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2021, Number 1-4

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Rev Mex Med Fis Rehab 2021; 33 (1-4)

In-home rehabilitation of cerebral vascular event during the COVID-19 pandemic: virtual reality vs. constraint induced motion induction

Rojas-Sosa MC, Rojano-Mejía D, Zárate JA, Ortiz-Islas AP, Olvera-Gómez JL, Garduño-Espinosa J

Language: Spanish
References: 37
Page: 6-16
PDF size: 317.01 Kb.


ABSTRACT

Introduction: Patients after stroke have poor access to presential rehabilitation due to the COVID-19 pandemic; the virtual reality (VR) and modified constraint-induced movement therapy (CIMTm) can be a management option at home that improves motor evolution. Objective: To measure the effect of VR or CIMTm performed at home on hemiparesis after stroke. Material and methods: Participants: 27 patients. Ten underwent VR, 8 CIMTm and 9 conventional therapy (FT/OTc). All were taught to work at home. The assessment was carried out with the Fugl-Meyer and fine clamp scales. The evaluators were blinded to therapy group. Analysis: Friedman and Kruskal-Wallis tests (p < 0.05). Results: All three groups started with very severe disability. At the end of their treatment, there was intra-group improvement of hemiparesis (p < 0.05) in the three therapies types, but comparison among groups showed that VR was significantly better (83.3 ± 9.08 points) compared to CIMTm (43.25 ± 3.53) and FT/OTc (51.77 ± 11.98 points) (p < 0.05), including hand function (p = 0.039). With VR the patients achieved a mild disability, while with CIMTm and FT/OTc they reached a severe level. Conclusions: VR therapy at home significantly improved hemiparesis after stroke compared with CIMTm and conventional FT/OTc.


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