Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Effect of Virtual Reality–Based Rehabilitation on Upper-Extremity Function in Patients with Brain Tumor: Controlled Trial

Yoon, Jisun MD; Chun, Min Ho MD, PhD; Lee, Sook Joung MD; Kim, Bo Ryun MD

American Journal of Physical Medicine & Rehabilitation: June 2015 - Volume 94 - Issue 6 - p 449–459
doi: 10.1097/PHM.0000000000000192
Original Research Articles
Buy

Objective The aim of this study was to evaluate the benefit of virtual reality–based rehabilitation on upper-extremity function in patients with brain tumor.

Design Patients with upper-extremity dysfunction were divided into age-matched and tumor type–matched two groups. The intervention group performed the virtual reality program 30 mins per session for 9 sessions and conventional occupational therapy 30 mins per session for 6 sessions for 3 wks, whereas the control group received conventional occupational therapy alone 30 mins per session for 15 sessions for 3 wks. The Box and Block test, the Manual Function test, and the Fugl-Meyer scale were used to evaluate upper-extremity function. The Korean version of the Modified Barthel Index was used to assess activities of daily living.

Results Forty patients completed the study (20 for each group). Each group exhibited significant posttreatment improvements in the Box and Block test, Manual Function test, Fugl-Meyer scale, and Korean version of the Modified Barthel Index scores. The Box and Block test, the Fugl-Meyer scale, and the Manual Function test showed greater improvements in shoulder/elbow/forearm function in the intervention group and hand function in the control group.

Conclusions Virtual reality–based rehabilitation combined with conventional occupational therapy may be more effective than conventional occupational therapy, especially for proximal upper-extremity function in patients with brain tumor. Further studies considering hand function, such as use of virtual reality programs that targeting hand use, are required.

From the Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul (JY, MHC); Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan (SJL); and Department of Rehabilitation Medicine, Jeju National University Hospital, University of Jeju College of Medicine, Jeju, Republic of Korea (BRK).

All correspondence and requests for reprints should be addressed to: Min Ho Chun, MD, PhD, Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-Ro 43-Gil, Songpa-gu, Seoul 138–736, Republic of Korea.

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.