (Grants: 71971066, 81471734, 81430010, and 31627802). This work was also supported partly by an international collaboration grant sponsored by the China National Ministry of Science and Technology (No. 4-9/2018), and a grant sponsored by the China National Ministry of Education (No. 18YJA630019)

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