Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement
Joint Authors
Turolla, Andrea
Kiper, Paweł
Oliva-Pascual-Vaca, Ángel
Cano-Bravo, Fátima
Solís-Marcos, Ignacio
Moral-Munoz, Jose A.
Agostini, Michela
Luque-Moreno, Carlos
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-27
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Ankle spasticity is a frequent phenomenon that limits functionality in poststroke patients.
Objectives.
Our aim was to determine if there was decreased spasticity in the ankle plantar flex (PF) muscles in the plegic lower extremity (LE) and improvement of gait function in stroke patients after traditional rehabilitation (TR) in combination with virtual reality with reinforced feedback, which is termed “reinforced feedback virtual environment” (RFVE).
Methods.
The evaluation, before and after treatment, of 10 hemiparetic patients was performed using the Modified Ashworth Scale (MAS), Functional Ambulatory Category (FAC), and Functional Independence Measure (FIM).
The intervention consisted of 1 hour/day of TR plus 1 hour/day of RFVE (5 days/week for 3 weeks; 15 sessions in total).
Results.
The MAS and FAC reached statistical significance (P<0.05).
The changes in the FIM did not reach statistical significance (P=0.066).
The analysis between the ischemic and haemorrhagic patients showed significant differences in favour of the haemorrhagic group in the FIM scale.
A significant correlation between the FAC and the months after the stroke was established (P=−0.711).
Indeed, patients who most increased their score on the FAC at the end of treatment were those who started the treatment earliest after stroke.
Conclusions.
The combined treatment of TR and RFVE showed encouraging results regarding the reduction of spasticity and improvement of gait function.
An early commencement of the treatment seems to be ideal, and future research should increase the sample size and assessment tools.
American Psychological Association (APA)
Luque-Moreno, Carlos& Cano-Bravo, Fátima& Kiper, Paweł& Solís-Marcos, Ignacio& Moral-Munoz, Jose A.& Agostini, Michela…[et al.]. 2019. Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement. BioMed Research International،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1126626
Modern Language Association (MLA)
Luque-Moreno, Carlos…[et al.]. Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement. BioMed Research International No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1126626
American Medical Association (AMA)
Luque-Moreno, Carlos& Cano-Bravo, Fátima& Kiper, Paweł& Solís-Marcos, Ignacio& Moral-Munoz, Jose A.& Agostini, Michela…[et al.]. Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1126626
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1126626