A Further Step to Develop Patient-Friendly Implementation Strategies for Virtual Reality–Based Rehabilitation in Patients With Acute Stroke

Lee, Minyoung; Pyun, Sung Bom; Chung, Jinjoo; Kim, Jung-Jin; Eun, Seon Deok; Yoon, BumChul

doi:10.2522/ptj.20150271

Cited by 33 publications

(37 citation statements)

References 32 publications

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“…The positive findings for enjoyment and motivation, and the high compliance, indicate that the severely impaired participants could enjoy a challenging intervention like the VR training. The results for enjoyment and motivation in this study are consistent with previous studies regarding feasibility of VR in patients early after brain injury for upper [46,47] and lower extremity recovery [48]. The high level of enjoyment and motivation may have been reached because of a good balance between the difficulty of the training and the abilities of the patient with stroke [46].…”

Section: Discussionsupporting

confidence: 81%

“…The results for enjoyment and motivation in this study are consistent with previous studies regarding feasibility of VR in patients early after brain injury for upper [46,47] and lower extremity recovery [48]. The high level of enjoyment and motivation may have been reached because of a good balance between the difficulty of the training and the abilities of the patient with stroke [46]. Exercises on the GRAIL can easily be adjusted to the abilities and demands of the patient with stroke by changing the type of exercise, difficulty level, amount of feedback and the amount of tasks within a game.…”

Section: Discussionsupporting

confidence: 81%

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Feasibility and Effectiveness of Virtual Reality Training on Balance and Gait Recovery Early after Stroke: A Pilot Study

Rooij¹,

Port²,

Meijer³

2017

Int J Phys Med Rehabil

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Objective: To investigate the feasibility and effectiveness of virtual reality training for improving balance and/or gait during inpatient rehabilitation of patients within 12 weeks after stroke. Methods:Sixteen patients within 12 weeks after stroke and dependent gait as categorised with a Functional Ambulation Category score of 2 or 3 were included in this longitudinal pilot study. Participants received eight 30-min sessions of virtual reality training during four weeks as part of the regular inpatient rehabilitation program. Feasibility was assessed using compliance with the training, adverse events, experiences of the participants and the physiotherapists; and effectiveness with the Berg Balance Scale, centre of pressure velocity, Functional Ambulation Category and 10-meter walking test.Results: Participants positively evaluated the intervention and enjoyed the training sessions. Also, physiotherapists observed the training as feasible and beneficial for improving balance or gait. Compliance with the training was 88% and no serious adverse events occurred. The Berg Balance Scale, anterior-posterior centre of pressure velocity, Functional Ambulation Category and 10-meter walking test showed significant improvement after four weeks of training (p<0.05). Conclusion:This study demonstrates that virtual reality training in patients early after stroke is feasible and may be effective in improving balance and/or gait ability.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 81%

Feasibility and Effectiveness of Virtual Reality Training on Balance and Gait Recovery Early after Stroke: A Pilot Study

Rooij¹,

Port²,

Meijer³

2017

Int J Phys Med Rehabil

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“…The potential for VR/AVG use to increase patient enjoyment was described as a strong rationale for use in rehabilitation. Specifically, authors outlined patient enjoyment related to playing games [60, 62, 64, 66, 70–72, 82] which differed from traditional rehabilitation approaches (e.g. [52, 73].…”

Section: Resultsmentioning

confidence: 99%

“…[52, 73]. Enjoyment was also seen as essential to the flow experience induced by VR/AVG play [57, 72]. Flow was defined as the “feeling of complete and energized engagement in an activity, with a high level of enjoyment and fulfillment” and described as supportive of adherence to VR/AVG-based rehabilitation [72].…”

Section: Resultsmentioning

confidence: 99%

What is the impact of user affect on motor learning in virtual environments after stroke? A scoping review

Rohrbach

Chicklis

Levac

2019

J NeuroEngineering Rehabil

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Purpose The purported affective impact of virtual reality (VR) and active video gaming (AVG) systems is a key marketing strategy underlying their use in stroke rehabilitation, yet little is known as to how affective constructs are measured or linked to intervention outcomes. The purpose of this scoping review is to 1) explore how motivation, enjoyment, engagement, immersion and presence are measured or described in VR/AVG interventions for patients with stroke; 2) identify directional relationships between these constructs; and 3) evaluate their impact on motor learning outcomes. Methods A literature search was undertaken of VR/AVG interventional studies for adults post-stroke published in Medline, PEDro and CINAHL databases between 2007 and 2017. Following screening, reviewers used an iterative charting framework to extract data about construct measurement and description. A numerical and thematic analytical approach adhered to established scoping review guidelines. Results One hundred fifty-five studies were included in the review. Although the majority (89%; N = 138) of studies described at least one of the five constructs within their text, construct measurement took place in only 32% ( N = 50) of studies. The most frequently described construct was motivation (79%, N = 123) while the most frequently measured construct was enjoyment (27%, N = 42). A summative content analysis of the 50 studies in which a construct was measured revealed that constructs were described either as a rationale for the use of VR/AVGs in rehabilitation (76%, N = 38) or as an explanation for intervention results (56%, N = 29). 38 (76%) of the studies proposed relational links between two or more constructs and/or between any construct and motor learning. No study used statistical analyses to examine these links. Conclusions Results indicate a clear discrepancy between the theoretical importance of affective constructs within VR/AVG interventions and actual construct measurement. Standardized terminology and outcome measures are required to better understand how enjoyment, engagement, motivation, immersion and presence contribute individually or in interaction to VR/AVG intervention effectiveness. Electronic supplementary material The online version of this article (10.1186/s12984-019-0546-4) contains supplementary material, which is available to authorized users.

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“…The latter is small and compact, which is suitable for single use as well as promotion. So far desktop system has been widely used in a variety of research areas, such as simulation, bimolecular structure simulation, geological faults, meteorological distribution [5], GIS and so on. In fact, the main obstacle to the current VR system's practicality is cost.…”

Section: Nondestructive Testing System Of Black Box Based On Webmentioning

confidence: 99%

Research on Black Box Testing Technology Based on Virtual Reality

Tang¹

2017

Proceedings of the 2017 International Conference on Computational Science and Engineering (ICCSE 2017)

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This paper is focused on the concept of virtual testing technology based on VR, putting its focus on the systematic study of virtual testing technology based on VR from a macro perspective, so as to establish the basic concept and theoretical model as well as implementation methods, the specific content can be divided into three parts: theoretical basis, technology of realization, examples of application. Thus the application of virtual reality technology to black box testing is studied systematically in this paper.

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A Further Step to Develop Patient-Friendly Implementation Strategies for Virtual Reality–Based Rehabilitation in Patients With Acute Stroke

Cited by 33 publications

References 32 publications

Feasibility and Effectiveness of Virtual Reality Training on Balance and Gait Recovery Early after Stroke: A Pilot Study

Feasibility and Effectiveness of Virtual Reality Training on Balance and Gait Recovery Early after Stroke: A Pilot Study

What is the impact of user affect on motor learning in virtual environments after stroke? A scoping review

Research on Black Box Testing Technology Based on Virtual Reality

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