A study to evaluate a low cost virtual reality system for home based rehabilitation of the upper limb following stroke

Standen, Penny; Brown, David J.; Battersby, Steven; Walker, Marion F; Connell, Louise; Richardson, A.; Platts, Fran; Threapleton, Kate; Burton, Audrey

doi:10.1515/ijdhd.2011.063

Cited by 23 publications

(12 citation statements)

References 19 publications

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“…resp.). This is in line with previous studies ( 17 , 50 , 51 ). The improvements in dexterity may result from the training being intensive, highly repetitive, and task-specific ( 5 ).…”

Section: Discussionsupporting

confidence: 94%

“…Other studies have examined VBT delivered in the home environment of chronic stroke patients ( 50 , 51 ). Piron et al used a tele-rehabilitation approach using two computers, a camera, and a magnetic transmitter/receiver to deliver remote upper limb training in chronic stroke patients with favorable results.…”

Section: Discussionmentioning

confidence: 99%

“…Standen et al implemented upper limb training with a virtual glove with LEDs and an infrared camera, which proved feasible. However, considerable variation was found both in terms of duration of use (1.46–70% of the recommended duration) and the number of days used (10–100%) ( 51 ). In our study, we found high compliance rates and good participation, showing that the LMC system, relatively cheap and simple compared to these systems, is feasible already in the early rehabilitation phase in an in-patient setting.…”

Section: Discussionmentioning

confidence: 99%

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Usability of Videogame-Based Dexterity Training in the Early Rehabilitation Phase of Stroke Patients: A Pilot Study

et al. 2017

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BackgroundApproximately 70–80% of stroke survivors have limited activities of daily living, mainly due to dexterous problems. Videogame-based training (VBT) along with virtual reality seems to be beneficial to train upper limb function.ObjectiveTo evaluate the usability of VBT using the Leap Motion Controller (LMC) to train fine manual dexterity in the early rehabilitation phase of stroke patients as an add-on to conventional therapy. Additionally, this study aimed to estimate the feasibility and potential efficacy of the VBT.MethodsDuring 3 months, 64 stroke patients were screened for eligibility, 13 stroke patients were included (4 women and 9 men; age range: 24–91 years; mean time post stroke: 28.2 days).InterventionNine sessions of 30 min VBT, three times per week as an add-on to conventional therapy with stroke inpatients.Outcome measuresPrimary outcome was the usability of the system measured with the System Usability Scale. Secondary outcomes concerning feasibility were the compliance rate calculated from the total time spent on the intervention (TT) compared to planned time, the opinion of participants via open-end questions, and the level of active participation measured with the Pittsburgh Rehabilitation Participation Scale. Regarding the potential efficacy secondary outcomes were: functional dexterity measured with the Nine Hole Peg Test (NHPT), subjective dexterity measured with the Dexterity Questionnaire 24, grip strength measured with the Jamar dynamometer, and motor impairment of the upper limb measured with the Fugl-Meyer Upper Extremity (FM-UE) scale.ResultsPrimarily, the usability of the system was good to excellent. The patient’s perception of usability remained stable over a mean period of 3 weeks of VBT. Secondly, the compliance rate was good, and the level of active participation varied between good and very good. The opinion of the participants revealed that despite individual differences, the overall impression of the therapy and device was good. Patients showed significant improvements in hand dexterity. No changes were found in motor impairment of the upper limb (FM-UE) during intervention.ConclusionVBT using LMC is a usable rehabilitation tool to train dexterity in the early rehabilitation phase of stroke inpatients.

