Perm Medical JournalPerm Medical Journal0136-14492687-1408Eco-Vector867110.17816/pmj35160-67Research ArticleEfficacy of using virtual reality in post-stroke upper limb paresisDolganovM. V.michail1_dolganov@mail.ruKarpovaM. I.michail1_dolganov@mail.ruSouth-Ural State Medical University15022018351606715042018Copyright © 2018, Dolganov M.V., Karpova M.I.2018<p><strong>Aim.</strong> To estimate the efficacy of using training by means of virtual reality in restoration of the upper limb function in patients during the acute period of stroke.</p>
<p><strong>Materials and methods.</strong> 48 patients in the acute period of stroke (average time from the onset of stroke 4.5 1.3 days, mean age 67 (45; 72.1) years were randomized into 2 groups: the main group (standard therapy + virtual reality) and the control (standard therapy alone). Patients of the main group underwent a course of virtual reality training, lasting for 15 minutes, twice a day for 10 days. The functional status before the onset of training course and after it was evaluated using Fugl-Meyer Assessment Scores (FMA), Motor Assessment Scale (MAS), Ashworth Scale, Modified Barthel Index Score (MBI), Action Research Arm Test (ARAT), 9-Hole Peg Test, Rankin Scale, Function Independence Measure (FIM) and dynamometry.</p>
<p><strong>Results.</strong> When assessing FMA of upper limb (<em>p </em>= 0.029), wrist (<em>p </em>= 0.04), hand speed (<em>p </em>= 0.02); MAS (<em>p </em>= 0.042), 9-Hole Peg Test (<em>p </em>= 0.028), paretic hand dynamometry (<em>p </em>= 0.03) and FIM (<em>p </em>= 0.045), patients of the main group demonstrated statistically significant improvement versus the control group.</p>
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