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A novel use of virtual reality in the treatment of cognitive and motor deficit in spinal cord injury
- Source :
- Medicine. 97:e13559
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- Rationale Aim of this study is to evaluate the cognitive and motor outcomes after a combined rehabilitative training using a standard cognitive approach and virtual reality (VR), in a patient with spinal cord injury (SCI). Patient's concerns A 60-year-old right-handed man, affected by incomplete cervical SCI, came to our observation for a moderate tetraparesis, mainly involving the left side, after about 6-months from the acute event. The neurological examination showed imbalance with upper limb incoordination, besides the paresis mainly involving the left side. At a neuropsychological evaluation, he presented important impairment in cognitive and behavioural status, with temporal and spatial disorientation, a reduction of attention and memory process, deficit of executive function and a severe depression of mood, which was not detected during the previous recovery. Diagnosis Motor and cognitive deficits in SCI. Interventions The patient was 1st submitted to standard cognitive training and traditional physiotherapy, and then to a combined therapeutic approach, in which virtual reality training was provided by means of the virtual reality rehabilitation system (VRRS, Khymeia, Italy). Outcomes After the combined therapeutic approach with the VRRS training, we observed a significant improvement in different cognitive domains, a notable reduction of anxiety and depressive symptoms, as well as motor performance, and balance improvement. Lessons Virtual reality can be considered a promising tool for the rehabilitation of different neurological disorders, including patients with both motor and cognitive deficits following SCI.
- Subjects :
- 030506 rehabilitation
medicine.medical_specialty
Rehabilitation
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Neuropsychology
Cognition
Neurological examination
General Medicine
medicine.disease
Cognitive training
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
Anxiety
medicine.symptom
0305 other medical science
Motor Deficit
business
Spinal cord injury
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15365964 and 00257974
- Volume :
- 97
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi...........9ee2a5c891a5182d01f0204857362c2b
- Full Text :
- https://doi.org/10.1097/md.0000000000013559