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“…resp.). This is in line with previous studies ( 17 , 50 , 51 ). The improvements in dexterity may result from the training being intensive, highly repetitive, and task-specific ( 5 ).…”

Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Usability of Videogame-Based Dexterity Training in the Early Rehabilitation Phase of Stroke Patients: A Pilot Study

et al. 2017

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“…The elements for 'stroke rehabilitation' included an adaptability to motor skill level, demonstrated extensively in games which feature automatic difficulty adjustment 87,138,139,153 and therapy-appropriate range of motion, a factor in examples using pre-game calibration tasks. 51,126,153,154 In addition, appropriate feedback and meaningful tasks, such as the reach, grasp, push and pull movements used with a virtual glove 41 were included, as well as a focus diverted from exercise, a concept which the University of Illinois' Art-empowered VR project featured heavily, guiding the player through a virtual story-like Alice in Wonderland experience. 155 Intentional movement and quantitative measurement were also later added, alongside various other usercentred elements.…”

Section: Towards a Model For Structured Designmentioning

confidence: 99%

The use and effect of video game design theory in the creation of game-based systems for upper limb stroke rehabilitation

Barrett

Swain

Gatzidis

et al. 2016

Journal of Rehabilitation and Assistive Technologies Engineerin

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Upper limb exercise is often neglected during post-stroke rehabilitation. Video games have been shown to be useful in providing environments in which patients can practise repetitive, functionally meaningful movements, and in inducing neuroplasticity. The design of video games is often focused upon a number of fundamental principles, such as reward, goals, challenge and the concept of meaningful play, and these same principles are important in the design of games for rehabilitation. Further to this, there have been several attempts for the strengthening of the relationship between commercial game design and rehabilitative game design, the former providing insight into factors that can increase motivation and engagement with the latter. In this article, we present an overview of various game design principles and the theoretical grounding behind their presence, in addition to attempts made to utilise these principles in the creation of upper limb stroke rehabilitation systems and the outcomes of their use. We also present research aiming to move the collaborative efforts of designers and therapists towards a model for the structured design of these games and the various steps taken concerning the theoretical classification and mapping of game design concepts with intended cognitive and motor outcomes.

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“…Another common Wiimote customisation involves using a pair of Wiimotes with the LED sensor bar or custom LEDs as an IR camera as a low-cost motion capture system, such as [19]- [21].…”

Section: Literature Reviewmentioning

confidence: 99%

Development and preliminary evaluation of a novel low cost VR-based upper limb stroke rehabilitation platform using Wii technology

Tsekleves

Paraskevopoulos

Warland

et al. 2014

Disability and Rehabilitation: Assistive Technology

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Purpose: This paper proposes a novel system (using the Nintendo Wii remote) that offers customised, non-immersive, virtual reality-based, upper-limb Implications for Rehabilitation• Low-cost, off-the-shelf game sensors, such as the Nintendo Wii remote, are acceptable by stroke survivors as an add-on to upper limb stroke rehabilitation but have to be bespoked to provide high-fidelity and real-time kinematic tracking of the arm movement.• Providing therapists with real-time and remote monitoring of the quality of the movement and not just the amount of practice, is imperative and most critical for getting a better understanding of each patient and administering the right amount and type of exercise.• The ability to translate therapeutic arm movement into individually calibrated exercises and games, allows accommodation of the wide range of movement difficulties seen after stroke and the ability to adjust these activities (in terms of speed, range of movement and duration) will aid motivation and adherence -key issues in rehabilitation.• With increasing pressures on resources and the move to more community-based rehabilitation, the proposed system has the potential for promoting the intensity of practice necessary for recovery in both community and acute settings.

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A study to evaluate a low cost virtual reality system for home based rehabilitation of the upper limb following stroke

Cited by 23 publications

References 19 publications

Usability of Videogame-Based Dexterity Training in the Early Rehabilitation Phase of Stroke Patients: A Pilot Study

Usability of Videogame-Based Dexterity Training in the Early Rehabilitation Phase of Stroke Patients: A Pilot Study

The use and effect of video game design theory in the creation of game-based systems for upper limb stroke rehabilitation

Development and preliminary evaluation of a novel low cost VR-based upper limb stroke rehabilitation platform using Wii technology

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