Teleneurorehabilitation program (virtual reality) for patients with balance disorders: descriptive study

Marcos Maldonado-Díaz*, Patricia Vargas, Ricardo Vasquez, Felipe Gonzalez-Seguel, Betel Rivero, Viviane Hidalgo-Cabalín, Tania Gutierrez-Panchana

*Autor correspondiente de este trabajo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

3 Citas (Scopus)

Resumen

Background: Balance disorders are common in patients with neurological or vestibular diseases. Telerehabilitation program is a treatment to be as safe as conventional treatment. One of the most used methods to perform telerehabilitation is the incorporation of Virtual Reality. In general, rehabilitation programs train predictive postural control, so the patient does not always acquire the necessary autonomy to react to situations of instability. On the other hand, the objective and systematic supervision and measurement of these programs is limited, making it necessary to create clinical protocols with precise and measurable rehabilitation objectives. This study present the training selection methodology and clinical protocol for patients with balance disorders inserted in a Telerehabilitation Program based on Virtual Reality. Methods: Descriptive study where physiotherapists were trained to use RehaMetrics®. To evaluate their level of agreement in the selection of the exercise clusters developed, the Interobserver Reliability was measured through the kappa statistic. Subsequently, the exercises were applied to a group of patients recruited with sedentary trunk control (Berg Balance Scale = 3 points in item 3), mild or normal cognitive level (Montreal Cognitive Assessment> 21 points), and prescribed for tele-rehabilitation by a doctor. Results: The agreement among the expert physiotherapists irrespective of the cluster exceeds 80%, which indicates a very good strength of agreement, while the novices reached a level of agreement of 45%, which suggests a moderate strength of agreement. All clinical outcomes showed statistically significant differences between the median times, as did the Maximum Width Left Side (MWLS) (cm). The average number of minutes of training was 485.81 (SD 246.49 min), and the number of sessions performed during the 4 weeks of intervention was 17 (SD 7.15 sessions). Conclusions: This analysis what had excellent interobserver reliability with trained physiotherapists. Regarding the second phase of the study, the results show a statistically significant difference between the initial and final evaluation of the clinical tests, which could result in better performance in aspects such as: balance, gait functionality, meter walked and cognition. Telerehabilitation Program based on Virtual Reality is an excellent alternative to provide continuity of treatment to patients with balance disorders.

Idioma originalInglés
Número de artículo83
PublicaciónBMC Sports Science, Medicine and Rehabilitation
Volumen13
N.º1
DOI
EstadoPublicada - 2021
Publicado de forma externa

Nota bibliográfica

Funding Information:
The authors appreciate the considerable contributions of Gabriel Cavada and Alba León, the statistical specialists in the study. The authors also express their sincere thanks and appreciation to María Teresa Cortés, the translator of the study; to the physiotherapy students for their voluntary participation in the performance of each exercise in the software; to physiotherapists from the Physical Medicine and Rehabilitation Service of Clínica Alemana who volunteered to participate in the cluster evaluation process; and to participants with balance disorders who generously contributed their time to the study.

Publisher Copyright:
© 2021, The Author(s).

Áreas temáticas de ASJC Scopus

  • Ortopedia y medicina del deporte
  • Terapia física, deportiva y rehabilitación
  • Rehabilitación

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