Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial

Background: New interventions based on motor learning principles and neural plasticity have been tested among patients with ataxia and hemiparesis. Therapies of pedaling exercises have also shown their potential to induce improvements in muscle activity, strength, and balance. Virtual reality (VR) h...

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Autores: Rojo, A., Castrillo Calvillo, Arantxa, López, Cristina, Moreno, Juan Camilo
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/378347
Acceso en línea:http://hdl.handle.net/10261/378347
Access Level:acceso abierto
Palabra clave:ataxia (1)
cycling (4)
hemiparesis (6)
lower limb (3)
neuropathology (1)
rehabilitation (388)
virtual reality (521)
limb (9)
intervention (642)
neural (4)
neural plasticity (2)
therapy (149)
muscle (18)
strength (7)
balance (28)
tool (138)
exercise (497)
physical activity (955)
neuroplasticity
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dc.title.none.fl_str_mv Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
title Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
spellingShingle Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
Rojo, A.
ataxia (1)
cycling (4)
hemiparesis (6)
lower limb (3)
neuropathology (1)
rehabilitation (388)
virtual reality (521)
limb (9)
intervention (642)
neural (4)
neural plasticity (2)
therapy (149)
muscle (18)
strength (7)
balance (28)
tool (138)
exercise (497)
physical activity (955)
neuroplasticity
title_short Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
title_full Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
title_fullStr Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
title_full_unstemmed Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
title_sort Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled Trial
dc.creator.none.fl_str_mv Rojo, A.
Castrillo Calvillo, Arantxa
López, Cristina
Moreno, Juan Camilo
author Rojo, A.
author_facet Rojo, A.
Castrillo Calvillo, Arantxa
López, Cristina
Moreno, Juan Camilo
author_role author
author2 Castrillo Calvillo, Arantxa
López, Cristina
Moreno, Juan Camilo
author2_role author
author
author
dc.contributor.none.fl_str_mv Comunidad de Madrid
Ministerio de Ciencia e Innovación (España)
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv ataxia (1)
cycling (4)
hemiparesis (6)
lower limb (3)
neuropathology (1)
rehabilitation (388)
virtual reality (521)
limb (9)
intervention (642)
neural (4)
neural plasticity (2)
therapy (149)
muscle (18)
strength (7)
balance (28)
tool (138)
exercise (497)
physical activity (955)
neuroplasticity
topic ataxia (1)
cycling (4)
hemiparesis (6)
lower limb (3)
neuropathology (1)
rehabilitation (388)
virtual reality (521)
limb (9)
intervention (642)
neural (4)
neural plasticity (2)
therapy (149)
muscle (18)
strength (7)
balance (28)
tool (138)
exercise (497)
physical activity (955)
neuroplasticity
description Background: New interventions based on motor learning principles and neural plasticity have been tested among patients with ataxia and hemiparesis. Therapies of pedaling exercises have also shown their potential to induce improvements in muscle activity, strength, and balance. Virtual reality (VR) has been demonstrated as an effective tool for improving the adherence to physical therapy, but it is still undetermined if it promotes greater improvements than conventional therapy. Objective: Our objective was to compare the effect on lower limb range of motion (ROM) when using VR technology for cycling exercise versus not using VR technology. Methods: A randomized controlled trial with 20 patients with ataxia and hemiparesis was carried out. The participants were divided into 2 groups: the experimental group (n=10, 50%) performed pedaling exercises using the VR system and the control group (n=10, 50%) performed pedaling exercises without using VR. Measurements of the active and passive ROM of the hip and knee joint were taken before and after a cycling intervention, which consisted of 3 sessions of the same duration but with progressively increasing speeds (4, 5, and 6 km/h). Repeated measures ANOVAs were conducted to compare the preintervention (T) and postintervention (T) assessments within each group. Additionally, the improvement effect of using the VR system was analyzed by comparing the variation coefficient (Δ = 1 - [T/T]) between the preintervention and postintervention assessments for each group. Group comparisons were made using independent 1-tailed t tests. Results: Significant improvements were shown in active left hip flexion (P= .03) over time, but there was no group-time interaction effect (P= .67). Passive left hip flexion (P= .93) did not show significant improvements, and similar results were observed for active and passive right hip flexion (P= .39 and P= .83, respectively). Neither assessments of knee flexion (active left: P= .06; passive left: P= .76; active right: P= .34; passive right: P= .06) nor knee extension showed significant changes (active left: P= .66; passive left: P= .92; active right: P= .12; passive right: P= .38). However, passive right knee extension (P= .04) showed a significant improvement over time. Overall, although active and passive ROM of the knee and hip joints showed a general improvement, no statistically significant differences were found between the groups. Conclusions: In this study, participants who underwent the cycling intervention using the VR system showed similar improvement in lower limb ROM to the participants who underwent conventional training. Ultimately, the VR system can be used to engage participants in physical activity.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/378347
