Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001000654 |
Resumo: | ABSTRACT Background: Virtual reality therapy (VRT) is an interactive intervention that induces neuroplasticity. The aim was to evaluate the effects of VRT associated with conventional rehabilitation for an upper limb after stroke, and the neuroimaging predictors of a better response to VRT. Methods: Patients with stroke were selected, and clinical neurological, upper limb function, and quality of life were evaluated. Statistical analysis was performed using a linear model comparing pre- and post-VRT. Lesions were segmented in the post-stroke computed tomography. A voxel-based lesion-symptom mapping approach was used to investigate the relationship between the lesion and upper limb function. Results: Eighteen patients were studied (55.5 ± 13.9 years of age). Quality of life, functional independence, and dexterity of the upper limb showed improvement after VRT (p < 0.001). Neuroimaging analysis showed negative correlations between the internal capsule lesion and functional recovery. Conclusion: VRT showed benefits for patients with stroke, but when there was an internal capsule lesion, a worse response was observed. |
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Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better responseStrokeneuroimagingvirtual reality exposure therapyABSTRACT Background: Virtual reality therapy (VRT) is an interactive intervention that induces neuroplasticity. The aim was to evaluate the effects of VRT associated with conventional rehabilitation for an upper limb after stroke, and the neuroimaging predictors of a better response to VRT. Methods: Patients with stroke were selected, and clinical neurological, upper limb function, and quality of life were evaluated. Statistical analysis was performed using a linear model comparing pre- and post-VRT. Lesions were segmented in the post-stroke computed tomography. A voxel-based lesion-symptom mapping approach was used to investigate the relationship between the lesion and upper limb function. Results: Eighteen patients were studied (55.5 ± 13.9 years of age). Quality of life, functional independence, and dexterity of the upper limb showed improvement after VRT (p < 0.001). Neuroimaging analysis showed negative correlations between the internal capsule lesion and functional recovery. Conclusion: VRT showed benefits for patients with stroke, but when there was an internal capsule lesion, a worse response was observed.Academia Brasileira de Neurologia - ABNEURO2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001000654Arquivos de Neuro-Psiquiatria v.76 n.10 2018reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20180104info:eu-repo/semantics/openAccessGonçalves,Maicon GabrielPiva,Mariana Floriano LuizaMarques,Carlos Leonardo SacomaniCosta,Rafael Dalle Molle daBazan,RodrigoLuvizutto,Gustavo JoséBetting,Luiz Eduardo Gomes Garciaeng2018-10-29T00:00:00Zoai:scielo:S0004-282X2018001000654Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2018-10-29T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
title |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
spellingShingle |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response Gonçalves,Maicon Gabriel Stroke neuroimaging virtual reality exposure therapy |
title_short |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
title_full |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
title_fullStr |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
title_full_unstemmed |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
title_sort |
Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of a better response |
author |
Gonçalves,Maicon Gabriel |
author_facet |
Gonçalves,Maicon Gabriel Piva,Mariana Floriano Luiza Marques,Carlos Leonardo Sacomani Costa,Rafael Dalle Molle da Bazan,Rodrigo Luvizutto,Gustavo José Betting,Luiz Eduardo Gomes Garcia |
author_role |
author |
author2 |
Piva,Mariana Floriano Luiza Marques,Carlos Leonardo Sacomani Costa,Rafael Dalle Molle da Bazan,Rodrigo Luvizutto,Gustavo José Betting,Luiz Eduardo Gomes Garcia |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Gonçalves,Maicon Gabriel Piva,Mariana Floriano Luiza Marques,Carlos Leonardo Sacomani Costa,Rafael Dalle Molle da Bazan,Rodrigo Luvizutto,Gustavo José Betting,Luiz Eduardo Gomes Garcia |
dc.subject.por.fl_str_mv |
Stroke neuroimaging virtual reality exposure therapy |
topic |
Stroke neuroimaging virtual reality exposure therapy |
description |
ABSTRACT Background: Virtual reality therapy (VRT) is an interactive intervention that induces neuroplasticity. The aim was to evaluate the effects of VRT associated with conventional rehabilitation for an upper limb after stroke, and the neuroimaging predictors of a better response to VRT. Methods: Patients with stroke were selected, and clinical neurological, upper limb function, and quality of life were evaluated. Statistical analysis was performed using a linear model comparing pre- and post-VRT. Lesions were segmented in the post-stroke computed tomography. A voxel-based lesion-symptom mapping approach was used to investigate the relationship between the lesion and upper limb function. Results: Eighteen patients were studied (55.5 ± 13.9 years of age). Quality of life, functional independence, and dexterity of the upper limb showed improvement after VRT (p < 0.001). Neuroimaging analysis showed negative correlations between the internal capsule lesion and functional recovery. Conclusion: VRT showed benefits for patients with stroke, but when there was an internal capsule lesion, a worse response was observed. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001000654 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001000654 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x20180104 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.76 n.10 2018 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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