Efficacy of the use of video games on mood, anxiety and depression in stroke patients: preliminary findings of a randomised controlled trial

Background In the different published studies, there is no consensus on the efficacy of virtual reality as an adjuvant treatment of mood states. Aim The aim of this study is to evaluate the impact of no immersive virtual reality with the Nintendo Switch device in rehabilitation treatment on mood, an...

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Bibliographic Details
Published in:Journal of neurology 2024-03, Vol.271 (3), p.1224-1234
Main Authors: Blázquez-González, Patricia, Mirón-González, Rubén, Lendínez-Mesa, Alejandro, Luengo-González, Raquel, Mancebo-Salas, Noelia, Camacho-Arroyo, María Teresa, Muriel-García, Alfonso, García-Sastre, María Montserrat
Format: Article
Language:English
Subjects:
Adjuvant therapy
Anxiety
Anxiety - etiology
Anxiety - therapy
Computer applications
Depression - etiology
Depression - therapy
Humans
Medicine
Medicine & Public Health
Mental depression
Mood
Neurology
Neuroradiology
Neurosciences
Original Communication
Patients
Rehabilitation
Statistical analysis
Stroke
Stroke - complications
Stroke - therapy
Stroke Rehabilitation - methods
Video Games
Virtual reality
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Summary:Background In the different published studies, there is no consensus on the efficacy of virtual reality as an adjuvant treatment of mood states. Aim The aim of this study is to evaluate the impact of no immersive virtual reality with the Nintendo Switch device in rehabilitation treatment on mood, anxiety and depression in stroke patients admitted to neurorehabilitation units. Methods Fifty-eight patients admitted to neurorehabilitation units underwent a 1:3 multicentre randomised clinical trial. The intervention group consisted of 17 patients and the control group of 41 patients. The intervention group performed 6 virtual reality sessions together with the conventional treatment, and the control group performed only the conventional rehabilitation sessions. Primary and secondary clinical outcomes were measured before and six weeks after the intervention. Results Comparing the intervention group and control group, the anxiety levels of the intervention group decreased compared to the results observed in the control group ( p  = 0.01), as did the dependence of the intervention group (0.015). On the other hand, the results obtained after the intervention by the control group for anxiety (0.479) and depression (0.292) were not statistically significant. Conclusion Rehabilitation VR used as an adjuvant treatment to conventional treatment has a beneficial impact on the neurological status and state of anxiety of stroke patients admitted to neurorehabilitation units. Trial registration Registered in the https://clinicaltrials.gov/ repository (NTC NCT05143385). Protocol registration date 7 October 2021, retrospectively registered.
ISSN:0340-5354
1432-1459
DOI:10.1007/s00415-023-12043-z