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Virtual reality is an emerging area of physical therapy.
There is much still to learn about the use of virtual reality in physical therapy patient care, but it's already being used to address pain and other issues.
What Is Virtual Reality?
Virtual reality refers to a computer-generated simulation of an environment that immerses users in a lifelike experience. It typically involves the use of a headset and often incorporates auditory feedback to enhance immersion.
Virtual reality presents a promising avenue for enhancing physical therapy interventions, offering immersive experiences tailored to individual patient needs.
Using VR in Physical Therapy Settings
Virtual reality can be used in various settings within physical rehabilitation:
- Home health physical therapy.
- Hospice and palliative care.
- Hospital settings and physical therapy.
- Primary care.
- Private practice.
- Pro bono physical therapy services.
- School-based physical therapy.
- Physical therapy in skilled nursing facilities.
- Travel physical therapy.
Conditions Addressed by VR in Physical Therapy
There are a wide range of conditions where VR can be beneficial in a physical rehabilitation:
- Stroke
- Traumatic brain injury
- Low back pain
- Balance
- Osteoarthritis
- Neurological conditions (e.g., Parkinson disease, multiple sclerosis)
- Vestibular disorders
- Orthopedic rehabilitation (e.g., post-surgery recovery, musculoskeletal injuries)
- Chronic pain
Integration of New Technology: Equipment and Training
Typical equipment for VR in physical rehabilitation:
- VR headsets (e.g., HTC Vive, Pico, Meta Quest).
- Tracking systems (e.g., sensors, cameras, controllers).
- Optional: Ability to integrate outside equipment (e.g., TheraBands, dowel rods, weights).
Training staff for VR implementation:
- Familiarization with VR hardware and software.
- Understanding the application of VR in different therapy protocols.
- Hands-on practice sessions with VR equipment.
- Continued education on advancements in using VR technology for physical therapy.
Questions to Ask Before Purchase
Payment is most commonly a capital purchase.
- What patient population will the product help me address?
- What is the goal of my practice by bringing in this modality?
- What implementation support does the company provide?
- Will this product help with efficiencies in the practice? How will it impact workflow?
- Are there warranties available for the product or equipment?
- How does this product contribute to the company’s competitive advantage or market position?
Research Supporting the Use of VR in Physical Rehabilitation
- Stroke
- Traumatic Brain Injury
- Low Back Pain
- Balance
- Virtual Reality for Limb Motor Function, Balance, Gait, Cognition and Daily Function of Stroke Patients: A Systematic Review and Meta-Analysis
- Effects of 8 Weeks of Balance Training, Virtual Reality Training, and Combined Exercise on Lower Limb Muscle Strength, Balance, and Functional Mobility Among Older Men: A Randomized Controlled Trial
- Effectiveness, Usability, and Cost-Benefit of a Virtual Reality-Based Telerehabilitation Program for Balance Recovery After Stroke: A Randomized Controlled Trial
- Osteoarthritis
- The Feasibility and Effectiveness of Virtual Reality Meditation on Reducing Chronic Pain for Older Adults with Knee Osteoarthritis
- The Effect of a Virtual Reality-Mediated Gamified Rehabilitation Program on Pain, Disability, Function and Balance in Knee Osteoarthritis: A Prospective Randomized Controlled Study
- Neurological conditions (e.g., Parkinson disease, multiple sclerosis)
- Virtual Reality in Multiple Sclerosis – A Systematic Review
- Comparison of Virtual Reality Rehabilitation and Conventional Rehabilitation in Parkinson Disease: A Randomised Controlled Trial
- A Systematic Review of the Use of Virtual Reality and Its Effects on Cognition in Individuals with Neurocognitive Disorders
- Vestibular Disorders
- Orthopedic rehabilitation (e.g., post-surgery recovery, musculoskeletal injuries)
- Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients’ Rehabilitation
- Virtual Reality Rehabilitation Following Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
- Is Virtual Reality Effective in Orthopedic Rehabilitation? A Systematic Review and Meta-Analysis
- Chronic Pain
- The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis
- Pain Reduction With an Immersive Digital Therapeutic Tool in Women Living with Endometriosis-Related Pelvic-Pain: Randomized Controlled Trial
- Remote Kinematic Training for Patients With Chronic Neck Pain: A Randomised Controlled Trial
Interested in Learning More About VR in Physical Rehabilitation?
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