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The aim of this systematic review was to analyse the effectiveness of virtual reality intervention as an aid for treatment-related anxiety and fatigue in cancer patients undergoing chemotherapy. The term chemotherapy was assumed without distinction regarding type. The inclusion criteria were (1) randomised controlled trials or crossover studies, (2) adult cancer patients undergoing chemotherapy, (3) treatment with VR scenarios providing distraction during chemotherapy, and (4) with pain, anxiety, fatigue, fear, or symptom distress as the measured outcomes. Articles in English, Polish, and Italian were sought. For the methodological quality assessment of risk of bias, likewise statistical analysis and meta-analysis the RevMan version 5.4 software and the Cochrane Risk of Bias Tool were used. Two authors independently analysed the following databases for relevant research articles: PubMed, Scopus, Cochrane Library, Web of Science, and Embase. From a total of 2543 records, 6 studies met the inclusion criteria for qualitative analysis. At the end of the process, 3 studies remained for quantitative analysis. The systematic review includes three randomised, controlled studies and three crossover studies with an overall sample size of 453 patients. The analysis of the primary outcomes chosen for each study revealed no significant differences between the control and experimental conditions. Moreover, an important factor influencing the results of the review and meta-analysis was the poor quality of the publications available on the topic of distraction during chemotherapy. Due to the low research standards, the results do not provide an unambiguous answer to the research question. The most important limitations result from the small number of trials, the generally small sample sizes, and the differences in study design.
Sebastian Rutkowski; Oliver Czech; Adam Wrzeciono; Paweł Kiper; Joanna Szczepańska-Gieracha; Iwona Malicka. Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions. Complementary Therapies in Medicine 2021, 61, 102767 .
AMA StyleSebastian Rutkowski, Oliver Czech, Adam Wrzeciono, Paweł Kiper, Joanna Szczepańska-Gieracha, Iwona Malicka. Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions. Complementary Therapies in Medicine. 2021; 61 ():102767.
Chicago/Turabian StyleSebastian Rutkowski; Oliver Czech; Adam Wrzeciono; Paweł Kiper; Joanna Szczepańska-Gieracha; Iwona Malicka. 2021. "Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions." Complementary Therapies in Medicine 61, no. : 102767.
Needle-related procedures are often a source of pain, anxiety and fear in young patients. This systematic review aimed to investigate the effectiveness of virtual reality (VR) on reducing pain, fear and anxiety in pediatric patients undergoing needle-related procedures. Pain, anxiety, fear, changes in blood pressure and heart rate as well as satisfaction were evaluated as outcomes during needle-related procedures in VR compared with standard care conditions. A meta-analysis was performed, taking into account online databases. Two authors independently conducted literature searches in December 2020. The last search was conducted in March 2021 from a total of 106 records, 7 met our inclusion criteria. One study was excluded from the meta-analysis due to insufficient data. VR was applied as a distractor during venous access. Statistically significant benefits of using VR were shown in children’s pain scores, where VR significantly decreased symptoms (n = 3204 patients, MD = −2.85; 95% CI −3.57, −2.14, for the Wong–Baker Faces Pain Rating Scale and n = 2240 patients, MD = −0.19; 95% CI −0.58, 0.20, for the Faces Pain Scale—Revised). The analysis of fear, anxiety and satisfaction scores revealed no significant differences between the conditions, as the studies were too heterogeneous to be pooled. Distraction using virtual reality may be an effective intervention for reducing pain in children undergoing needle-related medical procedures. However, further research in the implementation of VR as a distractor for children and adolescents is required, due to the limited research into this field.
Oliver Czech; Adam Wrzeciono; Anna Rutkowska; Agnieszka Guzik; Paweł Kiper; Sebastian Rutkowski. Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine 2021, 10, 3248 .
AMA StyleOliver Czech, Adam Wrzeciono, Anna Rutkowska, Agnieszka Guzik, Paweł Kiper, Sebastian Rutkowski. Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2021; 10 (15):3248.
Chicago/Turabian StyleOliver Czech; Adam Wrzeciono; Anna Rutkowska; Agnieszka Guzik; Paweł Kiper; Sebastian Rutkowski. 2021. "Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis." Journal of Clinical Medicine 10, no. 15: 3248.
To evaluate effectiveness or non-inferiority of telerehabilitation for people with aphasia when compared to conventional face-to-face speech and language therapy. Five electronic databases (PUBMED, EMBASE, WEB OF SCIENCE, SCOPUS and the Cochrane Library) were searched. We extrapolated data from the included studies and evaluated the methodological quality using the Revised Cochrane risk-of-bias tool for Randomized Trials (RoB 2) and the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I). A meta-analysis compared effects of intervention, and it was conducted using the Review Manager 5.3 software. GRADE profile to assess overall quality of evidence was carried out. Out of a total of 1157 records, five studies met the inclusion criteria and were eligible for meta-analysis with a total of 132 participants with post-stroke aphasia. Results revealed that telerehabilitation and face-to-face speech and language treatment are comparable with respect to the gains achieved in auditory comprehension (SMD = −0.02; 95% CI −0.39, 0.35), naming accuracy (SMD = −0.09; 95% CI −0.44, 0.25), Aphasia Quotient (MD = −2.18; 95% CI −16.00, 11.64), generalization (SMD = 0.77; 95% IC −0.95, 2.49) and functional communication skills (SMD = −0.08; 95% IC −0.54, 0.38). Although evidence is still insufficient to guide clinical decision making due to the relatively low quality of the evidence identified, the analysis of the results suggest that telerehabilitation training for aphasia seems to be as effective as the conventional face-to-face treatment.
