Effects of immersive virtual reality-based action observation training integrated with focal muscle vibration on upper extremity in a patient with chronic disability following stroke: a single-subject study.
Background: The association of different sensory inputs enhances brain plasticity in patients after stroke, but no studies have associated Action Observation Training (AOT) delivered in immersive virtual reality (VR) with Focal Vibration (FV) to elicit a kinesthetic illusion coherent with the observ...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 7; pp. 1536 - 1545 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186130349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186130349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jul2025 vid: 41 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 186130349 183620560 186130349 186130349 10.1080/09593985.2025.2468472 186130349 ppf: 1536 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of immersive virtual reality-based action observation training integrated with focal muscle vibration on upper extremity in a patient with chronic disability following stroke: a single-subject study. aug: au: Adamo, Paola De Leo, Davide Fava, Tommaso Binda, Simone Avanzini, Pietro Fabbri-Destro, Maddalena Gatti, Roberto affil: Physiotherapy Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy sug: subj: Hemiplegia Physiopathology Hemiplegia Rehabilitation Chronic Disease Rehabilitation Stroke Complications Muscle Spasticity Rehabilitation Upper Extremity Physiopathology Vibration Therapeutic Use Virtual Reality Exposure Therapy Methods Training Effect (Physiology) Human Aged Male Female Pilot Studies Stroke Patients Agility Kinematics Descriptive Statistics Disability Evaluation Treatment Outcomes Activities of Daily Living Walking Scales Aged: 65+ years Male Female ab: Background: The association of different sensory inputs enhances brain plasticity in patients after stroke, but no studies have associated Action Observation Training (AOT) delivered in immersive virtual reality (VR) with Focal Vibration (FV) to elicit a kinesthetic illusion coherent with the observed task to improve motor function. Objective: The study aimed to evaluate the feasibility of AOT delivered in immersive VR integrated with FV of upper limb muscles on manual dexterity in patients with chronic stroke. Methods: A single-subject study was conducted (A-B design). A chronic stroke patient with right spastic hemiparesis underwent a 12-session VR-AOT training consisting of observation and imitation of upper limb transitive tasks. In addition, FV was applied on wrist and finger extensor muscles during observation. Upper limb dexterity was assessed through the Box and Blocks test and kinematic indexes during Nine-Hole Peg Test (NHPT) using an optoelectronic system. The patient underwent three evaluation sessions before treatment (A-phase), three during treatment (B-phase), and a follow-up assessment after 3 months. Change was considered meaningful when two consecutive data points in the treatment period exceeded the baseline two standard deviation range. Results: An improvement in the NHPT score exceeding the minimal detectable change of 32.8 s was found for the paretic upper limb during the B-phase. No differences were found in the Box and Block Test. Conclusion: Benefits induced by integrating VR-based AOT with FV in the current study suggested the need to investigate the effects of this intervention in chronic stroke patients with spasticity. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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