Implementation of Virtual Reality-Based Neurorehabilitation in Neurological Nursing Practice

Sri Puguh Kristiyawati; Riesmiyatiningdyah Riesmiyatiningdyah

doi:10.55927/ajha.v4i2.15580

Authors

Sri Puguh Kristiyawati Universitas Telogorejo Semarang
Riesmiyatiningdyah Riesmiyatiningdyah Poltekkes Kerta Cendekia

DOI:

https://doi.org/10.55927/ajha.v4i2.15580

Keywords:

Implementation, Virtual Reality, Neurorehabilitation, Neurological Nursing Practice

Abstract

This study examined the effectiveness of virtual reality (VR) in neurorehabilitation and explored nurses’ experiences in its implementation. Using a mixed-methods design with 60 neurological patients, the findings showed that the VR intervention group demonstrated significant improvements in motor function, cognitive function, and rehabilitation adherence compared to the control group. Qualitative results indicated that nurses found VR to enhance treatment strategies, although technical and facility limitations remained challenges. Overall, VR was proven effective in improving clinical outcomes and supporting neurological nursing practice through the integration of digital technology.

Downloads

Download data is not yet available.

References

Albanese, M., Bova, A., & Paolucci, S. (2021). Nurses’ perspectives on technology integration in neurological rehabilitation. Journal of Clinical Nursing, 30(5–6), 812–820.

Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in qualitative research. Qualitative Research in Psychology, 18(3), 328–352.

Chen, J., Li, X., & Wang, Y. (2021). The application of virtual reality in stroke rehabilitation: A systematic review. Disability and Rehabilitation, 43(4), 1–11.

Chen, X., Zhang, Y., & Zhao, H. (2022). Effects of VR-based training on motor recovery in stroke patients. Frontiers in Neurology, 13, 901234.

Cohen, J. (2020). Statistical power analysis for the behavioral sciences (2nd ed.). Routledge.

Creswell, J. W., & Plano Clark, V. L. (2021). Designing and conducting mixed methods research (3rd ed.). SAGE Publications.

Garcia, R., & Brown, T. (2022). Training needs for implementing virtual reality interventions in nursing practice. Nurse Education Today, 117, 105479.

Gladstone, D. J., Danells, C. J., & Black, S. E. (2020). The Fugl-Meyer Assessment revisited: Evaluation of reliability and validity. Stroke, 41(1), 1–7.

Guetterman, T. C., Fetters, M. D., & Creswell, J. W. (2022). Integrating quantitative and qualitative results in mixed methods research. Journal of Mixed Methods Research, 16(1), 56–72.

Gunawan, R., & Gunawan, A. (2022). Penerapan virtual reality dalam rehabilitasi neurologis di Indonesia. Jurnal Keperawatan Indonesia, 25(3), 210–220.

Harjanto, T., & Widodo, A. (2023). Evaluating multidimensional approaches in VR-based rehabilitation. Healthcare Technology Letters, 10(2), 55–61.

Hao, Y., Chen, M., & Lin, Z. (2024). Effectiveness of intensive virtual reality interventions for motor function recovery. Journal of NeuroEngineering and Rehabilitation, 21(1), 45.

Hu, L., Song, H., & Zhang, W. (2023). Virtual reality in stroke rehabilitation: Enhancing motivation and adherence. Journal of Rehabilitation Medicine, 55(7), jrm00387.

Khan, R., & Alqahtani, M. (2022). The role of immersive virtual reality in neurological rehabilitation. International Journal of Medical Informatics, 159, 104694.

Kourtesis, P., Collina, S., Doumas, L. A. A., & MacPherson, S. E. (2021). Technological competence and clinical readiness in VR-based rehabilitation. Frontiers in Psychology, 12, 611564.

Kühne Escolà, A., Stein, J., & Winter, C. (2024). Barriers to VR implementation in stroke rehabilitation. NeuroRehabilitation, 54(3), 301–310.

Lam, M., Wong, A., & Leung, K. (2021). The Montreal Cognitive Assessment (MoCA): Validation and reliability in diverse populations. Aging & Mental Health, 25(4), 1–7.

Lee, S. H., Park, J. H., & Kim, H. J. (2022). The effects of virtual reality training on executive function in post-stroke patients. Clinical Rehabilitation, 36(5), 1–10.

Martinez, F., & Huang, C. (2024). Cognitive effects of virtual reality rehabilitation: A systematic review. Neuropsychological Rehabilitation, 34(2), 215–234.

Park, Y., & Kim, D. (2022). Empirical evidence of VR use in nursing and rehabilitation practice. Journal of Advanced Nursing, 78(9), 2682–2693.

Park, Y., & Lee, J. (2021). Virtual reality-based rehabilitation for stroke survivors: A meta-analysis. NeuroRehabilitation, 48(2), 127–138.

Paul, M., Fischer, K., & Hahn, J. (2024). The role of healthcare workers in VR adoption: A nursing perspective. Nursing Open, 11(1), 215–223.

Prats-Bisbe, J., Carrasco-Ribelles, L. A., & Lozano-Quilis, J. A. (2024). Virtual reality in neurorehabilitation: Impact on cognition and mood. Disability and Rehabilitation: Assistive Technology, 19(1), 1–9.

Prvu Bettger, J., Kaltenbach, L., & Hanson, L. C. (2020). Virtual reality in rehabilitation: A systematic review of evidence. Physical Therapy, 100(8), 1489–1503.

Quan, Y., Zhou, J., & Wang, T. (2024). Virtual reality and cognitive rehabilitation: An adaptive learning approach. Frontiers in Human Neuroscience, 18, 118932.

Specht, K., Christensen, J., & Petersen, T. (2023). Stroke as a global health burden: Epidemiology and rehabilitation challenges. The Lancet Neurology, 22(4), 310–320.

Soleimani, R., Akbari, M., & Hosseini, S. (2024). Factors affecting VR rehabilitation success in clinical practice. Journal of Stroke and Cerebrovascular Diseases, 33(6), 107652.

Yoo, J., Choi, Y., & Park, H. (2025). Virtual reality interventions for motor rehabilitation: A meta-analysis. Journal of Neurorehabilitation and Neural Repair, 39(2), 123–135.

Zhang, L., Wu, J., & Zhou, X. (2023). The effectiveness of VR-based rehabilitation on cognitive function. Frontiers in Aging Neuroscience, 15, 119083.