Cacciante Luisa; Kiper Pawel; Garzon Martina; Baldan Francesca; Federico Sara; Turolla Andrea; Agostini Michela. Telerehabilitation for people with aphasia: A systematic review and meta-analysis. Journal of Communication Disorders 2021, 92, 106111 .
AMA StyleCacciante Luisa, Kiper Pawel, Garzon Martina, Baldan Francesca, Federico Sara, Turolla Andrea, Agostini Michela. Telerehabilitation for people with aphasia: A systematic review and meta-analysis. Journal of Communication Disorders. 2021; 92 ():106111.
Chicago/Turabian StyleCacciante Luisa; Kiper Pawel; Garzon Martina; Baldan Francesca; Federico Sara; Turolla Andrea; Agostini Michela. 2021. "Telerehabilitation for people with aphasia: A systematic review and meta-analysis." Journal of Communication Disorders 92, no. : 106111.
The lockdown with a prohibition of free mobility introduced in many countries has affected restrictions in physical activity (PA). The purpose of the study was to compare PA during restrictions and the “unfreezing” stage. The study group consisted of 89 healthy adult students. To assess the level of PA, a long version of the International Physical Activity Questionnaire (IPAQ) was used. The first evaluation was carried out in the period from 16 to 20 April 2020 at the time of the lockdown and the second in the period from 11 to 14 May 2020 during the so-called “unfreezing”. The average total PA rate during the first measurement was 8640 metabolic equivalent (MET)-min/week and in the second, 10,560 MET-min/week. The analysis of total energy expenditure showed a statistically significant difference (p < 0.029). The establishment of “unfreezing” laws for sport and recreation and the reduction of restrictions have significantly contributed to an increase in the overall level of PA. Based on our outcomes, we recommend students follow the scientific guidelines for undertaking PA (i.e., WHO) during the pandemic in order to maintain an appropriate pro-healthy dose of exercise.
Anna Rutkowska; Katarzyna Kacperak; Sebastian Rutkowski; Luisa Cacciante; Pawel Kiper; Jan Szczegielniak. The Impact of Isolation Due to COVID-19 on Physical Activity Levels in Adult Students. Sustainability 2021, 13, 446 .
AMA StyleAnna Rutkowska, Katarzyna Kacperak, Sebastian Rutkowski, Luisa Cacciante, Pawel Kiper, Jan Szczegielniak. The Impact of Isolation Due to COVID-19 on Physical Activity Levels in Adult Students. Sustainability. 2021; 13 (2):446.
Chicago/Turabian StyleAnna Rutkowska; Katarzyna Kacperak; Sebastian Rutkowski; Luisa Cacciante; Pawel Kiper; Jan Szczegielniak. 2021. "The Impact of Isolation Due to COVID-19 on Physical Activity Levels in Adult Students." Sustainability 13, no. 2: 446.
Objective: To analyse the effect of virtual reality therapy combined with conventional physiotherapy...
P Kiper; C Luque-Moreno; S Pernice; L Maistrello; M Agostini; A Turolla. Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke. Journal of Rehabilitation Medicine 2020, 52, jrm00122 .
AMA StyleP Kiper, C Luque-Moreno, S Pernice, L Maistrello, M Agostini, A Turolla. Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke. Journal of Rehabilitation Medicine. 2020; 52 (11):jrm00122.
Chicago/Turabian StyleP Kiper; C Luque-Moreno; S Pernice; L Maistrello; M Agostini; A Turolla. 2020. "Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke." Journal of Rehabilitation Medicine 52, no. 11: jrm00122.
The importance of knee sagittal kinematic parameters, as a predictor of walking performance in post-stroke gait has been emphasised by numerous researchers. However, no studies so far were designed to determine the minimal clinically important differences (MCID), i.e., the smallest difference in the relevant score for the kinematic gait parameters, which are perceived as beneficial for patients with stroke. Studies focusing on clinically important difference are useful because they can identify the clinical relevance of changes in the scores. The purpose of the study was to estimate the MCID for knee range of motion (ROM) in the sagittal plane for the affected and unaffected side at a chronic stage post-stroke. Fifty individuals were identified in a database of a rehabilitation clinic. We estimated MCID values using: an anchor-based method, distribution-based method, linear regression analysis and specification of the receiver operating characteristic (ROC) curve. In the anchor-based study, the mean change in knee flexion/extension ROM for the affected/unaffected side in the MCID group amounted to 8.48°/6.81° (the first MCID estimate). In the distribution-based study, the standard error of measurement for the no-change group was 1.86°/5.63° (the second MCID estimate). Method 3 analyses showed 7.71°/4.66° change in the ROM corresponding to 1.85-point change in the Barthel Index. The best cut-off point, determined with ROC curve, was the value corresponding to 3.9°/3.8° of change in the knee sagittal ROM for the affected/unaffected side (the fourth MCID estimate). We have determined that, in chronic stroke, MCID estimates of knee sagittal ROM for the affected side amount to 8.48° and for the unaffected side to 6.81°. These findings will assist clinicians and researchers in interpreting the significance of changes observed in kinematic sagittal plane parameters of the knee. The data are part of the following clinical trial: Australian New Zealand Clinical Trials Registry: ACTRN12617000436370
Agnieszka Guzik; Mariusz Drużbicki; Andżelina Wolan-Nieroda; Andrea Turolla; Pawel Kiper. Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke. Journal of Clinical Medicine 2020, 9, 3305 .
