Forecasting the efficacy of the DEVIRTA hardware and software multimedia complex in the early stroke recovery timeline

Forecasting the efficacy of the DEVIRTA hardware and software multimedia complex in the early stroke recovery timeline

S.S. Mukhortov¹, V.A. Verikovsky¹, I.E. Yesaulenko², O.V. Myachina²

¹Voronezh Regional Clinical Hospital No. 1, Voronezh

²N.N. Burdenko Voronezh State Medical University, Voronezh

Background: the article presents the active discussion concerning the efficacy issues on the use of virtual reality technologies for self-care, motor, and cognitive spheres in patients with ischemic stroke.

Aim: to evaluate the effect of the Devirta hardware and software multimedia complex (in particular, Devirta-Delphi) in patients in the early stroke recovery timeline on the impact of rehabilitation measures.

Patients and Methods: the histories of 36 patients in the early stroke recovery timeline were analyzed. Of these, 18 patients of the main group who received a rehabilitation course using the Devirta hardware and software multimedia complex, and 18 patients of the comparison group who underwent rehabilitation without it. During the course, a database was formed, including the date of birth, age, gender, date of first hospitalization at the disease onset, diagnosis in the acute period, lesion localization and size, the rehabilitation routing scale (RRS) in the acute period, National Institutes of Health Stroke Scale (NIHSS) in the acute period, the dates of admission and discharge in the early recovery period, diagnosis during rehabilitation, the number of days from the disease onset to the rehabilitation course, rehabilitation results according to the RRS, NIHSS, Hauser Ambulation Index, Rivermead Mobility Index, Barthel Index for Activities of Daily Living, Berg Balance Scale, and Functional Independence Measure (FIM).

Results: a noticeable direct dependence of the changes on the FIM scale by age in the main group and a moderate inverse dependence of the changes on the Berg Balance Scale by age were revealed, which indicates a greater efficacy of using this software and hardware multimedia complex for elderly patients. In the control group, a moderate inverse dependence of the changes on the scale by the disease duration was revealed, while in the main group such dependencies were less significant or absent altogether. At the same time, despite the fact that the main group had a disease prescription 1.57 times longer than the control group, there was no decrease in the efficacy of rehabilitation, which allows to judge the impact of this software and hardware multimedia complex on maintaining the changes of rehabilitation later from the disease onset.

Conclusion: the use of the Devirta hardware and software multimedia complex in the early stroke recovery timeline allows to maintain the positive tendency of restoring motor skills and self-care skills even with an increase in the prescription period of the disease. With age, the efficacy of this complex increases. This may be due to the fact that the use of such modern technologies forces the central nervous system to form a greater number of adaptive mechanisms, thus creating a more significant basis for restoring self-care skills for the older generation.

Keywords: stroke, rehabilitation, virtual reality, Devirta, prognosis, efficacy, age.

For citation: Mukhortov S.S., Verikovsky V.A., Yesaulenko I.E., Myachina O.V. Forecasting the efficacy of the DEVIRTA hardware and software multimedia complex in the early stroke recovery timeline. RMJ. 2024;4:8–11.