Evidence map›Paper›PMID 32660604›Full record

Trial reportJournal of neuroengineering and rehabilitation2020

Effects of virtual reality associated with serious games for upper limb rehabilitation inpatients with multiple sclerosis: randomized controlled trial.

Alicia Cuesta-Gómez, Patricia Sánchez-Herrera-Baeza, Edwin Daniel Oña-Simbaña, Alicia Martínez-Medina, Carmen Ortiz-Comino, Carlos Balaguer-Bernaldo-de-Quirós, Alberto Jardón-Huete, Roberto Cano-de-la-Cuerda

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04171908 (Effects of a Semi-inmersive Virtual Reality Training Program on Muscle Strength, Coordination, Fatigue, Functionality and Quality of Life in Patients With Multiple Sclerosis), which is not on this map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04171908 nacompletednot on this map

Effects of a Semi-inmersive Virtual Reality Training Program on Muscle Strength, Coordination, Fatigue, Functionality and Quality of Life in Patients With Multiple Sclerosis

TypeinterventionalSponsorUniversidad Rey Juan CarlosRan2019 to 2023Enrolled30ConditionsMultiple Sclerosis, Treatment Adherence, Upper Extremity ParesisArmsConventional therapy, semi-inversive tech
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. The Impact of Upper Extremity Rehabilitation on Fatigue in Individuals With Multiple Sclerosis: A Systematic Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Pooled it
  2. Virtual reality for multiple sclerosis rehabilitation.The Cochrane database of systematic reviews · 2025
    Pooled it
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  11. Metaverse-Related and Immersive Digital Technologies in Neurorehabilitation: A Scoping Review.Archives of rehabilitation research and clinical translation · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Alicia Cuesta-GómezDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avenida de Atenas s/n 28922 Alcorcón, Madrid, Spain.
Patricia Sánchez-Herrera-BaezaDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avenida de Atenas s/n 28922 Alcorcón, Madrid, Spain. patricia.sanchezherrera@urjc.es.
Edwin Daniel Oña-SimbañaRobotics Lab. University Carlos III of Madrid, Leganés, Madrid, Spain.
Alicia Martínez-MedinaAsociación de Esclerosis Múltiple de Toledo (ADEMTO), Toledo, Spain.
Carmen Ortiz-CominoAsociación de Esclerosis Múltiple de Toledo (ADEMTO), Toledo, Spain.
Carlos Balaguer-Bernaldo-de-QuirósRobotics Lab. University Carlos III of Madrid, Leganés, Madrid, Spain.
Alberto Jardón-HueteRobotics Lab. University Carlos III of Madrid, Leganés, Madrid, Spain.
Roberto Cano-de-la-CuerdaDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avenida de Atenas s/n 28922 Alcorcón, Madrid, Spain.
Universidad Carlos III de Madrid · ESUniversidad Rey Juan Carlos · ESSpanish Multiple Sclerosis Network · ES

Funding

ANALYSIS OF A FRIEND VIRUS-LIKE DISEASER29CA047944 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI GEIB, ROY W · 1988 to 1992
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6 · The paper itself

Abstract

backgroundDexterity and activities of daily living limitations on the upper limb (UL) represent one of the most common problems in patients with multiple sclerosis (MS). The aim of this study was to evaluate the effectiveness of the specially developed Serious Games that make use of the Leap Motion Controller (LMC) as main user interface for improving UL grip muscle strength, dexterity, fatigue, quality of life, satisfaction and compliance.

methodsA single-blinded randomized controlled trial was conducted. The sample was randomized into two groups: an experimental group who received treatment based on serious games designed by the research team using the developed LMC based Serious Games for the UL plus conventional rehabilitation, and a control group who received the same conventional rehabilitation for the UL. Both groups received two 60 min sessions per week over a ten-week period. Grip muscle strength, coordination, speed of movements, fine and gross UL dexterity, fatigue, quality of life, satisfaction and compliance were assessed in both groups pre-treatment, post-treatment and in a follow-up period of 1 month without receiving any treatment.

resultsIn the experimental group compared to the control group, significant improvements were observed in the post-treatment assessment for coordination, speed of movements, fine and gross UL dexterity. Also, significant results were found in the follow-up in coordination, speed of movements, fine and gross for the more affected side.

conclusionsAn experimental protocol using an LMC based Serious Games designed for UL rehabilitation showed improvements for unilateral gross manual dexterity, fine manual dexterity, and coordination in MS patients with high satisfaction and excellent compliance.

trial registrationThis randomized controlled trial has been registered at ClinicalTrials.gov Identifier: NCT04171908 , Nov 2019.

Indexed as

Treatment OutcomeVideo GamesVirtual RealityActivities of Daily LivingAdultAgedFemaleHand StrengthHumansMaleMiddle AgedMultiple SclerosisQuality of LifeSingle-Blind MethodUpper ExtremityDexterityLeap motion controllerMultiple sclerosisRehabilitationSerious gamesUpper limbVirtual reality

Identifiers

PMID32660604
PMCPMC7359450
OpenAlexW3023487080

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.