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Clinical Application of Virtual Reality for Upper Limb Motor Rehabilitation in Stroke: Review of Technologies and Clinical Evidence

机译:中风上肢电机康复虚拟现实的临床应用:技术与临床证据综述

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Neurorehabilitation for stroke is important for upper limb motor recovery. Conventional rehabilitation such as occupational therapy has been used, but novel technologies are expected to open new opportunities for better recovery. Virtual reality (VR) is a technology with a set of informatics that provides interactive environments to patients. VR can enhance neuroplasticity and recovery after a stroke by providing more intensive, repetitive, and engaging training due to several advantages, including: (1) tasks with various difficulty levels for rehabilitation, (2) augmented real-time feedback, (3) more immersive and engaging experiences, (4) more standardized rehabilitation, and (5) safe simulation of real-world activities of daily living. In this comprehensive narrative review of the application of VR in motor rehabilitation after stroke, mainly for the upper limbs, we cover: (1) the technologies used in VR rehabilitation, including sensors; (2) the clinical application of and evidence for VR in stroke rehabilitation; and (3) considerations for VR application in stroke rehabilitation. Meta-analyses for upper limb VR rehabilitation after stroke were identified by an online search of Ovid-MEDLINE, Ovid-EMBASE, the Cochrane Library, and KoreaMed. We expect that this review will provide insights into successful clinical applications or trials of VR for motor rehabilitation after stroke.
机译:中风的神经罗布对于上肢电动机恢复很重要。已经使用了诸如职业治疗的常规康复,但预计新技术将开辟新的机会,以便更好地康复。虚拟现实(VR)是一种技术,具有一组信息,为患者提供交互式环境。通过提供更加密集,重复和接触的培训,可以提高内心塑性和恢复,包括以下几个优点,包括:(1)康复的各种难度级别的任务,(2)增加实时反馈,(3)更多沉浸式和参与的经验,(4)更标准化的康复,(5)安全模拟日常生活的真实活动。在这一全面叙述审查中卒中后VR在电机康复中的应用,主要用于上肢,我们涵盖:(1)VR康复,包括传感器的技术; (2)在中风康复中VR的临床应用和证据; (3)对卒中康复的VR应用的考虑。通过在线搜索卵巢嵌合,Ovid-Embase,Cochrane图书馆和Koreamed,通过在线搜索中风后对上肢VR康复进行荟萃分析。我们预计本次审查将在中风后提供对VR的成功临床应用或试验的洞察力。

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