What is the cost of including virtual reality in neurological rehabilitation? A scoping review

Abstract

Background

Virtual reality therapy in neurorehabilitation has demonstrated to be an effective, innovative method in increasing patient outcomes by increasing task repetition, interest, and self-efficacy. Despite this, virtual reality is not commonly used in neurorehabilitation centres or hospitals for conditions such as stroke.

Objectives

The primary aim of this scoping review is to synthesise existing literature exploring the costs associated with including virtual reality into neurorehabilitation. The second aim is to explore the barriers and challenges that impede its adoption in neurorehabilitation.

Methods

A literature search was conducted yielding a total of 5,647 articles. Eight studies were eligible to be included in the review.

Results

Findings indicate that virtual reality may be a cost saving adjunct because it decreases the need for therapist time and decreases transportation costs. In addition, findings suggest that commercial virtual reality devices such as the Nintendo Wii may not be designed optimally for neurorehabilitation and virtual reality may not be suitable for patients with significant cognitive and communication deficits.

Conclusions

Future research should aim to diversify in neurological patient populations, increase the range of economic evaluations, and explore barriers for virtual reality in neurorehabilitation to assist organisations and practitioners in enhancing treatment and ultimately health outcomes.

Keywords:

• Virtual reality
• neurological rehabilitation
• cost

Acknowledgements

We would like to acknowledge Sarah Bateman, the University Librarian, for her assistance in the development of a comprehensive scoping review search strategy. We would like to acknowledge Sarah Bateup, Bond University Librarian, for her assistance in the development of a comprehensive scoping review search strategy.

Disclosure statement

No potential conflicts of interest were reported by the authors.

Funding

No funding was obtained to undertake this review.

Additional information

Notes on contributors

Martina Aliprandi

Martina Aliprandi graduated from the Doctor of Physiotherapy program at Bond University in 2021.

Yvonne Pan

Yvonne Pan graduated from the Doctor of Physiotherapy program at Bond University in 2021.

Chiara Mosley

Chiara Mosley is an Associate Clinical Fellow in Simulation at Manchester Metropolitan University.

Suzanne Gough

Suzanne Gough is the Associate Dean, Learning & Teaching in the Faculty of Health Sciences & Medicine, and an Associate Professor of Physiotherapy.