Bok, Soo-Kyung; Song, Youngshin; Lim, Ancho; Jin, Sohyun; Kim, Nagyeong; Ko, Geumbo
Journal of clinical medicine
2023Apr ; 12 ( 7 ) :.
PMID : 37048751
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Bok, Soo-Kyung - Department of Rehabilitation, College of Medicine, Chungnam National University, Daejeon 35015, Republic of Korea.
Song, Youngshin - Department of Nursing, College of Nursing, Chungnam National University, Daejeon
Lim, Ancho - Department of Nursing, College of Nursing, Chungnam National University, Daejeon
Jin, Sohyun - Department of Nursing, College of Nursing, Chungnam National University, Daejeon
Kim, Nagyeong - Department of Nursing, College of Nursing, Chungnam National University, Daejeon
Ko, Geumbo - Department of Nursing, College of Nursing, Chungnam National University, Daejeon
ABSTRACT
(1) Background: To improve existing rehabilitation technologies, we conducted a systematic review and meta-analysis to identify the effect size of home-based rehabilitation using robotic, virtual reality, and game devices on physical function for stroke survivors. (2) Methods: Embase, PubMed, Cochrane Library, ProQuest, and CINAHL were used to search the randomized controlled trials that applied technologies via home-based rehabilitation, such as virtual reality, robot-assisted devices, and games. The effect size (Hedges's g) of technology type and affected limb on physical function were calculated. (3) Results: Ten studies were included. The effect size of home-based rehabilitation in virtual reality had the greatest value (Hedges's g, 0.850; 95% CI, 0.314-1.385), followed by robot-assisted devices (Hedges's g, 0.120; 95% CI, 0.003-0.017) and games (Hedges's g, -0.162; 95% CI, -0.036 to -0.534). The effect size was larger in the upper limbs (Hedges's g, 0.287; 95% CI, 0.128-0.447) than in the lower limbs (Hedges's g, -0.113; 95% CI, -0.547 to 0.321). (4) Conclusions: Virtual reality home rehabilitation was highly effective for physical function compared to other rehabilitation technologies. Interventions that consisted of a pre-structured and tailored program applied to the upper limbs were effective for physical function and psychological outcomes.
keyword
home; physical function; stroke rehabilitation; systematic review; virtual
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