Experiencia clínica de la aplicación del sistema de realidad TOyRA en la neuro-rehabilitación de pacientes con lesión medular

Gil-Agudo, Ángel; Dimbwadyo-Terrer, Iris; Peñasco-Martín, Benito; Reyes-Guzmán, Ana de los; Bernal-Sahún, Alberto; Berbel-García, A.

doi:10.1016/j.rh.2011.10.005

Cited by 10 publications

(40 citation statements)

References 17 publications

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“…Toyra is a VR rehabilitation system for UL rehabilitation with people with tetraplegia. It records and reproduces in real time the movements of the patient through a personalized avatar displayed on an LCD screen [ 27 ]. The VR interface displays several common objects, where the patient is asked to reproduce the movements necessary to perform ADL.…”

Section: Introductionmentioning

confidence: 99%

“…Toyra system allows also assessing UL movements by recording kinematic variables for the different degrees of freedom during the execution of analytical movements of the UL. Prior pilot studies have shown correlations between kinematic data measured with Toyra system and functional scales [ 28 ], as well as trends of improvements in kinematic, functional, and clinical variables after the ADL-based VR rehabilitation treatment [ 27 ], in people with tetraplegia. Moreover, kinematic metrics have been defined, based on data recorded by the VR system Toyra, showing promising results in terms of clinically relevant information [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

Dimbwadyo-Terrer

Gil-Agudo

Segura‐Fragoso³

et al. 2016

BioMed Research International

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The aim of this study was to investigate the effects of a virtual reality program combined with conventional therapy in upper limb function in people with tetraplegia and to provide data about patients' satisfaction with the virtual reality system. Thirty-one people with subacute complete cervical tetraplegia participated in the study. Experimental group received 15 sessions with Toyra® virtual reality system for 5 weeks, 30 minutes/day, 3 days/week in addition to conventional therapy, while control group only received conventional therapy. All patients were assessed at baseline, after intervention, and at three-month follow-up with a battery of clinical, functional, and satisfaction scales. Control group showed significant improvements in the manual muscle test (p = 0,043, partial η 2 = 0,22) in the follow-up evaluation. Both groups demonstrated clinical, but nonsignificant, changes to their arm function in 4 of the 5 scales used. All patients showed a high level of satisfaction with the virtual reality system. This study showed that virtual reality added to conventional therapy produces similar results in upper limb function compared to only conventional therapy. Moreover, the gaming aspects incorporated in conventional rehabilitation appear to produce high motivation during execution of the assigned tasks. This trial is registered with EudraCT number 2015-002157-35.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

Dimbwadyo-Terrer

Gil-Agudo

Segura‐Fragoso³

et al. 2016

BioMed Research International

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“…The VR system Toyra® has proved to be valid and consistent not only as an assessing tool, but also as a rehabilitation device. In a previous study (Gil-Agudo et al, 2012), we found trends indicating improvements in kinematic, functional and clinical variables after treatment in the IG. Statistically significant differences were found between the groups from the results of a test that assessed the manipulative skill, coordination and fine grip.…”

Section: Discussionmentioning

confidence: 50%

“…The treatment system used was the VR Toyra®, which was comprised of motion capture elements that reproduce, in real time, the movements of the patient through an avatar displayed on an LCD screen, the characteristics of the system having been described previously (Gil-Agudo et al, 2012). A series of objects are shown, and the avatar, which represents the patient, has to touch them, while following predefined treatment goals.…”

Section: Treatmentmentioning

confidence: 99%

Clinical, Functional and Kinematic Correlations using the Virtual Reality System Toyra® as Upper Limb Rehabilitation Tool in People with Spinal Cord Injury

2013

Proceedings of the International Congress on Neurotechnology, Electronics and Informatics

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The aim of this study was to prove the validity and efficacy of the Virtual Reality (VR) System Toyra® as an assessment and rehabilitation tool for people with tetraplegia. We analysed the correlation between clinical and functional parameters with kinematic variables of upper limbs during a training protocol using Toyra®. Eighteen patients with cervical spinal cord injury (SCI) were selected to perform the study by comparing 2 treatments: patients in an intervention group (IG) conducted a program that included 12 sessions with Toyra® Activities of Daily Living (ADLs) module for 3 weeks, while a control group (CG) only had the traditional rehabilitation. Kinematic variables (shoulder, elbow and hand joint range of motion) were correlated to clinical [Motor Index (MI), Muscle Balance (MB)] and functional [Functional Independence Measure (FIM), Spinal Cord Independence Measure II (SCIM II), Barthel Index (BI)] evaluation scores. The results of the study showed a high correlation between these variables and also statistically significant differences (p=0.039) in a kinematic parameter (wrist extension), after treatment and in the follow-up evaluation. Toyra® system has been validated as upper limb assess and rehabilitation tool in people with SCI, to measure the patient´s functional evolution and improve the movement in upper limbs.

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“…The captured inertial sensor and UL anthropometric data were used to develop a biomechanical model that has been previously described by Gil-Agudo et al (2011). The training system used was the VR Toyra Ò , which reproduces, in real time, the movements of the patient through an avatar displayed on an LCD screen (Gil-Agudo et al 2012). A series of objects are shown, and the avatar, which represents the patient in mirror view, has to touch them, Virtual Reality while following trajectories that represent functional movements.…”

Section: Assessmentmentioning

confidence: 99%

Activities of daily living assessment in spinal cord injury using the virtual reality system Toyra®: functional and kinematic correlations

et al. 2015

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The main objective of this study was to analyze the correlations between functional scales and kinematic data collected during the execution of upper limb (UL) basic activities of daily living in an immersive virtual reality (VR) environment. Fifteen people with tetraplegia participated in the study. Moreover, we also want to confirm if changes in UL functional performance detected by functional scales are also detected by the VR system Toyra Ò . Patients were assessed before and after 4 weeks of daily conventional rehabilitation treatment complemented with a training with the VR system. Significant positive correlations between kinematic and functional parameters were found in the post assessment, verifying that changes in UL functional performance detected by functional scales are also measured by the VR system Toyra Ò , concretely the related to shoulder movements. Additionally, a predefined Agility metric has been applied, showing inversely proportional results to the level of injury, as we expected. The self-care category of the Spinal Cord Independence Measure (SCIM III) and the ranges of motion (ROM) captured with the VR system were analyzed, showing statistical significance changes between pre-post evaluations, supporting the hypothesis that kinematic analysis complements clinical and functional assessments of patients with tetraplegia.

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Experiencia clínica de la aplicación del sistema de realidad TOyRA en la neuro-rehabilitación de pacientes con lesión medular

Cited by 10 publications

References 17 publications

Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

Clinical, Functional and Kinematic Correlations using the Virtual Reality System Toyra® as Upper Limb Rehabilitation Tool in People with Spinal Cord Injury

Activities of daily living assessment in spinal cord injury using the virtual reality system Toyra®: functional and kinematic correlations

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