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Considerations in the efficacy and effectiveness of virtual reality interventions for stroke rehabilitation: moving the field forward


, : Considerations in the efficacy and effectiveness of virtual reality interventions for stroke rehabilitation: moving the field forward. Physical Therapy 95(3): 441-448

In the past 2 decades, researchers have demonstrated the potential for virtual reality (VR) technologies to provide engaging and motivating environments for stroke rehabilitation interventions. Much of the research has been focused on the exploratory phase, and jumps to intervention efficacy trials and scale-up evaluation have been made with limited understanding of the active ingredients in a VR intervention for stroke. The rapid pace of technology development is an additional challenge for this emerging field, providing a moving target for researchers developing and evaluating potential VR technologies. Recent advances in customized games and cutting-edge technology used for VR are beginning to allow for researchers to understand and control aspects of the intervention related to motivation, engagement, and motor control and learning. This article argues for researchers to take a progressive, step-wise approach through the stages of intervention development using evidence-based principles, take advantage of the data that can be obtained, and utilize measurement tools to design effective VR interventions for stroke rehabilitation that can be assessed through carefully designed efficacy and effectiveness trials. This article is motivated by the recent calls in the field of rehabilitation clinical trials research for carefully structured clinical trials that have progressed through the phases of research.

US$19.90

PMID: 25343960

DOI: 10.2522/ptj.20130571


Other references

Anonymous, 2001: European directive on clinical trials. Bulletin of Medical Ethics No. 148: 3-4

Soldatov, V.N., 1970: Infection of Oats by P. coronafaciens under conditions in the Leningrad region. coronafaciens attacks oat leaves and very infrequently the stem and panicle. Low temp, and high R.H. favour the disease. Of 510 samples tested, 146 proved very susceptible, 189 were moderately infected, 123 slightly infected and only 52 resistant....

Knight, A.W.; Little, S.; Houck, K.; Dix, D.; Judson, R.; Richard, A.; McCarroll, N.; Akerman, G.; Yang, C.; Birrell, L.; Walmsley, R.M., 2009: Evaluation of high-throughput genotoxicity assays used in profiling the US EPA ToxCast chemicals. Three high-throughput screening (HTS) genotoxicity assays-GreenScreen HC GADD45a-GFP (Gentronix Ltd.), CellCiphr p53 (Cellumen Inc.) and CellSensor p53RE-bla (Invitrogen Corp.)-were used to analyze the collection of 320 predominantly pesticide act...

Tomei, P.E., 2005: Flora of medicinal interest in the Mediterranean maquis: some examples. The author, after a brief introduction to the great number of medicinal plants found in the Mediterranean flora of Italy, provides information on their utilization since the classical age to the present day. The medicinal properties are described...

Mészáros, Bálint.; Simon, Ián.; Dosztányi, Z., 2012: The expanding view of protein-protein interactions: complexes involving intrinsically disordered proteins. A frequently neglected aspect of protein-protein interactions is flexibility. Small-scale fluctuations are present even in globular proteins, and alternative conformations can have a significant influence on the binding process. However, flexibili...

Decool, J., 1977: Conservation of pulp vitality in fixed dentures. Acta Stomatologica Belgica 74(1): 35-47

Sapozhnikova, I.; Korsakov, S.S., 1950: Unveiling of Korsakov's monument. Nevropatologiia i Psikhiatriia 19(5): 76-78

Ferreira, Cáudia.de.Oliveira.; Antunes, Jé.Leopoldo.Ferreira.; Andrade, F.Bof.de., 2014: Factors associated with the use of dental services by elderly Brazilians. To assess the association between recent use of dental services, socioeconomic factors and oral health measures among elderly Brazilians. The sample consisted of elderly individuals aged 65 to 74, who participated in the Brazilian Oral Health Surv...

Hochberg; Kephart; York, 1993: Positivity of entropy in the semiclassical theory of black holes and radiation. Physical Review. D, Particles and Fields 48(2): 479-484

Shen, H.; Igarashi, H.; Imamura, N.; Matsuki, N.; Nomura, H., 2014: N-methyl-D-aspartate receptors and protein synthesis are necessary for reinstatement of conditioned fear. Conditioned fear is extinguished if a conditioned animal receives the conditioned stimulus without an unconditioned stimulus. The extinguished fear response can be reinstated after the animal experiences a mild unconditioned stimulus. Although ext...