PMID- 31664343 OWN - NLM STAT- MEDLINE DCOM- 20200701 LR - 20200701 IS - 1678-4227 (Electronic) IS - 0004-282X (Linking) VI - 77 IP - 10 DP - 2019 TI - Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients. PG - 681-688 LID - S0004-282X2019001000681 [pii] LID - 10.1590/0004-282X20190129 [doi] AB - Immersive virtual reality (VR) is a technology that provides a more realistic environmental design and object tracking than ordinary VR. The aim of this study was to investigate the effectiveness of immersive VR on upper extremity function in patients with ischemic stroke. Sixty-five patients with ischemic stroke were included in this randomized, controlled, double-blind study. Patients were randomly divided into VR (n = 33) and control (n = 32) groups. The VR group received 60 minutes of the upper extremity immersive VR rehabilitation program and the control group received 45 minutes of conventional therapy and 15 minutes of a sham VR program. Rehabilitation consisted of 18 sessions of therapy, three days per week, for six weeks. The outcome measures were the Action Research Arm Test (ARAT), Functional Independence Measure (FIM), Fugl-Meyer Upper Extremity Scale (FMUE) and Performance Assessment of Self-Care Skills (PASS). In both the VR and control groups all parameters except the PASS improved over time. However independent t-test results showed that all of the FMUE, ARAT, FIM and PASS scores were significantly higher in the VR group compared with the control (p < 0.05). The minimal clinically important difference (MCID) scores of the FMUE and ARAT were higher than the cut-off MCID scores described in the literature in the VR group, whereas the FIM scores were below the cut-off MCID scores. All scores in the control group were below the cut-off scores. Immersive VR rehabilitation appeared to be effective in improving upper extremity function and self-care skills, but it did not improve functional independence. FAU - Ogun, Muhammed Nur AU - Ogun MN AUID- ORCID: 0000-0001-5524-5767 AD - Bolu Abant Izzet Baysal Universitesi; Noroloji Anabilim Dali, Bolu, Turkiye. FAU - Kurul, Ramazan AU - Kurul R AUID- ORCID: 0000-0001-8605-8286 AD - Bolu Abant Izzet Baysal Universitesi; Saglik Bilimleri Fakultesi, Fizik Tedavi ve Rehabilitasyon Yuksekokulu, Bolu, Turkiye. FAU - Yasar, Mustafa Fatih AU - Yasar MF AUID- ORCID: 0000-0001-6715-8388 AD - Bolu Abant Izzet Baysal Universitesi; Fizik Tedavi ve Rehabilitasyon Anabilim Dali, Bolu, Turkiye. FAU - Turkoglu, Sule Aydin AU - Turkoglu SA AUID- ORCID: 0000-0001-8616-832X AD - Bolu Abant Izzet Baysal Universitesi; Noroloji Anabilim Dali, Bolu, Turkiye. FAU - Avci, Sebnem AU - Avci S AUID- ORCID: 0000-0003-3712-0551 AD - Bolu Abant Izzet Baysal Universitesi; Saglik Bilimleri Fakultesi, Fizik Tedavi ve Rehabilitasyon Yuksekokulu, Bolu, Turkiye. FAU - Yildiz, Nebil AU - Yildiz N AUID- ORCID: 0000-0002-1845-0902 AD - Bolu Abant Izzet Baysal Universitesi; Noroloji Anabilim Dali, Bolu, Turkiye. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20191024 PL - Germany TA - Arq Neuropsiquiatr JT - Arquivos de neuro-psiquiatria JID - 0125444 SB - IM CIN - Arq Neuropsiquiatr. 2019 Oct 24;77(10):679-680. PMID: 31664342 MH - Activities of Daily Living MH - Brain Ischemia/*rehabilitation MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Motor Skills/physiology MH - Movement/physiology MH - Recovery of Function/physiology MH - Reference Values MH - Socioeconomic Factors MH - Statistics, Nonparametric MH - Stroke/physiopathology MH - Stroke Rehabilitation/*methods MH - Time Factors MH - Treatment Outcome MH - Upper Extremity/*physiopathology MH - Virtual Reality Exposure Therapy/*methods EDAT- 2019/10/31 06:00 MHDA- 2020/07/02 06:00 CRDT- 2019/10/31 06:00 PHST- 2019/04/15 00:00 [received] PHST- 2019/08/07 00:00 [accepted] PHST- 2019/10/31 06:00 [entrez] PHST- 2019/10/31 06:00 [pubmed] PHST- 2020/07/02 06:00 [medline] AID - S0004-282X2019001000681 [pii] AID - 10.1590/0004-282X20190129 [doi] PST - epublish SO - Arq Neuropsiquiatr. 2019 Oct 24;77(10):681-688. doi: 10.1590/0004-282X20190129. eCollection 2019.