AMA StyleAgnieszka Guzik, Mariusz Drużbicki, Andżelina Wolan-Nieroda, Andrea Turolla, Pawel Kiper. Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke. Journal of Clinical Medicine. 2020; 9 (10):3305.
Chicago/Turabian StyleAgnieszka Guzik; Mariusz Drużbicki; Andżelina Wolan-Nieroda; Andrea Turolla; Pawel Kiper. 2020. "Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke." Journal of Clinical Medicine 9, no. 10: 3305.
Virtual reality (VR) is being used more and more often as a therapeutic tool in psychology or psychiatry. In recent years, VR interventions appear more extensively also in disorders such as depression, anxiety and phobia. However, there has yet to be a comprehensive synthesis and critical review of the literature to identify future directions to advance the field in this area. To broadly characterize the literature to date on the application of VR in psychiatric disorders by conducting a systematic review of reviews, describe the limitations of existing research, suggest avenues for future research to address gaps in the current literature and provide practical recommendations for incorporating VR into various treatments for psychiatric disorders. PubMed and Web of Science databases were searched for reviews on VR use in psychiatric disorders (e.g. various pain perceptions, post-traumatic stress disorder, phobias, attention deficit hyperactivity disorder, psychosis, depression). The methodological quality of each literature review was assessed using AMSTAR. The original search identified 848 reviews, of which 70 were included in the systematic review of reviews. Broadly, the literature indicates that various VR interventions could be useful in different psychiatric disorders. This study provides evidence supporting the positive impact of VR therapy in psychiatric disorders. However, the impact is defined differently according to the studied area. Nevertheless, due to the continuous development of VR hardware and software, it is essential to conduct further research in the area of psychiatric disorders, especially as no review has concluded that VR does not work.
Błażej Cieślik; Justyna Mazurek; Sebastian Rutkowski; Paweł Kiper; Andrea Turolla; Joanna Szczepańska-Gieracha. Virtual reality in psychiatric disorders: A systematic review of reviews. Complementary Therapies in Medicine 2020, 52, 102480 .
AMA StyleBłażej Cieślik, Justyna Mazurek, Sebastian Rutkowski, Paweł Kiper, Andrea Turolla, Joanna Szczepańska-Gieracha. Virtual reality in psychiatric disorders: A systematic review of reviews. Complementary Therapies in Medicine. 2020; 52 ():102480.
Chicago/Turabian StyleBłażej Cieślik; Justyna Mazurek; Sebastian Rutkowski; Paweł Kiper; Andrea Turolla; Joanna Szczepańska-Gieracha. 2020. "Virtual reality in psychiatric disorders: A systematic review of reviews." Complementary Therapies in Medicine 52, no. : 102480.
Despite many devices are helpful for motion analysis, there is still no established standard technique for the assessment of cervical spine mobility. To compare differences in using immersive or non-immersive virtual reality (VR) for the assessment of the sensorimotor movement of the cervical spine in healthy subjects. Thirty-five healthy adults were asked to perform head rotation, flexion, extension, lateral flexion, reaching and repositioning tasks with the head. The same tasks were performed interacting with both non-immersive and immersive virtual reality. Random sequence determined which of the environments was used as first assessment. Range of motion and kinematics i.e. number of completed targets, time of execution (seconds), spatial length (cm), angle distance (°), jerk of the cervical spine, were automatically computed by a 6D electromagnetic motion tracking system. The following variables were significantly larger in immersive than non-immersive VR: head right rotation (p = 0.027), extension (p = 0.047), flexion (p = 0.000), time (p = 0.001), spatial length (p = 0.004), jerk target (p = 0.032), trajectory repositioning (p = 0.003), jerk target repositioning (p = 0.007). A regression model showed that assessment in both VR environments can be influenced by dependent and independent variables. Immersive VR provided more accurate measurement of cervical spine than non-immersive VR in healthy adults.
Pawel Kiper; Alfonc Baba; Mahmoud Alhelou; Giorgia Pregnolato; Lorenza Maistrello; Michela Agostini; Andrea Turolla. Assessment of the cervical spine mobility by immersive and non-immersive virtual reality. Journal of Electromyography and Kinesiology 2020, 51, 102397 .
AMA StylePawel Kiper, Alfonc Baba, Mahmoud Alhelou, Giorgia Pregnolato, Lorenza Maistrello, Michela Agostini, Andrea Turolla. Assessment of the cervical spine mobility by immersive and non-immersive virtual reality. Journal of Electromyography and Kinesiology. 2020; 51 ():102397.
