Upper limb rehabilitation interventions using virtual reality for people with multiple sclerosis: A systematic review.

Multiple Sclerosis and Related Disorders
Amy WebsterLorna Paul

Abstract

Research on Virtual Reality (VR) based motor rehabilitation for people with multiple sclerosis (MS) is rapidly growing in popularity, although few studies have focused on the upper limb (UL). The aims of this review were to investigate the effect of VR interventions on UL function in people with MS and determine if the type of VR intervention influences intervention effect. Five databases (IEEE Xplore, MEDLINE, ProQuest Central (Health & Medical Collection), Science Direct and Web of Science Core Collection) were searched using keywords that relating to MS, VR and UL. Ten articles were included, six randomised controlled trials, three cohort studies and one pilot observational study. Both commercial and custom VR technologies were used in interventions, along with combination approaches using robotics, electrical stimulation and occupational therapy. Using the Nine Hole Peg Test, two studies found significant improvements within groups, one found that VR was more effective than another gaming approach. Significant improvements in other UL measures were in the Fugl-Meyer Assessment for the proximal arm; handgrip; perceived strength; Jebsen-Taylor Hand Function Test; Wolf Motor Function Test; active range of motion and trajectory...Continue Reading

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Citations

Aug 14, 2021·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·Iu E KorzhovaM N Zakharova
May 28, 2021·European Journal of Physical and Rehabilitation Medicine·Marialuisa GandolfiUNKNOWN Italian Consensus Conference on Robotics in Neurorehabilitation (CICERONE)

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