VIRTUAL REALITY VERSUS TRADITIONAL STROKE MANAGEMENT IN IMPROVING ACTIVITY OF DAILY LIVING BALANCE: A RANDOMIZED CONTROL TRIAL

Authors

  • Anam Aftab Faculty of Pharmacy & Allied Health Sciences. University of Sialkot, Pakistan
  • Sarah Kafeel Isra Institute of Rehabilitation Sciences, Isra University Islamabad Pakistan
  • Sonia Munir Isra Institute of Rehabilitation Sciences, Isra University Islamabad Pakistan
  • Habiba Aslam Isra Institute of Rehabilitation Sciences, Isra University Islamabad Pakistan
  • Rizwana Butt Institute of Medical Rehabilitation, Islamabad, Pakistan
  • Syeda Kaukab SK Physioterapy Sports Injury Clinic, Cambridge ON Canada

DOI:

https://doi.org/10.52567/trj.v6i03.188

Abstract

Background: Loss of balance and Activity of daily living commonly compromised in stroke patients. Conventional physical therapy CPT) showed promising result in the rehabilitation of stroke, but these effects are very slow. Virtual reality (VR) technology is an adjunctive therapy that could be applied in neurorehabilitation in conjunction with conventional physical therapy. Objective: The aim of the study was to determine the effectiveness of virtual reality and conventional physical therapy (CPT) for stroke management in improving activities of daily living and balance. Methodology: A total of n=30 participants with sub-acute ischemic stroke, aged between 45-65 years, were divided into group A and group B. The group A received virtual reality training (VRT) with conventional physical therapy (CPT) for stroke management, while Group B received conventional physical therapy (CPT). The activities of daily living (ADLs) were assessed through Barthel index and balance was assessed through Balance Berg Scale (BBS). The data was collected at baseline, 2nd week, 4th week and after 6th week of intervention. The mixed ANOVA and One way MANCOVA was applied to see the interaction and main effects. The data was analyzed using SPSS 21. Results: The mean age of study participants of Group A was 51.533±4.82 years and Group B was 52.53±5.01 years. There    is    significant interaction   effect   between   interventions   and    level of assessment   in   Balance score {F=11.705(1.683, 47.134), p<.001, ηp2=.295} as well as activity of daily living {F=4.782(2.209, 61.841), p=.010, ηp2=.146} after 6 week intervention. Conclusion: Both groups were effective in improving ADLs and balance but VR was more effective as compared to traditional balance exercises.

Keywords: activities of daily living, acute stroke, balance, physical therapy, virtual reality

Author Biographies

Anam Aftab, Faculty of Pharmacy & Allied Health Sciences. University of Sialkot, Pakistan

Associate Professor

Sarah Kafeel, Isra Institute of Rehabilitation Sciences, Isra University Islamabad Pakistan

Assistant Professor

Sonia Munir, Isra Institute of Rehabilitation Sciences, Isra University Islamabad Pakistan

Assistant Professor

Habiba Aslam, Isra Institute of Rehabilitation Sciences, Isra University Islamabad Pakistan

Assistant Professor

Rizwana Butt, Institute of Medical Rehabilitation, Islamabad, Pakistan

Physiotherapist

Syeda Kaukab, SK Physioterapy Sports Injury Clinic, Cambridge ON Canada

Clinical Administrator

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Published

2022-09-30