Walking training associated with virtual reality-based training increases walking speed of individuals with chronic stroke: systematic review with meta-analysis.
Study Goal
The researchers aimed to determine whether walking training combined with virtual reality-based training effectively increases walking speed in chronic stroke patients and if it outperforms non-virtual reality walking interventions.
Results Summary
The meta-analysis found that virtual reality-based walking training increased walking speed by 0.17 m/s compared to placebo/nothing and by 0.15 m/s compared to non-virtual reality walking interventions, demonstrating its effectiveness.
Population
Adults with chronic stroke.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
walking training associated with virtual reality-based training | increase | walking speed | patients with stroke | - | effective in increasing | #1 |
walking training associated with virtual reality-based training | increase | walking speed | adults with chronic stroke | 0.17 m/s (IC 95% 0.08 to 0.26) | increased | #2 |
virtual reality-based training | increase | walking speed | adults with chronic stroke | 0.15 m/s (IC 95% 0.05 to 0.24) | increased | #3 |
walking training associated with virtual reality-based training | increase | walking speed | patients with stroke | - | resulted in better results than | #4 |
OBJECTIVE: To systematically review the available evidence on the efficacy of walking training associated with virtual reality-based training in patients with stroke. The specific questions were: Is walking training associated with virtual reality-based training effective in increasing walking speed after stroke? Is this type of intervention more effective in increasing walking speed, than non-virtual reality-based walking interventions? METHOD: A systematic review with meta-analysis of randomized clinical trials was conducted. Participants were adults with chronic stroke and the experimental intervention was walking training associated with virtual reality-based training to increase walking speed. The outcome data regarding walking speed were extracted from the eligible trials and were combined using a meta-analysis approach. RESULTS: Seven trials representing eight comparisons were included in this systematic review. Overall, the virtual reality-based training increased walking speed by 0.17 m/s (IC 95% 0.08 to 0.26), compared with placebo/nothing or non-walking interventions. In addition, the virtual reality-based training increased walking speed by 0.15 m/s (IC 95% 0.05 to 0.24), compared with non-virtual reality walking interventions. CONCLUSIONS: This review provided evidence that walking training associated with virtual reality-based training was effective in increasing walking speed after stroke, and resulted in better results than non-virtual reality interventions.