Vadba hoje z navidezno resničnostjo pri pacientih po možganski kapi - pregled literature : diplomsko delo

Lozej, Neža (author), Puh, Urška (mentor), Kovačič, Tine (reviewer)

Uvod: Vadba hoje predstavlja pomemben del fizioterapevtske obravnave, ker ima mnogo pacientov po možganski kapi težave s hojo. Vadba hoje z navidezno resničnostjo je relativno nova oblika vadbe hoje, ki postaja vedno bolj priljubljena med fizioterapevti in pacienti. Večinoma se jo izvaja na tekočem traku, z uporabo različnih stopenj potopitve v navidezno resničnost. Učinkovitost vadbe hoje z navidezno resničnostjo pri pacientih po možganski kapi še ni jasno raziskana. Namen: Pregledati izsledke raziskav o učinkovitosti uporabe navidezne resničnosti za vadbo hoje pri pacientih po možganski kapi. Metode dela: Iskanje literature je bilo opravljeno v podatkovni zbirki PubMed, ki je v naslovu ali povzetku zajemala naslednje besedne zveze: (stroke OR poststroke) AND (virtual reality OR VR OR augmented reality OR AR) AND (gait OR walk OR walking). V pregled so bile vključene raziskave, objavljene do vključno novembra 2022, ko je iskanje potekalo. Poleg iskalne kombinacije je bil pregledan tudi seznam literature iz treh preglednih člankov. Rezultati: V pregled literature je bilo vključenih 12 raziskav s skupno 311 preiskovanci, večinoma v kroničnem obdobju po ishemični možganski kapi. Vadba hoje z navidezno resničnostjo je potekala kot samostojna ali dopolnilna vadba. Neimerzijska metoda je bila uporabljena šestkrat, polimerzijska dvakrat in imerzijska štirikrat. Vadba hoje z navidezno resničnostjo pri pacientih po možganski kapi se je izkazala za statistično bolj učinkovito pri izboljšanju hitrosti hoje (sedem od osmih raziskav), dolžini dvojnega koraka (štiri od petih raziskav), kadence (tri od petih raziskav), pri izboljšanju rezultata testa vstani in pojdi (šest od sedmih raziskav) in lestvice ABC (dve od treh raziskav). Pri ostalih spremenljivkah hoje in uporabljenih merilnih orodij so bile poskusne skupine redkeje statistično boljše od kontrolnih. Zaključek: Ne moremo trditi, da je vadba hoje z navidezno resničnostjo boljša od drugih oblik vadb hoje pri izboljšanju vseh značilnosti hoje, nakazuje pa se, da je uspešnejša pri izboljšanju hitrosti hoje, dolžini dvojnega koraka, kadenci in izboljšanju rezultatov testa vstani in pojdi ter lestvice ABC. Superiornost katere od stopenj imerzije in dolgotrajna učinkovitost prav tako ostajata nejasni.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, vadba hoje z navidezno resničnostjo, navidezna resničnost, možganska kap, pacienti po možganski kapi, vadba hoje po možganski kapi
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [N. Lozej]
• Year: 2023
• Number of pages: 37 str.
• PID: 20.500.12556/RUL-148541
• UDC: 615.8
• COBISS.SI-ID: 162651907
• Publication date in RUL: 26.08.2023

Secondary language

• Language: English
• Title: Gait training with virtual reality in brain stroke patients - literature review : diploma work

Abstract

Introduction: Gait training is an important part of physical therapy treatment because a lot of post-stroke patients face difficulty walking. Virtual reality gait training is a relatively new form of gait training that is becoming increasingly more popular among physical therapists and patients. It is mostly done on a treadmill, with the use of different levels of virtual reality immersion. The effectiveness of virtual reality gait training in post-stroke patients is yet to be well researched. Purpose: To review research findings on the effectiveness of virtual reality gait training in stroke patients. Methods: Literature search was done in the PubMed database, searching for titles or abstracts that included the following words or phrases: (stroke OR poststroke) AND (virtual reality OR VR OR augmented reality OR AR) AND (gait OR walk OR walking). The review includes studies published until and including November 2022, when the search was conducted. On top of the search combination, three systhematic review aricles' reference lists were reviewed as well. Results: This literature review includes 12 studies, with a total of 311 participants, mostly being chronic ischemic stroke patients. Virtual reality gait trainig was carried out as a stand-alone or complimentary form of gait training. Non-immersive method was used six times, semi-immersion method twice, and immersive method four times. In our review, virtual reality gait training proved effective in improving gait speed (seven of eight studies), stride length (four of five studies), cadence three of five studies), improving scores of timed up and go test (six of seven studies) and ABC scale (two of three studies). Experimental groups were less often statistically better than control groups with other gait variables and used measurement instruments. Discussion and conclusion: We cannot claim that virtual reality gait training is a better form of gait training for improving all aspects of gait, however, it seems to be more effective in improving gait speed, stride length, cadence, outcome scores of timed up and go test and ABC scale. Furthermore, superiority of any level of immersion and long-term affectiveness also remain unclear.

• Keywords: diploma theses, physiotherapy, virtual reality gait training, virtual reality, stroke, stroke patients, gait training after stroke