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  4. Effectiveness of immersive virtual reality training to improve sitting balance control among individuals with acute and sub-acute paraplegia: A randomized clinical trial

Effectiveness of immersive virtual reality training to improve sitting balance control among individuals with acute and sub-acute paraplegia: A randomized clinical trial

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.2012053 · Published: January 1, 2023

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigated whether using virtual reality (VR) training could improve the ability to sit and maintain balance in people with incomplete paraplegia, a condition resulting from spinal cord injury. They compared VR training to functional electrical stimulation (FES), a technique that uses electrical pulses to stimulate muscles. The results showed that both VR training and FES improved sitting balance, but VR training led to more significant improvements. This suggests that VR can be a useful tool for helping individuals with paraplegia regain their balance and independence. The study highlights the potential of VR as a rehabilitation method, offering a stimulating and interactive way to improve balance control. This could lead to better outcomes and increased independence for individuals with spinal cord injuries.

Study Duration
4 Weeks
Participants
18 people aged 18–60 years with incomplete SCI
Evidence Level
Randomized clinical trial

Key Findings

  • 1
    Both VR training and FES improved sitting balance significantly in individuals with incomplete paraplegia.
  • 2
    VR training combined with conventional physical therapy (CPT) showed more significant improvements in sitting balance compared to FES combined with CPT.
  • 3
    VR training demonstrated clinically significant improvements in dynamic sitting balance, as measured by the Modified Functional Reach Test (mFRT) and Function in Sitting Test (FIST).

Research Summary

This randomized clinical trial compared the effectiveness of immersive virtual reality (VR) training to functional electrical stimulation (FES) in improving sitting balance among individuals with incomplete paraplegia. The study involved 18 participants who were randomly assigned to either a VR training group or an FES group, both receiving conventional physical therapy (CPT). The results indicated that both VR training and FES led to significant improvements in sitting balance. However, the VR + CPT group demonstrated more significant improvements in dynamic sitting balance compared to the FES + CPT group, as measured by the mFRT and FIST. The study concludes that VR training can be an effective intervention for improving sitting balance in individuals with incomplete SCI and may be more beneficial than FES. The study suggests the integration of VR rehabilitation program into a daily rehabilitation routine.

Practical Implications

Enhanced Rehabilitation Strategies

VR training can be integrated into rehabilitation programs for individuals with incomplete paraplegia to improve sitting balance and functional independence.

Improved Patient Outcomes

The use of VR can lead to clinically significant improvements in dynamic sitting balance, potentially enhancing patients' ability to perform daily activities.

Remote Rehabilitation Potential

The effectiveness of VR in improving sitting balance and the possibility of remote assessment increase the potential of establishing home-based VR treatment.

Study Limitations

  • 1
    Small sample size due to the COVID-19 pandemic.
  • 2
    The VR device used was not the most technically advanced, potentially limiting the positive effects.
  • 3
    Lack of specific rehabilitation measures for sphincter control.

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