Robotic therapy for phantom limb pain in upper limb amputees

Snow, Peter W.; Sedki, Imad; Sinisi, Marco; Comley, Richard; Loureiro, Rui

doi:10.1109/icorr.2017.8009383

Cited by 10 publications

(17 citation statements)

References 21 publications

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“…The idea of using VR in rehabilitation goes a long way back. For example Hauschild [18] [20], where a VR input device is coupled with haptic feedback provided by a robotic arm. In [21], AR is used to achieve the same results on reduction of phantom limb pain.…”

Section: Related Workmentioning

confidence: 99%

VITA—an everyday virtual reality setup for prosthetics and upper-limb rehabilitation

et al. 2019

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Objective: Currently, there are some 95,000 people in Europe suffering from upper-limb impairment. Rehabilitation should be undertaken right after the impairment occurs and should be regularly performed thereafter. Moreover, the rehabilitation process should be tailored specifically to both patient and impairment. Approach: To address this, we have developed a low-cost solution that integrates an off-the-shelf Virtual Reality (VR) setup with our in-house developed arm/hand intent detection system. The resulting system, called VITA, enables an upper-limb disabled person to interact in a virtual world as if her impaired limb were still functional. VITA provides two specific features that we deem essential: proportionality of force control and interactivity between the user and the intent detection core. The usage of relatively cheap commercial components enable VITA to be used in rehabilitation centers, hospitals, or even at home. The applications of VITA range from rehabilitation of patients with musculodegenerative conditions (e.g. ALS), to treating phantom-limb pain of people with limb-loss and prosthetic training. Main Results: We present a multifunctional system for upper-limb rehabilitation in VR. We tested the system using a VR implementation of a standard hand assessment tool, the Box and Block test and performed a user study on this standard test with both intact subjects and a prosthetic user. Furthermore, we present additional applications, showing the versatility of the system. Significance: The VITA system shows the applicability of a combination of our experience in intent detection with state-of-the art VR system for rehabilitation purposes. With VITA, we have an all-purpose experimental tool available, which allows us to quickly and realistically simulate all kind of real-world problems and rehabilitation exercises for upper-limb impaired patients. Additionally, other scenarios such as prostheses simulations and control modes can be quickly implemented and tested.

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Section: Related Workmentioning

confidence: 99%

VITA—an everyday virtual reality setup for prosthetics and upper-limb rehabilitation

et al. 2019

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“…Onze estudos utilizaram exclusivamente a RV (Ambron, 2018;Henriksen, 2017;Kulkarni, 2020;Nissler, 2019;Osumi, 2019;Perry, 2018;Rutledge, 2019;Snow, 2017;Wake, 2015) para o tratamento e reabilitação de pacientes amputados com Dor do Membro Fantasma (DMF), a partir de instrumentos como: fones de ouvido e Oculus Rift DK2, além de materiais complementares e questionários para coleta dos dados. E outros utilizaram exclusivamente a RA, os quais utilizaram de materiais como micro-vibradores, faixa elástica, amplificador EMG e vibrador correspondente Ortiz-Catalan, 2016;Rothgangel, 2018).…”

Section: Resultsunclassified

“…No que se refere ao membro amputado, 12 pesquisaram métodos para membros superiores (Henriksen, 2017;Kulkarni, 2020;Nissler, 2019;Osumi, 2019;Perry, 2018;Snow, 2017;Wake, 2015;Ortiz-Catalan, 2016;, somente 02 estudos foram direcionados aos membros inferiores (Ambron, 2018;Rothgangel, 2018) e outros 02 abrangeram tanto membros inferiores, como superiores (Rutledge, 2019;Lendaro, 2020).…”