url http://hdl.handle.net/10261/378347
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv #PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
info:eu-repo/grantAgreement/CMA/IND2019/TIC17090
info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023/PID2021-127096OB-I00
http://dx.doi.org/10.2196/39286
Sí
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Effects of a Virtual Reality Cycling Platform on Lower Limb Rehabilitation in Patients With Ataxia and Hemiparesis: Pilot Randomized Controlled TrialRojo, A.Castrillo Calvillo, ArantxaLópez, CristinaMoreno, Juan Camiloataxia (1)cycling (4)hemiparesis (6)lower limb (3)neuropathology (1)rehabilitation (388)virtual reality (521)limb (9)intervention (642)neural (4)neural plasticity (2)therapy (149)muscle (18)strength (7)balance (28)tool (138)exercise (497)physical activity (955)neuroplasticityBackground: New interventions based on motor learning principles and neural plasticity have been tested among patients with ataxia and hemiparesis. Therapies of pedaling exercises have also shown their potential to induce improvements in muscle activity, strength, and balance. Virtual reality (VR) has been demonstrated as an effective tool for improving the adherence to physical therapy, but it is still undetermined if it promotes greater improvements than conventional therapy. Objective: Our objective was to compare the effect on lower limb range of motion (ROM) when using VR technology for cycling exercise versus not using VR technology. Methods: A randomized controlled trial with 20 patients with ataxia and hemiparesis was carried out. The participants were divided into 2 groups: the experimental group (n=10, 50%) performed pedaling exercises using the VR system and the control group (n=10, 50%) performed pedaling exercises without using VR. Measurements of the active and passive ROM of the hip and knee joint were taken before and after a cycling intervention, which consisted of 3 sessions of the same duration but with progressively increasing speeds (4, 5, and 6 km/h). Repeated measures ANOVAs were conducted to compare the preintervention (T) and postintervention (T) assessments within each group. Additionally, the improvement effect of using the VR system was analyzed by comparing the variation coefficient (Δ = 1 - [T/T]) between the preintervention and postintervention assessments for each group. Group comparisons were made using independent 1-tailed t tests. Results: Significant improvements were shown in active left hip flexion (P= .03) over time, but there was no group-time interaction effect (P= .67). Passive left hip flexion (P= .93) did not show significant improvements, and similar results were observed for active and passive right hip flexion (P= .39 and P= .83, respectively). Neither assessments of knee flexion (active left: P= .06; passive left: P= .76; active right: P= .34; passive right: P= .06) nor knee extension showed significant changes (active left: P= .66; passive left: P= .92; active right: P= .12; passive right: P= .38). However, passive right knee extension (P= .04) showed a significant improvement over time. Overall, although active and passive ROM of the knee and hip joints showed a general improvement, no statistically significant differences were found between the groups. Conclusions: In this study, participants who underwent the cycling intervention using the VR system showed similar improvement in lower limb ROM to the participants who underwent conventional training. Ultimately, the VR system can be used to engage participants in physical activity.The authors would like to thank all the participants who collaborated in this study, as well as the therapists and health care professionals from Centro Lescer for their participation in this study. The financial support for the industrial doctorate project “Desarrollo y estudio de una plataforma interactiva y un sistema electrónico de pedaleo para rehabilitación funcional de personas mayores” of the Autonomous Community of Madrid (IND2019/TIC17090) toward this research is hereby acknowledged. Grant PID2021-127096OB-I00 funded by MCIN/AEI/ 10.13039/501100011033 and by “ERDF A way of making Europe.”JMIR PublicationsComunidad de MadridMinisterio de Ciencia e Innovación (España)Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]2025202520242025info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501http://hdl.handle.net/10261/378347reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE##PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/CMA/IND2019/TIC17090info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023/PID2021-127096OB-I00http://dx.doi.org/10.2196/39286Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3783472026-05-22T06:33:51Z
score 15,811543

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