Effects of Virtual Reality (VR) for Cognitive Rehabilitation in Stroke Survivors VR for Cognitive Rehabilitation in Stroke Survivors
Main Article Content
Abstract
Background: Stroke is a leading cause of long-term disability, significantly impacting cognitive functions such as memory, attention, and executive functioning in survivors. Traditional cognitive rehabilitation methods have limitations, necessitating innovative approaches like virtual reality (VR) to enhance recovery.
Objective: To determine the effects of VR-based cognitive rehabilitation in stroke survivors compared to traditional methods.
Methods: A randomized controlled trial was conducted at Mian Medical Complex from October 2023 to August 2024, involving 24 stroke survivors aged 40-80 years with cognitive impairments. Participants were randomly assigned to either the VR group, receiving 30-minute sessions three times weekly for 12 weeks, or the control group, receiving traditional cognitive rehabilitation. Cognitive functions were assessed using the Montreal Cognitive Assessment (MoCA), Trail Making Test (TMT), and Digit Span Test. Data analysis was performed using SPSS version 25.
Results: The VR group showed significant improvements in MoCA scores (22.3 ± 3.5 to 25.0 ± 2.8, p < 0.01), TMT Part A (50.2 ± 10.3 to 45.6 ± 9.2 seconds, p < 0.05), and Digit Span Test (6.4 ± 1.2 to 7.2 ± 1.0, p < 0.01), whereas the control group showed minimal changes.
Conclusion: VR-based cognitive rehabilitation significantly improves cognitive functions in stroke survivors and offers a more engaging alternative to traditional methods.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Wiley E, Khattab S, Tang A. Examining The Effect Of Virtual Reality Therapy On Cognition Post-Stroke: A Systematic Review And Meta-Analysis. Disabil Rehabil Assist Technol. 2022;17(1):50-60.
Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual Reality For Stroke Rehabilitation. Cochrane Database Syst Rev. 2017;(11).
Cai H, Lin T, Chen L, Weng H, Zhu R, Chen Y, et al. Evaluating The Effect Of Immersive Virtual Reality Technology On Gait Rehabilitation In Stroke Patients: A Study Protocol For A Randomized Controlled Trial. Trials. 2021;22(1):637.
Maier M, Rubio Ballester B, Duff A, Duarte Oller E, Verschure PF. Effect Of Specific Over Nonspecific VR-Based Rehabilitation On Poststroke Motor Recovery: A Systematic Meta-Analysis. Neurorehabil Neural Repair. 2019;33(2):112-29.
Cameirão MS, Pereira F, Badia SBI. Virtual Reality With Customized Positive Stimuli In A Cognitive-Motor Rehabilitation Task. In: 2017 International Conference On Virtual Rehabilitation (ICVR); 2017 Jun 19-22; Montreal, QC, Canada. IEEE; 2017. p. 1-6.
Bui J, Luauté J, Farnè A. Enhancing Upper Limb Rehabilitation Of Stroke Patients With Virtual Reality: A Mini Review. Front Virtual Real. 2021;2:595771.
Gunawan H, Gunawan I, Hambarsari Y, Danuaji R, Hamidi BL, Benedictus B. Virtual Reality Intervention For Improving Cognitive Function In Post-Stroke Patient: A Systematic Review And Meta-Analysis. Brain Disord. 2024;100152.
Roussou G, Despoti A, Patsaki I, Tzoumi D, Leventakis N, Dimitriadi N, et al. Suitability, Usability And Safety Of Fully Immersive Virtual Reality Applications For Motor And Cognitive Rehabilitation In Stroke Patients: Preliminary Data. Health Res J. 2024;10(3):193-205.
Wohlgenannt I, Simons A, Stieglitz S. Virtual Reality. Bus Inf Syst Eng. 2020;62(5):455-61.
Saposnik G. Virtual Reality In Stroke Rehabilitation. In: Fisher M, editor. Ischemic Stroke Therapeutics: A Comprehensive Guide. New York: Springer; 2016. p. 225-33.
Burdea GC, Coiffet P. Virtual Reality Technology. 2nd ed. Hoboken: John Wiley & Sons; 2003.
Mantovani E, Zucchella C, Bottiroli S, Federico A, Giugno R, Sandrini G, et al. Telemedicine And Virtual Reality For Cognitive Rehabilitation: A Roadmap For The COVID-19 Pandemic. Front Neurol. 2020;11:926.
Zhang T, Liu W, Bai Q, Gao S. Virtual Reality Technology In The Rehabilitation Of Post-Stroke Cognitive Impairment: An Opinion Article On Recent Findings. Front Psychol. 2023;14:1271458.
Faria AL, Andrade A, Soares L, Badia SBI. Benefits Of Virtual Reality Based Cognitive Rehabilitation Through Simulated Activities Of Daily Living: A Randomized Controlled Trial With Stroke Patients. J Neuroeng Rehabil. 2016;13:96.
Perna R, Harik L. The Role Of Rehabilitation Psychology In Stroke Care Described Through Case Examples. NeuroRehabilitation. 2020;46(2):195-204.
Chen X, Liu F, Lin S, Yu L, Lin R. Effects Of Virtual Reality Rehabilitation Training On Cognitive Function And Activities Of Daily Living Of Patients With Poststroke Cognitive Impairment: A Systematic Review And Meta-Analysis. Arch Phys Med Rehabil. 2022;103(7):1422-35.
Oliveira J, Gamito P, Lopes B, Silva AR, Galhordas J, Pereira E, et al. Computerized Cognitive Training Using Virtual Reality On Everyday Life Activities For Patients Recovering From Stroke. Disabil Rehabil Assist Technol. 2022;17(3):298-303.
Zhang Q, Fu Y, Lu Y, Zhang Y, Huang Q, Yang Y, et al. Impact Of Virtual Reality-Based Therapies On Cognition And Mental Health Of Stroke Patients: Systematic Review And Meta-Analysis. J Med Internet Res. 2021;23(11).
Levin MF. What Is The Potential Of Virtual Reality For Post-Stroke Sensorimotor Rehabilitation? Expert Rev Neurother. 2020;20(3):195-7.
Silva WHS, Lopes GLB, Yano KM, Tavares NSA, Rego IAO, Cavalcanti FAdC. Effect Of A Rehabilitation Program Using Virtual Reality For Balance And Functionality Of Chronic Stroke Patients. Motriz Rev Educ Fis. 2015;21(3):237-43.