Section: Resultsunclassified

“…Em relação ao tipo de estudo, 04 classificaram-se como estudos de caso (Osumi, 2019;Snow, 2017;Wake, 2015;Lendaro, 2020) outros 07 estudos classificaram-se como estudos experimentais prospectivos longitudinais Ambron, 2018;Henriksen, 2017;Kulkarni, 2020;Rutledge, 2019;Ortiz-Catalan, 2016). Além de outros tipos de metodologias utilizadas como: 01 estudo transversal (Nissler, 2019), 01 estudo quantitativo , 01 análise 01 fatorial exploratória (Osumi, 2019), 01 ensaio clínico (Perry, 2018), 01 estudo controlado randomizado multicêntrico com 3 braços (Rothgangel, 2018).…”

Section: Resultsunclassified

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Influência da Realidade Virtual e Aumentada no tratamento da dor do membro fantasma: Revisão integrativa

Fernandes

Júnior

Souza

et al. 2021

RSD

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Objetivo: Avaliar os tratamentos de tecnologia virtual e aumentada no manejo da dor do membro fantasma. Metodologia: A busca da literatura científica foi realizada nas bases de dados Pubmed, Scielo, Lilacs, Web of Science, Scopus e CINAHL, de estudos primários publicados no período de 2015 a 2020, com indivíduos com diagnóstico de dor em membro fantasma. Foram identificados 380 artigos, os quais após os critérios de elegibilidade resultaram em 16 estudos. Resultados: Estudos com as referidas realidades apresentaram diminuição da intensidade e percepção da dor no membro, a partir do questionário de dor e as pesquisas associadas com a realidade aumentada, os indivíduos melhoraram em suas atividades diárias bem como na qualidade do sono. Conclusão: A realidade virtual e aumentada apresenta-se como uma estratégia eficiente no tratamento, contudo, são necessários estudos com amostras e tempo maior para verificar a eficiência em longo prazo.

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“…VR has been used in the prosthetic field as a prosthetic training and assessment tool to monitor amputee performance [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35], alternative treatment for phantom limb pain [36][37][38][39][40][41][42][43][44], and virtual prototyping and testing of new prosthetics hand control system [45][46][47][48]. This medium has demonstrated its efficiency in improving the traditional method of training and makes it easy for people to learn [13].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Conventional and Virtual Reality Box and Blocks Tests in Upper Limb Amputees: A Case-Control Study

2021

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Previous studies have demonstrated the potential of virtual reality as an effective teaching tool for motor training. Despite the growing interest in this field, only a few studies have determined the validity of the tasks made in virtual environments to real physical environments. This case-control study compares the score of pick and place activity in the real and virtual environment by using the box and blocks test setup on 4 able-bodied and 4 transradial amputees (2 myoelectric prosthetic users and 2 nonprosthetic users). This study integrates the traditional Box and Blocks Test mechanics into gameplay by using the Leap Motion controller and Oculus Rift headset. The participants were instructed to complete the test in both environments randomly for 10 sessions, with 30 minutes of training in each session. Pearson's correlation interpretation was conducted to investigate the relation between the test's score with the training duration, also the score obtained in the real and virtual environment. Independent samples t-test was also carried out to compare the score from the different test environments. All participants showed a greater percentage change of test score in the virtual version and better performance was achieved with increasing training duration. Both environments were positively correlated. However, there was a significant difference in the test score obtained in the real and virtual environment for able-bodied t(9)=18.19, p<0.05 and myoelectric prosthetic user t(9)=4.51, p<0.05, but not for the non-prosthetic user. This study has demonstrated that two different environments showed significantly comparable results in pick and place tasks by individuals with different abilities.

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Robotic therapy for phantom limb pain in upper limb amputees

Cited by 10 publications

References 21 publications

VITA—an everyday virtual reality setup for prosthetics and upper-limb rehabilitation

VITA—an everyday virtual reality setup for prosthetics and upper-limb rehabilitation

Influência da Realidade Virtual e Aumentada no tratamento da dor do membro fantasma: Revisão integrativa

Comparison of Conventional and Virtual Reality Box and Blocks Tests in Upper Limb Amputees: A Case-Control Study

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