Chicago/Turabian StylePawel Kiper; Alfonc Baba; Mahmoud Alhelou; Giorgia Pregnolato; Lorenza Maistrello; Michela Agostini; Andrea Turolla. 2020. "Assessment of the cervical spine mobility by immersive and non-immersive virtual reality." Journal of Electromyography and Kinesiology 51, no. : 102397.
Purpose: This study compared the effects of inpatient-based rehabilitation program of patients with chronic obstructive pulmonary disease (COPD) using non-immersive virtual reality (VR) training with a traditional pulmonary rehabilitation program. The aims of this study were to determine 1) whether rehabilitation featuring both VR as well as exercise training provides benefits over exercise training (ET) alone and 2) whether rehabilitation featuring VR training instead of exercise training provides equivalent benefits. Patients and Methods: The study recruited 106 patients with COPD to a 2-week high-intensity, five times a week intervention. Randomized into three groups, 34 patients participated in a traditional pulmonary rehabilitation program including endurance exercise training (ET), 38 patients participated in traditional pulmonary rehabilitation, including both endurance exercise training and virtual reality training (ET+VR) and 34 patients participated in pulmonary rehabilitation program including virtual reality training but no endurance exercise training (VR). The traditional pulmonary rehabilitation program consisted of fitness exercises, resistance respiratory muscle and relaxation training. Xbox 360® and Kinect® Adventures software were used for the VR training of lower and upper body strength, endurance, trunk control and dynamic balance. Comparison of the changes in the Senior Fitness Test was the primary outcome. Analysis was performed using linear mixed-effects models. Results: The comparison between ET and ET+VR groups showed that ET+VR group was superior to ET group in Arm Curl (p< 0.003), Chair stand (p< 0.008), Back scratch (p< 0.002), Chair sit and reach (p< 0.001), Up and go (p< 0.000), 6-min walk test (p< 0.011). Whereas, the comparison between ET and VR groups showed that VR group was superior to ET group in Arm Curl (p< 0.000), Chair stand (p< 0.001), 6-min walk test (p< 0.031). Conclusion: Results suggest that pulmonary rehabilitation program supplemented with VR training is beneficial intervention to improve physical fitness in patients with COPD.
Sebastian Rutkowski; Anna Rutkowska; Pawel Kiper; Dariusz Jastrzebski; Henryk Racheniuk; Andrea Turolla; Jan Szczegielniak; Richard Casaburi. Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial. International Journal of Chronic Obstructive Pulmonary Disease 2020, ume 15, 117 -124.
AMA StyleSebastian Rutkowski, Anna Rutkowska, Pawel Kiper, Dariusz Jastrzebski, Henryk Racheniuk, Andrea Turolla, Jan Szczegielniak, Richard Casaburi. Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial. International Journal of Chronic Obstructive Pulmonary Disease. 2020; ume 15 ():117-124.
Chicago/Turabian StyleSebastian Rutkowski; Anna Rutkowska; Pawel Kiper; Dariusz Jastrzebski; Henryk Racheniuk; Andrea Turolla; Jan Szczegielniak; Richard Casaburi. 2020. "Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial." International Journal of Chronic Obstructive Pulmonary Disease ume 15, no. : 117-124.
Background. Ankle spasticity is a frequent phenomenon that limits functionality in poststroke patients. Objectives. Our aim was to determine if there was decreased spasticity in the ankle plantar flex (PF) muscles in the plegic lower extremity (LE) and improvement of gait function in stroke patients after traditional rehabilitation (TR) in combination with virtual reality with reinforced feedback, which is termed “reinforced feedback virtual environment” (RFVE). Methods. The evaluation, before and after treatment, of 10 hemiparetic patients was performed using the Modified Ashworth Scale (MAS), Functional Ambulatory Category (FAC), and Functional Independence Measure (FIM). The intervention consisted of 1 hour/day of TR plus 1 hour/day of RFVE (5 days/week for 3 weeks; 15 sessions in total). Results. The MAS and FAC reached statistical significance ( P < 0.05 ). The changes in the FIM did not reach statistical significance ( P = 0.066 ). The analysis between the ischemic and haemorrhagic patients showed significant differences in favour of the haemorrhagic group in the FIM scale. A significant correlation between the FAC and the months after the stroke was established ( P = − 0.711 ). Indeed, patients who most increased their score on the FAC at the end of treatment were those who started the treatment earliest after stroke. Conclusions. The combined treatment of TR and RFVE showed encouraging results regarding the reduction of spasticity and improvement of gait function. An early commencement of the treatment seems to be ideal, and future research should increase the sample size and assessment tools.
Carlos Luque-Moreno; Fátima Cano-Bravo; Pawel Kiper; Ignacio Solís-Marcos; Jose A. Moral-Munoz; Michela Agostini; Ángel Oliva-Pascual-Vaca; Andrea Turolla. Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement. BioMed Research International 2019, 2019, 1 -9.
