scholarly journals A Decade of Progress Using Virtual Reality for Poststroke Lower Extremity Rehabilitation: Systematic Review of the Intervention Methods

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Carlos Luque-Moreno ◽  
Alejandro Ferragut-Garcías ◽  
Cleofás Rodríguez-Blanco ◽  
Alberto Marcos Heredia-Rizo ◽  
Jesús Oliva-Pascual-Vaca ◽  
...  
Keyword(s):  
Systematic Review ◽  
Virtual Reality ◽  
Lower Extremity ◽  
Positive Impact ◽  
Assessment Tools ◽  
Stroke Patients ◽  
Exclusion Criteria ◽  
Electronic Search ◽  
Different Types ◽  
Conventional Physiotherapy

Objective. To develop a systematic review of the literature, to describe the different virtual reality (VR) interventions and interactive videogames applied to the lower extremity (LE) of stroke patients, and to analyse the results according to the most frequently used outcome measures.Material and Methods. An electronic search of randomized trials between January 2004 and January 2014 in different databases (Medline, Cinahl, Web of Science, PEDro,andCochrane) was carried out. Several terms (virtual reality, feedback, stroke, hemiplegia, brain injury, cerebrovascular accident, lower limb, leg, andgait) were combined, and finally 11 articles were included according to the established inclusion and exclusion criteria.Results. The reviewed trials showed a high heterogeneity in terms of study design and assessment tools, which makes it difficult to compare and analyze the different types of interventions. However, most of them found a significant improvement on gait speed, balance and motor function, due to VR intervention.Conclusions. Although evidence is limited, it suggests that VR intervention (more than 10 sessions) in stroke patients may have a positive impact on balance, and gait recovery. Better results were obtained when a multimodal approach, combining VR and conventional physiotherapy, was used. Flexible software seems to adapt better to patients’ requirements, allowing more specific and individual treatments.

scholarly journals Non-Immersive Virtual Reality for Rehabilitation of the Older People: A Systematic Review into Efficacy and Effectiveness

2019 ◽  
Vol 8 (11) ◽  
pp. 1882 ◽  
Author(s):  
Bevilacqua ◽  
Maranesi ◽  
Riccardi ◽  
Donna ◽  
Pelliccioni ◽  
...  
Keyword(s):  
Systematic Review ◽  
Virtual Reality ◽  
Older People ◽  
Randomized Controlled Trials ◽  
Cognitive Abilities ◽  
Positive Impact ◽  
Data Extraction ◽  
Future Research ◽  
Controlled Trials ◽  
Randomized Controlled

: Objective: the objective of this review is to analyze the advances in the field of rehabilitation through virtual reality, while taking into account non-immersive systems, as evidence have them shown to be highly accepted by older people, due to the lowest “cibersikness” symptomatology. Data sources: a systematic review of the literature was conducted in June 2019. The data were collected from Cochrane, Embase, Scopus, and PubMed databases, analyzing manuscripts and articles of the last 10 years. Study selection: we only included randomized controlled trials written in English aimed to study the use of the virtual reality in rehabilitation. We selected 10 studies, which were characterized by clinical heterogeneity. Data extraction: quality evaluation was performed based on the Physioterapy Evidence Database (PEDro) scale, suggested for evidence based review of stroke rehabilitation. Of 10 studies considered, eight were randomized controlled trials and the PEDro score ranged from four to a maximum of nine. Data synthesis: VR (Virtual Reality) creates artificial environments with the possibility of a patient interaction. This kind of experience leads to the development of cognitive and motor abilities, which usually positively affect the emotional state of the patient, increasing collaboration and compliance. Some recent studies have suggested that rehabilitation treatment interventions might be useful and effective in treating motor and cognitive symptoms in different neurological disorders, including traumatic brain injury, multiple sclerosis, and progressive supranuclear palsy. Conclusions: as it is shown by the numerous studies in the field, the application of VR has a positive impact on the rehabilitation of the most predominant geriatric syndromes. The level of realism of the virtual stimuli seems to have a crucial role in the training of cognitive abilities. Future research needs to improve study design by including larger samples, longitudinal designs, long term follow-ups, and different outcome measures, including functional and quality of life indexes, to better evaluate the clinical impact of this promising technology in healthy old subjects and in neurological patients.

Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: A systematic review and meta-analysis

2019 ◽  
Vol 35 ◽  
pp. 22-32 ◽  
Author(s):  
Mian Wang ◽  
Zi-wen Pei ◽  
Bei-dou Xiong ◽  
Xian-mei Meng ◽  
Xiao-li Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Meta Analysis ◽  
Stroke Patients ◽  
Post Stroke ◽  
Kinesio Taping

scholarly journals The role of virtual articulators in dental occlusion analysis

2017 ◽  
Vol 63 (1) ◽  
pp. 28-32
Author(s):  
Oana Cristina Chirilă ◽  
◽  
Alexandru Eugen Petre ◽  
Mihaela Rodica Păuna ◽  
◽  
...  
Keyword(s):  
Systematic Review ◽  
Virtual Reality ◽  
Broad Spectrum ◽  
Search Engines ◽  
Comprehensive Analysis ◽  
Dental Occlusion ◽  
Digital Instrument ◽  
Review Of The Literature ◽  
Electronic Search

Today, virtual reality has a broad spectrum of applications in fields as diverse as architecture, sports, arts or medicine. One of the applications of virtual reality in medicine is the virtual articulator, a digital instrument that was designed as a tool for comprehensive analysis of static and dynamic occlusal relations, the purpose being to substitute the use of mechanical articulators and consequently, of the mechanical errors involved by their use. This paper is a systematic review of the literature on published studies about the functionality and application of the virtual articulators in the analysis of dental occlusion. An electronic search was conducted based on a combination of keywords, using the search engines of Pubmed/Medline and ScienceDirect. Most of the identified studies show that the reproduction of occlusal contacts using virtual articulators has superior, or at least similar, fidelity compared to the conventional techniques, both in static or dynamic manners.

Marginal Accuracy of Milled Versus Cast Cobalt Chromium Alloys in Long Span Implant-Supported Frameworks: A Systematic Review and Meta-analysis

2020 ◽  
Vol 11 (2) ◽  
pp. 120-127
Author(s):  
Simone Shah ◽  
Deepak Nallaswamy ◽  
Dhanraj Ganapathy
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Cobalt Chromium ◽  
Exclusion Criteria ◽  
Long Span ◽  
Electronic Search ◽  
Chromium Alloys ◽  
Randomised Control Trials ◽  
Larger Sample

Aim: To assess if milled cobalt chromium (Co-Cr) alloy offers significantly better marginal accuracy than cast Co-Cr alloy for screw-retained long-span dental implant framework. Materials and Methods: A search PICO was formulated using suitable keywords and an electronic search was initiated. The databases of PubMed, Cochrane Library, Google Scholar and Embase were searched for related articles. Bibliographies of randomised control trials and reviews, identified in the electronic search, were analysed for studies published outside the electronically searched journals. Electronic search identified 26 studies. A total of 16 studies were eliminated after reading the abstracts. Out of the remaining 10 studies, 3 were eliminated based on the inclusion and exclusion criteria, and finally 7 studies were finalised for systematic review. Results Data were extracted from the included studies and analysed. The obtained data were suitable for meta-analysis, which showed an overall effect size z = 4.97 ( P < .001) at 95% CI showing a significant statistical difference between milled and cast Co-Cr frameworks. Conclusion: Milled cobalt chromium frameworks are significantly more accurate than cast frameworks for long-span implant-supported frameworks used in dental prosthetic rehabilitation. More randomized controlled trials need to be conducted with a larger sample size to get a more authentic conclusion in a clinical scenario.

scholarly journals The Effect of Different Types of Foot Orthoses on the Biomechanical Variables, Lower Extremity Muscular Activity and Balance in Elderly: A Systematic Review Study

2019 ◽  
Author(s):  
Arefeh Mokhtari MalekAbadi ◽  
Mohsen Barghamadi ◽  
Amir Ali Jafarnezhadgero
Keyword(s):  
Systematic Review ◽  
Lower Limb ◽  
Postural Sway ◽  
Muscular Activity ◽  
Foot Orthoses ◽  
Exclusion Criteria ◽  
Different Types ◽  
Reaction Forces ◽  
Biomechanical Parameters ◽  
Review Study

Older adults demonstrate increased amounts of postural sway, which may ultimately lead to falls. The purpose of this systematic review was to investigate the effect of different foot orthoses on lower limb biomechanical variables, lower limb muscular activity, and balance in elderly people. Examining texts based on the search on the Magiran, Google Schoolar, Pubmed, Scopus, and SIVILICA sites were done by using following keywords: foot orthoses, footwear, aging, aged, elderly, Kinematic, walking, loading rate, Kinetic Walking, in combination in four part from 2005 to 2018. In the initial searches, 72 papers were obtained, eight articles based on the inclusion and exclusion criteria were selected. This systematic review demonstrated that the use of textures and modeling orthoses strengthens sensory receptors and improves postures, as well as improves the biomechanical parameters such as evertor and invertor moments and ground reaction forces in some cases.

