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Exercise intensity of the upper limb can be enhanced using a virtual rehabilitation system
Banina
M
C
author
Molad
R
author
Solomon
J
S
author
Berman
S
author
Soroker
N
author
Frenkel-Toledo
S
author
Liebermann
D
G
author
Levin
M
F
author
2020
English
Purpose: Motor recovery of the upper limb (UL) is related to exercise intensity, defined as movement repetitions divided by minutes in active therapy, and task difficulty. However, the degree to which UL training in virtual reality (VR) applications deliver intense and challenging exercise and whether these factors are considered in different centres for people with different sensorimotor impairment levels is not evidenced. We determined if (1) a VR programme can deliver high UL exercise intensity in people with sub-acute stroke across different environments and (2) exercise intensity and difficulty differed among patients with different levels of UL sensorimotor impairment.Methods: Participants with sub-acute stroke (<6 months) with Fugl-Meyer scores ranging from 14 to 57, completed 10 approximately 50-min UL training sessions using three unilateral and one bilateral VR activity over 2 weeks in centres located in three countries. Training time, number of movement repetitions, and success rates were extracted from game activity logs. Exercise intensity was calculated for each participant, related to UL impairment, and compared between centres.Results: Exercise intensity was high and was progressed similarly in all centres. Participants had most difficulty with bilateral and lateral reaching activities. Exercise intensity was not, while success rate of only one unilateral activity was related to UL severity.Conclusion: The level of intensity attained with this VR exercise programme was higher than that reported in current stroke therapy practice. Although progression through different activity levels was similar between centres, clearer guidelines for exercise progression should be provided by the VR application.Implications for rehabilitationVR rehabilitation systems can be used to deliver intensive exercise programmes.VR rehabilitation systems need to be designed with measurable progressions through difficulty levels.
Stroke
difficulty
exercise therapy
intensity
personalized exercise
upper limb
virtual reality
PMID:32421460
exported from refbase (https://refbase.nfshost.com/show.php?record=106), last updated on Thu, 21 May 2020 20:11:53 +0000
text
http://www.ncbi.nlm.nih.gov/pubmed/32421460
http://www.ncbi.nlm.nih.gov/pubmed/32421460
10.1080/17483107.2020.1765421
32421460
Banina_etal2020
Disability and Rehabilitation. Assistive Technology
Disabil Rehabil Assist Technol
2020
continuing
periodical
academic journal
1
7
1748-3107
1