AMA StyleCarlos Luque-Moreno, Fátima Cano-Bravo, Pawel Kiper, Ignacio Solís-Marcos, Jose A. Moral-Munoz, Michela Agostini, Ángel Oliva-Pascual-Vaca, Andrea Turolla. Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement. BioMed Research International. 2019; 2019 ():1-9.
Chicago/Turabian StyleCarlos Luque-Moreno; Fátima Cano-Bravo; Pawel Kiper; Ignacio Solís-Marcos; Jose A. Moral-Munoz; Michela Agostini; Ángel Oliva-Pascual-Vaca; Andrea Turolla. 2019. "Reinforced Feedback in Virtual Environment for Plantar Flexor Poststroke Spasticity Reduction and Gait Function Improvement." BioMed Research International 2019, no. : 1-9.
Introduction: The aim of this study was to assess physical fitness (PF) in healthy volunteers using the Senior Fitness Test (SFT) after a series of training sessions in virtual reality (VR) using the X-box 360 Kinect System. Materials and methods: This pilot study consisted of 32 healthy subjects aged 19 to 24 years (12 males and 20 females) with the mean age of 20.6±1.4 years and the mean BMI of 23.29±2.3. The subjects participated in the study for 2 weeks, at a frequency of 4 sessions weekly. Each session comprised 4 Kinect Adventures games: 20 000 Leaks, Curvy Creak, Rally Ball and Reflex Ridge. The Senior Fitness Test was used to assess physical fitness. Results: Analysis of data showed improvement in Arm-Curl (30.0 repetitions (rep.)) vs. 35.8 rep., p
Dawid Bedrunka; Katarzyna Buchta; Patryk Szary; Katarzyna Maniakowska; Pawel Kiper; Anna Rutkowska; Sebastian Rutkowski. The effect of virtual reality exercise on physical fitness. Rehabilitacja Medyczna 2019, 23, 4 -9.
AMA StyleDawid Bedrunka, Katarzyna Buchta, Patryk Szary, Katarzyna Maniakowska, Pawel Kiper, Anna Rutkowska, Sebastian Rutkowski. The effect of virtual reality exercise on physical fitness. Rehabilitacja Medyczna. 2019; 23 (2):4-9.
Chicago/Turabian StyleDawid Bedrunka; Katarzyna Buchta; Patryk Szary; Katarzyna Maniakowska; Pawel Kiper; Anna Rutkowska; Sebastian Rutkowski. 2019. "The effect of virtual reality exercise on physical fitness." Rehabilitacja Medyczna 23, no. 2: 4-9.
Is missing (Letter to the Editor)...
Pawel Kiper; Andrea Turolla. Updates and comments on: Influence of transcutaneous electrical nerve stimulation on spasticity, balance, and walking speed in stroke patients: A systematic review and meta-analysis. Journal of Rehabilitation Medicine 2019, 51, 317 -318.
AMA StylePawel Kiper, Andrea Turolla. Updates and comments on: Influence of transcutaneous electrical nerve stimulation on spasticity, balance, and walking speed in stroke patients: A systematic review and meta-analysis. Journal of Rehabilitation Medicine. 2019; 51 (4):317-318.
Chicago/Turabian StylePawel Kiper; Andrea Turolla. 2019. "Updates and comments on: Influence of transcutaneous electrical nerve stimulation on spasticity, balance, and walking speed in stroke patients: A systematic review and meta-analysis." Journal of Rehabilitation Medicine 51, no. 4: 317-318.
To compare results of the observational Wisconsin Gait Scale (WGS) and global gait indexes such as GDI/GVI, constituting an objective method of assessing gait, and taking into account parameters identified during 3-dimensional gait analysis. A validation study. Rehabilitation Clinic. 50 individuals after a stroke and 50 healthy individuals without gait disorders Not applicable. Gait was evaluated using the WGS. GDI and GVI values were acquired using a movement analysis system. The global gait indexes GDI and GVI were determined based on the kinematic and spatiotemporal parameters respectively. The study showed statistically significant correlations between the parameters of GDI affected leg and WGS total score (R=-0.87), GVI affected leg and WGS total score (R=-0.93), GVI unaffected leg and WGS total score (R=-0.88), GVI affected/unaffected leg and the total score in the assessment of spatiotemporal parameters on the WGS (R=-0.81) as well as GDI affected leg and the total score in the assessment of kinematics parameters on the WGS (R=-0.85). All correlations were strong (0.7≤|R|<0.9) or very strong (0.9≤|R|<1). WGS scores have a strong or very strong correlation with GDI and GVI. The WGS may be recommended as a substitute tool to be used when 3DGA is unavailable, as it is a useful ordinal scale, enabling simple and accurate observational assessment of gait in patients after stroke, with effectiveness that is comparable to the GDI and GVI indexes.
Agnieszka Guzik; Mariusz Drużbicki; Lorenza Maistrello; Andrea Turolla; Michela Agostini; Paweł Kiper. Relationship Between Observational Wisconsin Gait Scale, Gait Deviation Index, and Gait Variability Index in Individuals Poststroke. Archives of Physical Medicine and Rehabilitation 2019, 100, 1680 -1687.
