Motor rehabilitation using virtual reality

Sveistrup, Heidi

doi:10.1186/1743-0003-1-10

Cited by 570 publications

(177 citation statements)

References 38 publications

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“…A number of factors are thought to enhance plasticity-based rehabilitation, such as task-oriented movement practice in a challenging, engaging, functional, and meaningful way, and the rehabilitation should address body function and structures, activity, and participation level [9][10][11][12][13]15]. Rehabilitation has shown that, even in chronic stroke, improved upperlimb outcomes can be achieved [16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Movement practice and repetition form the basis of plasticity-based motor recovery [10][11][12][13][14]. A number of factors are thought to enhance plasticity-based rehabilitation, such as task-oriented movement practice in a challenging, engaging, functional, and meaningful way, and the rehabilitation should address body function and structures, activity, and participation level [9][10][11][12][13]15].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral upper-limb rehabilitation after stroke using a movement-based game controller

Hijmans¹,

Hale²,

Satherley³

et al. 2011

JRRD

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Abstract-This study aimed to determine the effectiveness of a bilateral, self-supported, upper-limb rehabilitation intervention using a movement-based game controller for people with chronic stroke. Fourteen participants received a control treatment, followed by a washout period, and then the intervention. The intervention comprised playing computer games with the CyWee Z (CyWee Group Ltd; Taipei, Taiwan), a movement-based game controller similar to the Nintendo Wii remote. The CyWee Z was incorporated into a handlebar, making bilateral exercises possible by allowing the unaffected side to support and assist the affected side. The intervention lasted for 8 to 10 sessions of 45 to 60 minutes over a period of 2.5 weeks. The Fugl-Meyer Assessment upper-limb section (FMA-UL) was used as the primary outcome. The Wolf Motor Function Test and the Disabilities of Arm, Shoulder, and Hand outcome measure were used as secondary outcomes. Postintervention, motor performance as measured by the FMA-UL was significantly improved compared with all preintervention assessments (p < 0.001), whereas no changes were found on both secondary outcomes. It can be concluded from this pilot study that upper-limb motor performance of adults with chronic stroke improves with repetitive, game-assisted, selfsupported bilateral exercises.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bilateral upper-limb rehabilitation after stroke using a movement-based game controller

Hijmans¹,

Hale²,

Satherley³

et al. 2011

JRRD

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show abstract

“…Computer-assisted technology, such as virtual reality, is considered a useful addition to rehabilitation because it offers a potential medium by which these key aspects can be provided [13][14][15]. In virtual reality, the user experiences a simulated "real" environment using dedicated computer software [14][15].…”

Section: Introductionmentioning

confidence: 99%

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Hale

Satherley

McMillan

et al. 2012

JRRD

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Abstract-This article reports on the perceptions of 14 adults with chronic stroke who participated in a pilot study to determine the utility, acceptability, and potential efficacy of using an adapted CyWee Z handheld game controller to play a variety of computer games aimed at improving upper-limb function. Four qualitative in-depth interviews and two focus groups explored participant perceptions. Data were thematically analyzed with the general inductive approach. Participants enjoyed playing the computer games with the technology. The perceived benefits included improved upper-limb function, concentration, and balance; however, six participants reported shoulder and/or arm pain or discomfort, which presented while they were engaged in play but appeared to ease during rest. Participants suggested changes to the games and provided opinions on the use of computer games in rehabilitation. Using an adapted CyWee Z controller and computer games in upper-limb rehabilitation for people with chronic stroke is an acceptable and potentially beneficial adjunct to rehabilitation. The development of shoulder pain was a negative side effect for some participants and requires further investigation.

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“…Estes achados também foram documentados em vários estudos 3,7,19,20 . O motivo da melhora poderá ser explicado pelo processo de plasticidade cerebral, no qual o sistema vestibular habituou em decorrência a uma resposta repetida dos exercícios propostos 12 A falta de movimentação corporal e o medo de sentir tontura faz com que o paciente restrinja seus movimentos corporais e, com isso, adquira maus hábitos posturais e, consequentemente, tensão da musculatura cervical para evitar o reaparecimento da tontura [23][24][25] .…”

Section: Discussionunclassified

“…Um dos recursos que vem sendo aplicado para o tratamento de reabilitação do sistema vestibular é a realidade virtual, que utiliza estímulos que simulam situações da vida real 7,8 . É constituído por um emissor de imagens virtuais que recriam situações que causam tontura, propiciando compensação dos distúrbios vestibulares 9,10 .…”

Section: Introductionunclassified

Análise da realidade virtual em paciente com vestibulopatia periférica: Relato de caso

Costa¹,

Boas²,

Silva³

et al. 2015

RNC

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relato de caso RESUMO Objetivo. Analisar os efeitos da realidade virtual em paciente com disfunção vestibular periférica. Método. Estudo experimental com uma paciente de 45 anos, sexo feminino com diagnóstico clínico de vestibulopatia periférica. Os instrumentos utilizados para avaliação foram: o Inventário das Deficiências de Vertigem (DHI) e a Escala de equilíbrio de Berg (EEB). Para intervenção aplicou-se a um protocolo de simulação de realidade virtual, utilizando o equipamento Nintendo Wii e a Plataforma Wii Balance Board. A paciente realizava duas sessões por semana, com duração de 1 hora e 20 minutos em cada sessão, que era composta por 4 jogos que se repetia por 4 vezes, durante um período de 5 semanas. O treinamento consistia de movimentos em um mundo tridimensional com 6 graus de liberdade. Resultados. Na avaliação inicial pela EEB o escore total foi de 41,07% (100% de chance de quedas), enquanto no final do treinamento a soma dos escores foi de 96,42% (4% de chance de queda). No DHI obteve-se 20% do total do escore na avaliação inicial e 2,5% período pós-intervenção, o que indica melhora nos sintomas e tontura. Conclusão. Com este caso foi possível verificar que a terapia virtual foi efetiva, proporcionando melhora da tontura e do equilíbrio. Unitermos. Reabilitação, Equilibrio Postural, TonturaCitação. Costa WCC, Bôas AV, Silva AM, Reis LM, Kosour C, Silva AT. Análise da realidade virtual em paciente com vestibulopatia periférica: Relato de caso. ABSTRACTObjective. To analyze the effects of virtual reality in patients with peripheral vestibular dysfunction. Method. This is an experimental study with a 45 year old female patient with a clinical diagnosis of peripheral vestibular disease. The instruments used for assessment were the Inventory of Vertigo Disabilities (DHI) and the Berg Balance Scale (BBS). In the intervention was applied to a virtual reality simulation protocol, using the equipment Nintendo Wii and the Wii Balance Board Platform. The patient performed two sessions per week, with duration of 1 hour and 20 minutes in each session, which consisted of four games that was repeated 4 times during a 5-week period. The training consisted of movements in three-dimensional world with 6 degrees of freedom. Results. The initial assessment by the BBS total score was 41.07% (100% chance of falls), while at the end of training the sum of the scores was 96.42% (4% chance of falls). In DHI was obtained 20% of the total score at baseline and 2.5% after the intervention period, indicating improvement in symptoms and dizziness. Conclusion. With this case we found that the virtual therapy was effective, providing improvement of dizziness and balance.

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Motor rehabilitation using virtual reality

Cited by 570 publications

References 38 publications

Bilateral upper-limb rehabilitation after stroke using a movement-based game controller

Bilateral upper-limb rehabilitation after stroke using a movement-based game controller

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Análise da realidade virtual em paciente com vestibulopatia periférica: Relato de caso

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