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Effects of Virtual Reality-Based Therapy on Quality of Life of Patients with Subacute Stroke: A Three-Month Follow-Up Randomized Controlled Trial

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  • Marta Rodríguez-Hernández

    (Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain)

  • Juan-José Criado-Álvarez

    (Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Department of Public Health, Institute of Health Sciences, 45600 Talavera de la Reina, Spain)

  • Ana-Isabel Corregidor-Sánchez

    (Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain)

  • José L. Martín-Conty

    (Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain)

  • Alicia Mohedano-Moriano

    (Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain)

  • Begoña Polonio-López

    (Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain
    Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain)

Abstract

Objective: To evaluate the influence of conventional rehabilitation combined with virtual reality on improving quality of life related to post-stroke health. Design: Randomized controlled trial. Setting: Rehabilitation and neurology departments of a general hospital (Talavera de la Reina, Spain). Subjects: A total of 43 participants with subacute stroke. Intervention: Participants were randomized into experimental group (conventional treatment + virtual reality) and control (conventional treatment). Main measures: Health-related quality of life as measured by the EuroQoL-5 dimensions instrument (EQ-5D-5L) and EuroQoL visual analog scale (EQ-VAS). Results: A total of 23 patients in the experimental group (62.6 ± 13.5 years) and 20 in the control (63.6 ± 12.2 years) completed the study. In the experimental group, EQ-VAS score was 29.1 ± 12.8 at baseline, 86.5 ± 7.1 post-intervention, and 78.3 ± 10.3 at the three-month follow-up. The control group obtained scores of 25.5 ± 5.1, 57.0 ± 4.7, and 58.5 ± 5.9, respectively. We identified significant differences at the post-intervention and follow-up timepoints ( p = 0.000) and a partial η 2 of 0.647. In EQ-5D-5L, the severity of issues decreased after intervention in the experimental group, while pain and anxiety dimensions increased between post-intervention and follow-up. Conclusions: The conventional rehabilitative approach combined with virtual reality appears to be more effective for improving the perceived health-related quality of life in stroke survivors.

Suggested Citation

  • Marta Rodríguez-Hernández & Juan-José Criado-Álvarez & Ana-Isabel Corregidor-Sánchez & José L. Martín-Conty & Alicia Mohedano-Moriano & Begoña Polonio-López, 2021. "Effects of Virtual Reality-Based Therapy on Quality of Life of Patients with Subacute Stroke: A Three-Month Follow-Up Randomized Controlled Trial," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2810-:d:514230
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    2. Nancy J. Devlin & David Parkin & John Browne, 2010. "Patient‐reported outcome measures in the NHS: new methods for analysing and reporting EQ‐5D data," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 886-905, August.
    3. Colin D Mathers & Dejan Loncar, 2006. "Projections of Global Mortality and Burden of Disease from 2002 to 2030," PLOS Medicine, Public Library of Science, vol. 3(11), pages 1-20, November.
    4. Mohd Azzuan Ahmad & Devinder Kaur Ajit Singh & Nor Azlin Mohd Nordin & Khor Hooi Nee & Norliza Ibrahim, 2019. "Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors," IJERPH, MDPI, vol. 16(24), pages 1-9, December.
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