AMA StyleAgnieszka Guzik, Mariusz Drużbicki, Lorenza Maistrello, Andrea Turolla, Michela Agostini, Paweł Kiper. Relationship Between Observational Wisconsin Gait Scale, Gait Deviation Index, and Gait Variability Index in Individuals Poststroke. Archives of Physical Medicine and Rehabilitation. 2019; 100 (9):1680-1687.
Chicago/Turabian StyleAgnieszka Guzik; Mariusz Drużbicki; Lorenza Maistrello; Andrea Turolla; Michela Agostini; Paweł Kiper. 2019. "Relationship Between Observational Wisconsin Gait Scale, Gait Deviation Index, and Gait Variability Index in Individuals Poststroke." Archives of Physical Medicine and Rehabilitation 100, no. 9: 1680-1687.
Virtual reality (VR), also called phantomatics, is an image of artificial reality created entirely in three-dimensional graphics with the use of information technology. VR makes it possible to experience the imaginary world as if it was real, where sensory data are delivered to the brain through...
Justyna Mazurek; Pawel Kiper; Błażej Cieślik; Sebastian Rutkowski; Krzysztof Mehlich; Andrea Turolla; Joanna Szczepańska-Gieracha. Virtual reality in medicine: a brief overview and future research directions. Human Movement 2019, 20, 16 -22.
AMA StyleJustyna Mazurek, Pawel Kiper, Błażej Cieślik, Sebastian Rutkowski, Krzysztof Mehlich, Andrea Turolla, Joanna Szczepańska-Gieracha. Virtual reality in medicine: a brief overview and future research directions. Human Movement. 2019; 20 (3):16-22.
Chicago/Turabian StyleJustyna Mazurek; Pawel Kiper; Błażej Cieślik; Sebastian Rutkowski; Krzysztof Mehlich; Andrea Turolla; Joanna Szczepańska-Gieracha. 2019. "Virtual reality in medicine: a brief overview and future research directions." Human Movement 20, no. 3: 16-22.
There are no studies evaluating compatibility of visual gait assessment scales and Gait Deviation Index (GDI), Gait Variability Index (GVI) in individuals after stroke. The study was designed to compare results of the observational Wisconsin Gait Scale (WGS) and the global gait indexes such as GDI and GVI, constituting an objective method of assessing gait. The objective was to answer the question whether simple, inexpensive, easy to use, observational WGS may be an effective alternative for costly equipment-based analyses in assessing gait after stroke. The study group comprised 50 participants who had experienced a stroke and were in a chronic phase of recovery, as well as 50 healthy individuals, without gait disorders. The subjects’ gait was evaluated using the WGS, and the GDI and GVI values were acquired using a 3-dimensional gait analysis system. GDI was calculated based on kinematic parameters, while GVI was computed from spatiotemporal parameters. The study has shown statistically significant correlations between the parameters of GDI affected leg and WGS total score (R = −0.87), GVI affected leg and WGS total score (R = −0.93), GVI unaffected leg and WGS total score (R = −0.88), GVI affected/unaffected leg and the total score in the assessment of spatiotemporal parameters on the WGS (R = −0.81) as well as GDI affected leg and the total score in the assessment of kinematics parameters on the WGS (R = −0.85). All correlations were strong (0.7 ≤ |R| < 0.9) or very strong (0.9 ≤ |R| < 1). There is a strong or very strong correlation of the GDI and GVI to the WGS scores. WGS is an excellent tool enabling qualitative assessment of gait abnormalities in individuals after a stroke, and providing results, which correspond with the objective assessment of spatiotemporal and kinematic gait parameters, i.e. by means of global gait indexes. WGS should be applied in daily clinical practice.
A. Guzik; M. Drużbicki; A. Wolan-Nieroda; P. Kiper; G. Przysada; Katarzyna Bazarnik-Mucha; M. Szczepanik; A. Kwolek. Assessment of the relationship between observational Wisconsin Gait Scale and Gait indexes such as Gait Deviation Index and Gait Variability Index in individuals after stroke. Annals of Physical and Rehabilitation Medicine 2018, 61, e174 .
AMA StyleA. Guzik, M. Drużbicki, A. Wolan-Nieroda, P. Kiper, G. Przysada, Katarzyna Bazarnik-Mucha, M. Szczepanik, A. Kwolek. Assessment of the relationship between observational Wisconsin Gait Scale and Gait indexes such as Gait Deviation Index and Gait Variability Index in individuals after stroke. Annals of Physical and Rehabilitation Medicine. 2018; 61 ():e174.
Chicago/Turabian StyleA. Guzik; M. Drużbicki; A. Wolan-Nieroda; P. Kiper; G. Przysada; Katarzyna Bazarnik-Mucha; M. Szczepanik; A. Kwolek. 2018. "Assessment of the relationship between observational Wisconsin Gait Scale and Gait indexes such as Gait Deviation Index and Gait Variability Index in individuals after stroke." Annals of Physical and Rehabilitation Medicine 61, no. : e174.
