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1. Citation: Santos Palma, G. C., Freitas, T. B., Bonuzzi, G. M. G., Soares, M. A. A., Leite, P. H. W. , Mazzini, N. A., . . . & Torriani-Pasin, C. (2017). Effects of virtual reality for stroke individuals based on the international classification of functioning and health: A systematic review. Topics in Stroke Rehabilitation, 24(4), 269-278.
Keywords: Classification systems, computer applications, exercise, literature reviews, outcomes, physical therapy, rehabilitation technology, stroke, therapeutic training
Abstract: This literature review examined the effects of virtual reality interventions for stroke subjects based on the International Classification of Functioning, Disability, and Health (ICF) framework. The ICF has two parts. Part 1, Functioning and Disability, contains the components Body Structures, Body Functions, Activity, and Participation. Part 2, Contextual Factors, contains the Environmental Factors and Personal Factors components. A systematic search was conducted for randomized controlled trials that included adults with a clinical diagnosis of a chronic, subacute, or acute stroke; an intervention protocol and follow-up; and a focus on upper limbs and/or lower limbs and/or balance. The Physiotherapy Evidence Database (PEDro) was used to assess the methodological quality of included studies. Only high-quality trials were analyzed specifically based on the outcome of these trials. In total, 54 trials involving 1811 participants were included. Of the papers included and considered high quality, 14 trials evaluated areas of the Body Structures component, 20 trials of the Body Functions domain, 17 trials of the Activity component, and 8 trials of the Participation domain. In relation to ICF Part 2, four trials evaluated areas of the Personal Factors component and one trial evaluated domains of the Environmental Factors component. Results indicated that the effects of virtual reality on stroke rehabilitation based on the ICF framework are positive in Body Function and Body Structure. However, the results in the domains Activity and Participation are inconclusive. More high-quality clinical trials are needed to confirm the effectiveness of virtual reality in the domains of Activity and Participation.
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Record Updated:2018-10-29

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