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Related Experiment Video

Updated: Aug 5, 2025

Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
05:52

Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation

Published on: March 8, 2018

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Telehealth-Guided Virtual Reality for Recovery of Upper Extremity Function Following Stroke.

Richard J Adams1, Allison L Ellington2, Kate A Kuccera3

  • 1Barron Associates, Inc., Charlottesville, VA, USA.

OTJR : Occupation, Participation and Health
|March 24, 2023
PubMed
Summary

Virtual reality home exercise programs show promise for stroke recovery. The Glove Rehabilitation Application for Stroke Patients (GRASP) improved upper extremity motor function and daily living activities.

Keywords:
occupational therapytelehealthvirtual reality

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Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Virtual Reality Technology

Background:

  • Stroke often results in upper extremity (UE) motor deficits, impacting daily living activities.
  • Traditional rehabilitation may have limitations in accessibility and engagement for home-based recovery.
  • Virtual reality (VR) offers immersive environments for task-specific training.

Purpose of the Study:

  • To evaluate the effectiveness of a VR home exercise program (HEP) called Glove Rehabilitation Application for Stroke Patients (GRASP).
  • To assess GRASP's impact on UE motor recovery and functional independence following stroke.
  • To determine the efficacy of a telehealth-supported VR intervention for stroke rehabilitation.

Main Methods:

  • A rater-blinded, randomized control trial (RCT) design was employed.
  • Participants engaged in the GRASP VR HEP at home, simulating instrumental activities of daily living (IADLs).
  • Intervention involved 4 weekly asynchronous telehealth sessions over 8 weeks, with biweekly synchronous occupational therapist (OT) visits.

Main Results:

  • Significant improvements were observed in Fugl-Meyer UE assessment (FMUE) scores for the GRASP group compared to controls.
  • Motor Activity Log (MAL) scores also demonstrated statistically significant and clinically important differences favoring the intervention group.
  • The GRASP intervention showed a clinically meaningful impact on UE motor recovery.

Conclusions:

  • Home-based VR therapy, utilizing simulated IADLs with telehealth support, is effective for UE motor recovery post-stroke.
  • The GRASP system provides a viable and effective option for augmenting stroke rehabilitation.
  • This study supports the integration of VR and telehealth for accessible and engaging stroke recovery programs.