Background: Hemiparesis caused by a stroke negatively limits a patient’s motor function. Nowadays, innovative technologies such as robots are commonly used in upper limb rehabilitation. The main goal of robot-aided therapy is to provide a maximum number of stimuli in order to stimulate brain neuroplasticity. Treatment applied in this study via the AMADEO robot aimed to improve finger flexion and extension. Aim: To assess the effect of rehabilitation assisted by a robot and enhanced by surface EMG. Research project: Before-after study design. Materials and methods: The study group consisted of 10 post-stroke patients enrolled for therapy with the AMADEO robot for at least 15 sessions. At the beginning and at the end of treatment, the following tests were used for clinical assessment: Fugl-Meyer scale, Box and Block test and Nine Hole Peg test. In the present study, we used surface electromyography (sEMG) to maintain optimal kinematics of hand motion. Whereas sensorial feedback, provided by the robot, was vital in obtaining closed-loop control. Thus, muscle contraction was transmitted to the amplifier through sEMG, activating the mechanism of the robot. Consequentially, sensorial feedback was provided to the patient. Results: Statistically significant improvement of upper limb function was observed in: Fugl-Meyer (p = 0.38) and Box and Block (p = 0.27). The Nine Hole Peg Test did not show statistically significant changes in motor skills of the hand. However, the functional improvement was observed at the level of 6% in the Fugl-Meyer, 15% in the Box and Block, and 2% in the Nine Hole Peg test. Conclusions: Results showed improvement in hand grasp and overall function of the upper limb. Due to sEMG, it was possible to implement robot therapy in the treatment of patients with severe hand impairment.
Katarzyna Dziemian; Aleksandra Kiper; Alfonc Baba; Francesca Baldan; Mahmoud Alhelou; Michela Agostini; Andrea Turolla; Pawel Kiper. The effect of robot therapy assisted by surface EMG on hand recovery in post-stroke patients. A pilot study. Rehabilitacja Medyczna 2018, 21, 4 -10.
AMA StyleKatarzyna Dziemian, Aleksandra Kiper, Alfonc Baba, Francesca Baldan, Mahmoud Alhelou, Michela Agostini, Andrea Turolla, Pawel Kiper. The effect of robot therapy assisted by surface EMG on hand recovery in post-stroke patients. A pilot study. Rehabilitacja Medyczna. 2018; 21 (4):4-10.
Chicago/Turabian StyleKatarzyna Dziemian; Aleksandra Kiper; Alfonc Baba; Francesca Baldan; Mahmoud Alhelou; Michela Agostini; Andrea Turolla; Pawel Kiper. 2018. "The effect of robot therapy assisted by surface EMG on hand recovery in post-stroke patients. A pilot study." Rehabilitacja Medyczna 21, no. 4: 4-10.
Understanding brain plasticity after stroke is important in developing rehabilitation strategies. Active movement therapies show considerable promise but their individual application is still not fully implemented. Among the analysed, available therapeutic modalities, some became widely used in therapeutic practice. Thus, we selected three relatively new methods, i.e. mirror therapy, motor imagery and constraint-induced movement therapy (CIMT). Mirror therapy was initially used in the treatment of phantom pain in patients with amputated limbs and later, in stroke patients. Motor imagery is widely used in sport to improve performance, which raises the possibility of applying it both as a rehabilitative method and in accessing the motor network independently of recovery. Whereas CIMT is based on the paradigm that impairment of arm function is exacerbated by learned non-use and that this, in turn, leads to loss of cortical representation in the upper limb.
Pawel Kiper; Aneta Pirowska; Joanna Stożek; Alfonc Baba; Michela Agostini; Andrea Turolla. Current knowledge on selected rehabilitative methods used in post-stroke recovery. Rehabilitacja Medyczna 2018, 21, 51 -57.
AMA StylePawel Kiper, Aneta Pirowska, Joanna Stożek, Alfonc Baba, Michela Agostini, Andrea Turolla. Current knowledge on selected rehabilitative methods used in post-stroke recovery. Rehabilitacja Medyczna. 2018; 21 (3):51-57.
Chicago/Turabian StylePawel Kiper; Aneta Pirowska; Joanna Stożek; Alfonc Baba; Michela Agostini; Andrea Turolla. 2018. "Current knowledge on selected rehabilitative methods used in post-stroke recovery." Rehabilitacja Medyczna 21, no. 3: 51-57.
To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke etiology (ie, ischemic, hemorrhagic). Randomized controlled trial. Hospital facility for intensive rehabilitation. Patients (N=136) within 1 year from onset of a single stroke (ischemic: n=78, hemorrhagic: n=58). The experimental treatment was based on the combination of RFVE with CR, whereas control treatment was based on the same amount of CR. Both treatments lasted 2 hours daily, 5d/wk, for 4 weeks. Fugl-Meyer upper extremity scale (F-M UE) (primary outcome), FIM, National Institutes of Health Stroke Scale (NIHSS), and Edmonton Symptom Assessment Scale (ESAS) (secondary outcomes). Kinematic parameters of requested movements included duration (time), mean linear velocity (speed), and number of submovements (peak) (secondary outcomes). Patients were randomized in 2 groups (RFVE with CR: n=68, CR: n=68) and stratified by stroke etiology (ischemic or hemorrhagic). Both groups improved after treatment, but the experimental group had better results than the control group (Mann-Whitney U test) for F-M UE (P<.001), FIM (P<.001), NIHSS (P≤.014), ESAS (P≤.022), time (P<.001), speed (P<.001), and peak (P<.001). Stroke etiology did not have significant effects on patient outcomes. The RFVE therapy combined with CR treatment promotes better outcomes for upper limb than the same amount of CR, regardless of stroke etiology.
