Virtual reality (VR)-based rehabilitation is rapidly gaining interest and has been shown to be an intervention to facilitate motor learning in bal-ance and gait rehabilitation. A review of the current literature is needed to provide an overview of the current state of knowledge of VR-based gait physiotherapy for stroke patients. A systematic literature search was performed in PubMed and Scopus. Search terms included: “virtual reality,” “stroke,” “gait,” and “physical therapy.” Articles published in a peer-reviewed journal between 2017 and 2021 were considered. The in-tervention was mainly related to the use of VR as a therapeutic modali-ty, and the outcome was gait performance. The initial search identified 329 articles. After an eligibility review, 13 articles that met the inclusion criteria were included in the study. Most of participants were in a chronic stage and were between 14 and 85 years old. The VR-based gait training ranged from nonimmersive to immersive, was mostly per-formed on a treadmill, and was usually combined with conventional physiotherapy. The duration of the program varied from 10 to 60 min, and there were about 9 to 30 sessions. VR-based gait rehabilitation has a positive effect on gait ability. The existing literature suggests that VR-based rehabilitation combined with conventional physiotherapy could improve gait ability of people with stroke, especially in the chronic stage. However, the duration of VR-based programs should be customized to suit individuals to avoid stimulation sickness. Further research is need-ed to investigate the long-term effects of this approach.

Occupational therapists (OTs) play a significant role in assistive technology (AT) services. The personal perspective of OTs could affect the provision of AT services. Understanding the relationship between the perspectives of OTs and the provision of AT services to older adult clients is crucial to this study. The study was conducted in the form of rapid narrative analysis. Seven articles of four categories were found and analyzed. The categories are perspective on practice, facilitators, barriers, and needs. OTs provide AT services to older adult clients as part of a person-centred care approach; however, limited follow-up care, timing, and awareness were cited as barriers to AT services delivery. Caregiver involvement is a potential factor for AT services delivery. Although, education and training on the use of the AT are required. It’s important to note that, there is no relevant data from low and middle-income countries.

Many older adults experience a decline in shoulder function due to aging. This decline leads to limitations in daily activities and a lower quality of life. The incorporation of physical therapy interventions through elastic band exercises has demonstrated improved overall physical faculties among older adults. However, there is limited literature regarding the effect of these interventions on shoulder function in older adults. This scoping review summarized the current literature regarding elastic band exercises targeting shoulder function in older adults. A systematic literature search was performed using the Scopus and PubMed databases. An additional manual search was conducted using the PEDro (Physiotherapy Evidence Database). Articles were included if they were published in a peer-reviewed journal in 2017–2021. After assessing eligibility, five randomized controlled trials articles were included in the analysis. We discovered that two types of elastic interventions were applied to older adults: namely, the TheraBand and tube bands. We observed heterogeneity in participant characteristics among the studies (healthy older adults, older adults with chronic obstructive pulmonary disease, and older adults with sarcopenic obesity). The duration of the exercise intervention ranged from 3 to 36 sessions. Only one study measured shoulder function as the primary outcome. Our findings suggest that elastic band exercises have been applied to older adults in various conditions and tended to be effective; however, evidence on this topic is insufficient.

An elongation band (EB) is used to improve the physical strength of older adults. However, the evidence of its effect on the upper limb is a deficiency. This study investigated the effectiveness of EB exercises on upper limb function in the elderly. Participants were divided into two groups: EB (n=16) and control (n=14). The EB group performed exercises in a sitting position using an EB while the control group performed active stretching exercises without bands. The exercise regimen consisted of four shoulder joint movements. Each group performed the exercise for 20 min per day, 5 days per week over a period of 2 months. Measurements included upper limb muscle strength, shoulder joint range of motion, and grip strength. Measurements were performed at baseline, and 1 and 2 months after the intervention. Analysis of covariance was used to compare differences between the groups. The EB group demonstrated significant increases in muscle strength (upper trapezius, deltoid, middle trapezius muscle), shoulder joint range of motion (right shoulder flexion, internal rotation, external rotation, left shoulder joint extension), and grip strength. In conclusion, EB exercises increased upper limb muscle strength, shoulder joint range of motion, and grip strength in older adults.

Occupational therapists are crucial in providing assistive technology (AT) services for older adults. However, evidence has shown limited provision of such services in Thailand. This study aimed to...

Background and Objectives: Stroke is a leading cause of long-term disability in older adults, who often face persistent motor, cognitive, and functional challenges. Conventional stroke rehabilitation programs often involve highly repetitive motor tasks, which may reduce patient motivation and contribute to suboptimal adherence over time. Virtual reality (VR) offers an engaging alternative; however, much of the existing research has focused on specialized rehabilitation-oriented VR systems rather than off-the-shelf commercial platforms. This study evaluated older stroke survivors’ acceptance, tolerability, and lived experiences of a short VR-based rehabilitation session using a commercial game on a commercial wearable VR system. Methods: A single-session convergent mixed-methods design was employed. Thirteen community-dwelling older stroke survivors (mean age 79.2 ± 7.1 years; 9 males, 4 female) completed a 15 min VR session using a commercial wearable VR system. The Technology Acceptance Model (TAM) questionnaire and Simulator Sickness Questionnaire (SSQ) assessed acceptance and tolerability, while semi-structured interviews explored lived experiences. Qualitative data were thematically analyzed. Results: Participants reported high acceptance across all TAM domains (overall M = 4.35 ± 0.79, scale 1–5). Enjoyment/intention to use was rated highest (M = 4.77 ± 0.42), while perceived usefulness was lowest (M = 4.15 ± 0.77). VR was well tolerated: the SSQ total score was 17.38 ± 1.73, with most symptoms rated at the mild level only. Exploratory Spearman correlations revealed a significant positive association between age and SSQ total score (r_h = +0.568, p = 0.043). Thematic analysis identified five themes: (1) usability and accessibility; (2) therapeutic value; (3) engagement and motivation; (4) social and clinical support; and (5) physical and cognitive demands. Conclusions: A commercial wearable VR system was found to be acceptable, safe, and engaging for older stroke survivors. With supervision and therapeutic framing, it may serve as a motivating adjunct to conventional rehabilitation.