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Combined cognitive-motor rehabilitation in virtual reality improves motor outcomes in chronic stroke–a pilot study

2018Journal article Open access
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dc.contributor.authorFaria, Ana L.
dc.contributor.authorCameirão, Mónica S.
dc.contributor.authorCouras, Joana F.
dc.contributor.authorAguiar, Joana R. O.
dc.contributor.authorCosta, Gabriel M.
dc.contributor.authorBermúdez i Badia, Sergi
dc.date.accessioned2019-12-10T16:12:26Z
dc.date.available2019-12-10T16:12:26Z
dc.date.issued2018
dc.description.abstractStroke 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. Virtual Reality (VR) based methods for stroke rehabilitation have mainly focused on motor rehabilitation but there is increasing interest toward the integration of cognitive training for providing more effective solutions. Here we investigate the feasibility for stroke recovery of a virtual cognitive-motor task, the Reh@Task, which combines adapted arm reaching, and attention and memory training. 24 participants in the chronic stage of stroke, with cognitive and motor deficits, were allocated to one of two groups (VR, Control). Both groups were enrolled in conventional occupational therapy, which mostly involves motor training. Additionally, the VR group underwent training with the Reh@Task and the control group performed time-matched conventional occupational therapy. Motor and cognitive competences were assessed at baseline, end of treatment (1 month) and at a 1-month follow-up through the Montreal Cognitive Assessment, Single Letter Cancelation, Digit Cancelation, Bells Test, Fugl-Meyer Assessment Test, Chedoke Arm and Hand Activity Inventory, Modified Ashworth Scale, and Barthel Index. Our results show that both groups improved in motor function over time, but the Reh@Task group displayed significantly higher between-group outcomes in the arm subpart of the Fugl-Meyer Assessment Test. Improvements in cognitive function were significant and similar in both groups. Overall, these results are supportive of the viability of VR tools that combine motor and cognitive training, such as the Reh@Task. Trial Registration: This trial was not registered because it is a small clinical study that addresses the feasibility of a prototype device.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFaria, A. L., Cameirão, M. S., Couras, J. F., Aguiar, J. R., Costa, G. M., & Bermúdez i Badia, S. (2018). Combined cognitive-motor rehabilitation in virtual reality improves motor outcomes in chronic stroke–a pilot study. Frontiers in psychology, 9.pt_PT
dc.identifier.doi10.3389/fpsyg.2018.00854pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/2642
dc.language.isoengpt_PT
dc.publisherFrontiers Mediapt_PT
dc.subjectVirtual realitypt_PT
dc.subjectStrokept_PT
dc.subjectMotor rehabilitationpt_PT
dc.subjectCognitive rehabilitationpt_PT
dc.subjectTask adaptationpt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleCombined cognitive-motor rehabilitation in virtual reality improves motor outcomes in chronic stroke–a pilot studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/UID%2FEEA%2F50009%2F2013/PT
oaire.citation.titleFrontiers in psychologypt_PT
oaire.citation.volume9pt_PT
oaire.fundingStream5876
person.familyNamedos Santos Faria
person.familyNameCameirão
person.familyNameBermúdez i Badia
person.givenNameAna Lúcia
person.givenNameMónica
person.givenNameSergi
person.identifier239789
person.identifier.ciencia-idF617-BFEE-77E0
person.identifier.ciencia-id0A12-4F21-0CC2
person.identifier.ciencia-idCA17-5E88-2B37
person.identifier.orcid0000-0001-5904-0304
person.identifier.orcid0000-0002-5352-0128
person.identifier.orcid0000-0003-4452-0414
person.identifier.ridC-8675-2018
person.identifier.ridC-8681-2018
person.identifier.scopus-author-id21740694600
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.isAuthorOfPublication644f9f6a-81be-4b72-9ded-6eb1b8e251f4
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relation.isProjectOfPublication604bac96-25a8-4510-ae08-c8392804f156
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