Pawel Kiper; Andrzej Szczudlik; Michela Agostini; Jozef Opara; Roman Nowobilski; Laura Ventura; Paolo Tonin; Andrea Turolla. Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation 2018, 99, 834 -842.e4.
AMA StylePawel Kiper, Andrzej Szczudlik, Michela Agostini, Jozef Opara, Roman Nowobilski, Laura Ventura, Paolo Tonin, Andrea Turolla. Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation. 2018; 99 (5):834-842.e4.
Chicago/Turabian StylePawel Kiper; Andrzej Szczudlik; Michela Agostini; Jozef Opara; Roman Nowobilski; Laura Ventura; Paolo Tonin; Andrea Turolla. 2018. "Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial." Archives of Physical Medicine and Rehabilitation 99, no. 5: 834-842.e4.
Andrea Marcante; Alfonc Baba; Ugo Carraro; Helmut Kern; Stefan Loefler; Christian Hofer; Sandra Zampieri; Simone Mosole; Pawel Kiper; Simonetta Rossi; Luca Ghezzo; Carla Carollo; Annalena Venneri; Francesco Piccione; Amber Pond; Paolo Gargiulo. Modulation of trophism and fiber type gene expression in denervated muscle activated by different patterns of electrical stimulation. Role of muscle fiber regeneration revisited in 2017. Biology, Engineering and Medicine 2017, 2, 1 .
AMA StyleAndrea Marcante, Alfonc Baba, Ugo Carraro, Helmut Kern, Stefan Loefler, Christian Hofer, Sandra Zampieri, Simone Mosole, Pawel Kiper, Simonetta Rossi, Luca Ghezzo, Carla Carollo, Annalena Venneri, Francesco Piccione, Amber Pond, Paolo Gargiulo. Modulation of trophism and fiber type gene expression in denervated muscle activated by different patterns of electrical stimulation. Role of muscle fiber regeneration revisited in 2017. Biology, Engineering and Medicine. 2017; 2 (1):1.
Chicago/Turabian StyleAndrea Marcante; Alfonc Baba; Ugo Carraro; Helmut Kern; Stefan Loefler; Christian Hofer; Sandra Zampieri; Simone Mosole; Pawel Kiper; Simonetta Rossi; Luca Ghezzo; Carla Carollo; Annalena Venneri; Francesco Piccione; Amber Pond; Paolo Gargiulo. 2017. "Modulation of trophism and fiber type gene expression in denervated muscle activated by different patterns of electrical stimulation. Role of muscle fiber regeneration revisited in 2017." Biology, Engineering and Medicine 2, no. 1: 1.
Functional electrical stimulation (FES) is a new rehabilitative approach that combines electrical stimulation with a functional task. This pilot study evaluated the safety and effectiveness of FES lower extremity training in myotonic dystrophy type 1. This is a controlled pilot study that enrolled 20 patients with myotonic dystrophy type 1 over 2 years. Eight patients (age, 39–67 years) fulfilled the inclusion criteria. Four participants performed FES cycling training for 15 days (one daily session of 30 minutes for 5 days a week). A control group, matched for clinical and genetic variables, who had contraindications to electrical stimulation, performed 6 weeks of conventional resistance and aerobic training. The modified Medical Research Council Scale and functional assessments were performed before and after treatment. Cohen d effect size was used for statistical analysis. Functional electrical stimulation induced lower extremity training was well tolerated and resulted in a greater improvement of tibialis anterior muscle strength (d = 1,583), overall muscle strength (d = 1,723), and endurance (d = 0,626) than conventional training. Functional electrical stimulation might be considered a safe and valid tool to improve muscle function, also in muscles severely compromised in which no other restorative options are available. Confirmation of FES efficacy through further clinical trials is strongly advised.
Paola Cudia; Luca Weis; Alfonc Baba; Pawel Kiper; Andrea Marcante; Simonetta Rossi; Corrado Angelini; Francesco Piccione. Effects of Functional Electrical Stimulation Lower Extremity Training in Myotonic Dystrophy Type I. American Journal of Physical Medicine & Rehabilitation 2016, 95, 809 -817.
AMA StylePaola Cudia, Luca Weis, Alfonc Baba, Pawel Kiper, Andrea Marcante, Simonetta Rossi, Corrado Angelini, Francesco Piccione. Effects of Functional Electrical Stimulation Lower Extremity Training in Myotonic Dystrophy Type I. American Journal of Physical Medicine & Rehabilitation. 2016; 95 (11):809-817.
Chicago/Turabian StylePaola Cudia; Luca Weis; Alfonc Baba; Pawel Kiper; Andrea Marcante; Simonetta Rossi; Corrado Angelini; Francesco Piccione. 2016. "Effects of Functional Electrical Stimulation Lower Extremity Training in Myotonic Dystrophy Type I." American Journal of Physical Medicine & Rehabilitation 95, no. 11: 809-817.