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  4. Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial

Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial

Asian Spine Journal, 2018 · DOI: https://doi.org/10.31616/asj.2018.12.5.927 · Published: October 1, 2018

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigated whether using virtual reality (VR) with conventional therapy is more effective than conventional therapy alone for improving upper limb function in spinal cord injury (SCI) patients. The researchers used Nintendo Wii as the VR intervention. Patients were divided into two groups: one receiving VR intervention plus conventional therapy and the other receiving conventional therapy alone. Both groups underwent therapy for 4 weeks, and their hand function, gross motor dexterity, independence in daily living, and quality of life were assessed. The study found that VR combined with conventional therapy showed similar improvements in upper limb function compared to conventional therapy alone. However, patients using VR reported a higher level of satisfaction.

Study Duration
4 weeks
Participants
22 patients with spinal cord injury
Evidence Level
Level I, Pilot randomized controlled trial

Key Findings

  • 1
    Virtual reality combined with conventional therapy produced similar results in upper limb function as conventional therapy alone.
  • 2
    Patients in the VR group showed a greater percentage change in CUE questionnaire and BBT scores from pre-intervention to post-intervention, though not statistically significant.
  • 3
    Patients reported high satisfaction with Wii-based therapy, with a mean score of 8.17±1.2 on the Visual Analog Scale.

Research Summary

This pilot study compared the effectiveness of virtual reality intervention (Nintendo Wii) combined with conventional therapy versus conventional therapy alone for improving upper limb function in patients with spinal cord injury. The study found no significant difference in improved hand function between the groups after 4 weeks of intervention, although the VR group showed higher mean scores and a greater percentage change in outcome measures. The authors conclude that virtual reality along with conventional therapy produces similar results in upper limb function as conventional therapy alone, but patients reported higher satisfaction with VR therapy.

Practical Implications

Rehabilitation Strategy

VR can be used as an adjunct to conventional therapy to increase patient engagement and motivation.

Home Therapy

Nintendo Wii can be used on a long-term basis as an adjunct to outpatient rehabilitation or even at home to address the leisure needs of patients.

Future Research

Future studies should include larger sample sizes, include patients with complete cervical SCI, and compare VR intervention independently to conventional therapy.

Study Limitations

  • 1
    Small sample size
  • 2
    Most patients were incomplete SCI cases
  • 3
    Short intervention duration (12 sessions in 4 weeks)

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