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Master Thesis

Intérêt de la réalité virtuelle dans la rééducation fonctionnelle du membre supérieur chez les patients victimes d’un accident vasculaire cérébral

Abstract : Most victims of stroke loose the motor function of the upper limb. Emerging virtual reality technologies (VRT) are of high interest in medicine and physical medicine and rehabilitation (PMR). Despite the relevance of adapted VRT in accordance with PMR best practices for post-stroke rehabilitation and recovery, their related impact has not yet been demonstrated. Through this non-systematic review, we aimed to show the role of VRT in post-stroke rehabilitation and recovery of the upper limb. A literature search of Cochrane, PubMed and Scopus was done up to November 22, 2018. Randomized controlled trials (RCT) were included if they evaluated the effects of virtual reality and conventional rehabilitation on upper limb and motor recovery among post-stroke. One reviewer evaluated the eligibility and quality of literature. Methodological quality was assessed using the PEDro scale. Of 414 RCT, only 10 RCT including a total of 647 patients were eligible for analysis. The RCT used non-immersive or semi-immersive VRT. All studies evaluated the impact of VRT on motor and functional recovery of upper limb. Of 10 studies, 6 evaluated patient’s capacity in routine physical activity, and 4 evaluated patient’s quality of life. VRT use in PMR allows improving motor and functional recovery of upper limb, daily physical activity capacity, and quality of life in post-stroke patients. However, VRT did not seem to be superior to conventional therapy. The intensity of the latter had no impact on the comparison. Total immersion VRT was not evaluated here. A future systematic review including total immersion VRT and evaluating effectiveness of VRT compared with conventional therapy could provide higher evidence.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02272882
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Submitted on : Wednesday, August 28, 2019 - 11:44:36 AM
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Simon Bourdarel. Intérêt de la réalité virtuelle dans la rééducation fonctionnelle du membre supérieur chez les patients victimes d’un accident vasculaire cérébral. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02272882⟩

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