scholarly journals Effectiveness of Virtual Reality and Interactive Simulators on Dental Education Outcomes: Systematic Review

2021 ◽  
Author(s):  
Rania Moussa ◽  
Amira Alghazaly ◽  
Nebras Althagafi ◽  
Rawah Eshky ◽  
Sary Borzangy
Keyword(s):  
Systematic Review ◽  
Virtual Reality ◽  
Positive Impact ◽  
Dental Education ◽  
Dental Students ◽  
Cochrane Library ◽  
Virtual Technology ◽  
Education Outcomes ◽  
Positive Effects ◽  
Thomson Reuters

AbstractIn recent years, virtual reality and interactive digital simulations have been used in dental education to train dental students before interacting with real patients. Scientific evidence presented the application of virtual technology in dental education and some recent publications suggested that virtual and haptic technologies may have positive effects on dental education outcomes. The aim of this systematic review was to determine whether virtual technologies have positive effects on dental education outcomes and to explore the attitudes of dental students and educators toward these technologies. A thorough search was conducted in PubMed, Scopus, MEDLINE (via EBSCO), The Cochrane Library (via Wiley), Web of Science Core Collection (via Thomson Reuters), and Dentistry and Oral Science source (via EBSCO) using the keywords (student, dental) AND (education, dental) AND (virtual reality) OR (augmented reality) OR (haptics) OR (simulation) AND (dentistry) OR (dental medicine). The quality of the reported information was assessed following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement for systematic reviews. A total of 73 publications were considered for this review. Fifty-two of the selected studies showed significant improvement in educational outcomes and virtual technologies were positively perceived by all the participants. Within the limitations of this review, virtual technology appears to improve education outcomes in dental students. Further studies with larger samples and longer term clinical trials are needed to substantiate this potential positive impact of various virtual technologies on dental education outcomes.

Effects of virtual reality-based motor rehabilitation: a systematic review of fMRI studies

2021 ◽  
Author(s):  
Jamille A Feitosa ◽  
Corina A Fernandes ◽  
Raphael F Casseb ◽  
Gabriela Castellano
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Virtual Reality ◽  
Primary Motor Cortex ◽  
Cortical Reorganization ◽  
Assessment Tools ◽  
Functional Improvement ◽  
Motor Rehabilitation ◽  
Eligibility Criteria ◽  
Cross Sectional

Abstract Background: The use of virtual reality (VR) as a rehabilitation tool has been shown to induce motor and cognitive improvements in different populations. Functional magnetic resonance imaging (fMRI) has been used to investigate neuroplasticity resulting from these treatments. We hypothesize that VR rehabilitation induces functional improvement and brain changes that can be detected by fMRI. Objective: To systematically review the effects of VR intervention on the cortical reorganization measured by fMRI and associated with functional improvement. Methods: We performed a systematic review of studies published between 2005 and 2021. Papers were retrieved from six databases using the following keywords: “motor rehabilitation”, “fMRI” and “virtual reality”. Case studies, pre-post studies, cross-sectional studies, and randomized controlled trials published were included. Manuscripts were assessed by The NIH Study Quality Assessment Tools to determine their quality. Results: Twenty-three articles met our eligibility criteria: 18 about VR rehabilitation in stroke and five on other clinical conditions (older adults, cerebral palsy, and Parkinson's disease). Changes in neural patterns of activation and reorganization were revealed in both the ipsilesional and the contralesional hemispheres. Results were located mainly in the primary motor cortex, sensorimotor cortex and supplementary motor area in post-stroke patients in the acute, subacute, and chronic rehabilitation phases, and were associated with functional improvement after VR intervention. Similar effects were observed in older adults and in patients with other neurological diseases with improved performance. Conclusion: Most stroke-related studies showed either restoration to normal or increase of activation patterns or relateralization at/to the ipsilesional hemisphere, with some also reporting a decrease in activity or extent of activation after VR therapy. In general, VR intervention demonstrated evidence of efficacy both in neurological rehabilitation and in performance improvement of older adults, accompanied by fMRI evidence of brain reorganization.

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