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  4. Home-Based Virtual Reality-Augmented Training Improves Lower Limb Muscle Strength, Balance, and Functional Mobility following Chronic Incomplete Spinal Cord Injury

Home-Based Virtual Reality-Augmented Training Improves Lower Limb Muscle Strength, Balance, and Functional Mobility following Chronic Incomplete Spinal Cord Injury

Frontiers in Neurology, 2017 · DOI: 10.3389/fneur.2017.00635 · Published: November 28, 2017

Spinal Cord InjuryAssistive TechnologyNeurology

Simple Explanation

This study investigates whether using virtual reality (VR) training at home can help people with incomplete spinal cord injuries (iSCI) improve their motor functions. Twelve individuals with chronic iSCI participated in home-based training using a VR system that combined action observation and execution to train lower limb movements. The results showed significant improvements in lower limb muscle strength, balance, and functional mobility after the VR training, suggesting it may be a useful tool for neurorehabilitation.

Study Duration
4 weeks
Participants
12 chronic iSCI subjects
Evidence Level
Not specified

Key Findings

  • 1
    Significant improvements were observed in lower limb muscle strength (LEMS) following the home-based VR training.
  • 2
    Balance, as measured by the Berg Balance Scale (BBS), showed significant improvement after the VR training intervention.
  • 3
    Functional mobility, assessed using the Timed Up and Go (TUG) test, improved significantly after treatment and remained improved at the follow-up assessment.

Research Summary

The study assessed the feasibility and effectiveness of home-based VR-augmented neurorehabilitation training for lower limbs in individuals with chronic iSCI. The VR training, combining action observation and execution, led to significant improvements in lower limb muscle strength, balance, and functional mobility. The unsupervised home-based setting suggests that the system can be successfully used in ecologically valid training environments, potentially reducing transportation costs and enabling activity monitoring outside the clinic.

Practical Implications

Neurorehabilitation Tool

VR-based training can be used as a neurorehabilitation tool for individuals with iSCI to improve lower limb motor function.

Home-Based Therapy

VR system can be used effectively in home-based training settings, reducing transportation costs and effort for subjects.

Application to Other Neurological Disorders

VR-augmented neurorehabilitation may benefit other subject groups with neurological disorders, such as stroke.

Study Limitations

  • 1
    Small and heterogeneous group of 12 subjects with iSCI
  • 2
    Uncontrolled study design
  • 3
    Non-blinded assessment

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