Empowering patients to perform physical therapy at home

González-Franco, Mar; Gilroy, Scott; Moore, John

doi:10.1109/embc.2014.6945071

Cited by 17 publications

(19 citation statements)

References 11 publications

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“…Only two included studies [ 28 , 29 ] used VR as a part of home rehabilitation for patients after TKA. Gonzalez-Franco et al [ 75 ] tested the rehabilitation protocol for patients after TKA in a group of healthy volunteers as a part of home rehabilitation using modern technology. Participants emphasize the possibility of intuitive and accessible teaching of the correct performance of exercises.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Byra

Czernicki

2020

JCM

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Osteoarthritis (OA) is a common health problem leading to pain, limitation in physical function, a decrease in the quality of life and disability. OA affects 60–70% of the population above 65 years of age all over the world, and is associated with a high cost of healthcare. The main method of treatment of OA, apart from pharmacotherapy and surgery, is comprehensive rehabilitation. Advances in medical technology have resulted in the possibility of using computer-assisted interventions in rehabilitation. The present narrative review is aimed at investigating the effectiveness of virtual reality (VR) in the rehabilitation of elderly patients with knee or hip osteoarthritis, including patients after arthroplasty. This literature review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was carried out in five databases: PubMed, Medline, Web of Science, Scopus and PEDro. It includes ten randomized controlled trials focused on the application of games and biofeedback in the rehabilitation of patients with knee and hip osteoarthritis. There are no conclusive reports that interventions based on VR are more effective than standard physical therapy. Moreover, evidence regarding patients after total hip arthroplasty (THA) is very scarce. The effectiveness of VR-based rehabilitation is unclear, although interventions based on VR are promising in view of pain management, postural and proprioception training. However, this evidence is not sufficient to create clinical guidelines and further high-quality studies are needed.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Byra

Czernicki

2020

JCM

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“…Rehabilitation is another possible application for PoMLab. Recent studies have attempted to perform rehabilitation at home, especially through the use of tablet devices, tablet games, or other devices that can connect to the tablet through Bluetooth [ 24 , 25 ]. We need to investigate whether our PoMLab application is effective for home-based rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Development of a Portable Motor Learning Laboratory (PoMLab)

Takiyama¹,

Shinya²

2016

PLoS ONE

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Most motor learning experiments have been conducted in a laboratory setting. In this type of setting, a huge and expensive manipulandum is frequently used, requiring a large budget and wide open space. Subjects also need to travel to the laboratory, which is a burden for them. This burden is particularly severe for patients with neurological disorders. Here, we describe the development of a novel application based on Unity3D and smart devices, e.g., smartphones or tablet devices, that can be used to conduct motor learning experiments at any time and in any place, without requiring a large budget and wide open space and without the burden of travel on subjects. We refer to our application as POrtable Motor learning LABoratory, or PoMLab. PoMLab is a multiplatform application that is available and sharable for free. We investigated whether PoMLab could be an alternative to the laboratory setting using a visuomotor rotation paradigm that causes sensory prediction error, enabling the investigation of how subjects minimize the error. In the first experiment, subjects could adapt to a constant visuomotor rotation that was abruptly applied at a specific trial. The learning curve for the first experiment could be modeled well using a state space model, a mathematical model that describes the motor leaning process. In the second experiment, subjects could adapt to a visuomotor rotation that gradually increased each trial. The subjects adapted to the gradually increasing visuomotor rotation without being aware of the visuomotor rotation. These experimental results have been reported for conventional experiments conducted in a laboratory setting, and our PoMLab application could reproduce these results. PoMLab can thus be considered an alternative to the laboratory setting. We also conducted follow-up experiments in university physical education classes. A state space model that was fit to the data obtained in the laboratory experiments could predict the learning curves obtained in the follow-up experiments. Further, we investigated the influence of vibration function, weight, and screen size on learning curves. Finally, we compared the learning curves obtained in the PoMLab experiments to those obtained in the conventional reaching experiments. The results of the in-class experiments show that PoMLab can be used to conduct motor learning experiments at any time and place.

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“…With "Use-Dependent Adaptation", a Kinect device was often used to give visual tailored feedback about the performance or remaining time the end-user had [55][56][57][58][59][60][61] and/or by tailoring the difficulty of the tasks to end-user input, like performance [52][53][54]. In "User Controlled Customization", end-users tailored avatars that could represent an idealized self or actual self [7,44,49,51,49] and others defined the objectives, difficulty level or specified the stimuli of a product [45,47,48,50].…”

Section: Tailoringmentioning

confidence: 99%

“…For example, two studies suggested that the users had positive subjective experiences while playing the game (e.g., enjoyment and a sense of accomplishment) and that they were motivated by the tailoring aspect of the activity [53,59]. Regarding physical health, the physical performance improved significantly [60], which was a significant [52] or a percentage improvement in motor and sensory impairments [56]. End-users that participated in both conditions rated the experimental game as more enjoyable [55], and after playing an imitative collaborative game with a robot, children with ASD played more with each other [58].…”

Section: Valid Andreliable Measurementsmentioning

confidence: 99%

Personalization in Game Design for Healthcare: a Literature Review on its Definitions and Effects

Dooren

Visch

Spijkerman

et al. 2016

IJSG

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Personalization, the involvement of stakeholders in the design process, is often applied in serious game design for health. It is expected to enhance the alignment of a game to the preferences and capacities of the end-user, thereby increasing the end-user’s motivation to interact with the game, which finally might enhance the aimed-for health effects of the game. However, the nature and effect of personalization have never been systematically studied, making assumptions regarding personalization ungrounded. In this literature review, we firstly provide a proposal of our Personalized Design Process-model, where personalization is defined as stakeholder involvement in the Problem Definition-, Product Design- and/or Tailoring Phase. Secondly, we conducted a systematic literature review on this model, focusing on health and its effects. In this review, 62 of the 2579 found studies were included. Analysis showed that a minority of the studies were of methodologically higher quality and some of these tested the health effect by contrasting tailored versus non-tailored games. Most studies involved stakeholders in the Tailoring Design Phase. Therefore, we conclude that involving stakeholders in the Tailoring Phase is valuable. However, to know if personalization is effective in the Product Design- and the Problem Definition Phase, more studies are needed.

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Empowering patients to perform physical therapy at home

Cited by 17 publications

References 11 publications

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Development of a Portable Motor Learning Laboratory (PoMLab)

Personalization in Game Design for Healthcare: a Literature Review on its Definitions and Effects

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