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Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients

2016Journal article Open access
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dc.contributor.authorFaria, Ana Lúcia
dc.contributor.authorAndrade, Andreia
dc.contributor.authorSoares, Luísa
dc.contributor.authorBermúdez i Badia, Sergi
dc.date.accessioned2019-12-09T14:24:25Z
dc.date.available2019-12-09T14:24:25Z
dc.date.issued2016
dc.description.abstractBackground: Stroke is one of the most common causes of acquired disability, leaving numerous adults with cognitive and motor impairments, and affecting patients’ capability to live independently. There is substancial evidence on post-stroke cognitive rehabilitation benefits, but its implementation is generally limited by the use of paper-and-pencil methods, insufficient personalization, and suboptimal intensity. Virtual reality tools have shown potential for improving cognitive rehabilitation by supporting carefully personalized, ecologically valid tasks through accessible technologies. Notwithstanding important progress in VR-based cognitive rehabilitation systems, specially with Activities of Daily Living (ADL’s) simulations, there is still a need of more clinical trials for its validation. In this work we present a one-month randomized controlled trial with 18 stroke in and outpatients from two rehabilitation units: 9 performing a VR-based intervention and 9 performing conventional rehabilitation. Methods: The VR-based intervention involved a virtual simulation of a city – Reh@City - where memory, attention, visuo-spatial abilities and executive functions tasks are integrated in the performance of several daily routines. The intervention had levels of difficulty progression through a method of fading cues. There was a pre and postintervention assessment in both groups with the Addenbrooke Cognitive Examination (primary outcome) and the Trail Making Test A and B, Picture Arrangement from WAIS III and Stroke Impact Scale 3.0 (secondary outcomes). Results: A within groups analysis revealed significant improvements in global cognitive functioning, attention, memory, visuo-spatial abilities, executive functions, emotion and overall recovery in the VR group. The control group only improved in self-reported memory and social participation. A between groups analysis, showed significantly greater improvements in global cognitive functioning, attention and executive functions when comparing VR to conventional therapy. Conclusions: Our results suggest that cognitive rehabilitation through the Reh@City, an ecologically valid VR system for the training of ADL’s, has more impact than conventional methods. Trial registration: This trial was not registered because it is a small sample study that evaluates the clinical validity of a prototype virtual reality system.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFaria, A. L., Andrade, A., Soares, L., & Bermúdez i Badia, S. B. (2016). Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients. Journal of neuroengineering and rehabilitation, 13(1), 96.pt_PT
dc.identifier.doi10.1186/s12984-016-0204-zpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/2633
dc.language.isoengpt_PT
dc.publisherBMCpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCognitive rehabilitationpt_PT
dc.subjectVirtual realitypt_PT
dc.subjectEcological validitypt_PT
dc.subjectStrokept_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleBenefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/UID%2FEEA%2F50009%2F2013/PT
oaire.citation.titleJournal of NeuroEngineering and Rehabilitationpt_PT
oaire.citation.volume13(1)pt_PT
oaire.fundingStream5876
person.familyNamedos Santos Faria
person.familyNameSoares
person.familyNameBermúdez i Badia
person.givenNameAna Lúcia
person.givenNameLuísa
person.givenNameSergi
person.identifier2310470
person.identifier239789
person.identifier.ciencia-idF617-BFEE-77E0
person.identifier.ciencia-idC110-5A9E-88AC
person.identifier.ciencia-idCA17-5E88-2B37
person.identifier.orcid0000-0001-5904-0304
person.identifier.orcid0000-0002-5373-1320
person.identifier.orcid0000-0003-4452-0414
person.identifier.ridABE-1106-2020
person.identifier.ridC-8681-2018
person.identifier.scopus-author-id43361837300
person.identifier.scopus-author-id6506360007
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication56629fc9-4fd0-4f20-81a7-a8b45f99783c
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