The Role of Virtual Reality and Biomechanical Technologies in Stroke Rehabilitation

Bartnicka, Joanna; Herrera, Cristina; Michnik, R.; Pavan, E.; Vercesi, Paolo; Varela-Donoso, Enrique; Garrido, David

doi:10.1007/978-3-319-93882-0_34

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…In fact, the increasing number of implementations and evaluations have increased in the recent years. This suggests that either the supporting technology is achieving a convincing maturity level, or the opportunity and relevance has been recognized by both therapists and game researchers [14]. There is however an attempt to search for new ways of adapting to a broader range of patients, including those not familiar with traditional computer games.…”

Section: Related Workmentioning

confidence: 99%

Gamifying Motor Rehabilitation Therapies: Challenges and Opportunities of Immersive Technologies

Ferreira

Menezes

2020

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Recovering from a traumatic incident (e.g, a stroke) implies rigorous and demanding therapies to ensure recovery of the lost capabilities. Due to the lack of short-term visible results, stroke patients tend to lose interest in their recovery process and frequently do not follow their therapists’ suggestions to continue performing their training at home, between physiotherapy sessions. This article explores the extent to which common computer games or specifically crafted games can serve as a rehabilitation practice, but also how conventional therapeutic devices might be transformed to be incorporated into games. Furthermore, we propose a platform that follows the opportunity of creating serious games that are designed for stroke patients with reduced upper limb mobility while following the same principles of common therapeutic procedures. This platform was carefully built with the purpose of allowing patients to comply tele-rehabilitation and promoting the execution of the recommended training at home. Following these ideas, we integrated two carefully designed games that have been tested and validated in our previous works, and we added a top-layer characterized by an online back-end application for therapists that allows them to observe their patients’ progress over time and draw different conclusions.

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Section: Related Workmentioning

confidence: 99%

Gamifying Motor Rehabilitation Therapies: Challenges and Opportunities of Immersive Technologies

Ferreira

Menezes

2020

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“…Currently, this technology is widely used in various healthcare sectors due to its recognition by health organizations, doctors, and governments, leading to active deployment of VR applications in healthcare. Relevant literature [7][8][9][10][11][12] also discusses the use of VR in medical care for pain distraction therapy, aiming to alleviate patients' suffering. A previous study [7] analyzed the conditions of brain neurons and observed their gradual recovery after 6 weeks, ultimately enabling the subjects to slowly control leg movements, indicating that long-term VR stimulation benefits limb rehabilitation and training.…”

Section: A Vr-assisted Rehabilitationmentioning

confidence: 99%

“…A previous study [7] analyzed the conditions of brain neurons and observed their gradual recovery after 6 weeks, ultimately enabling the subjects to slowly control leg movements, indicating that long-term VR stimulation benefits limb rehabilitation and training. Another study [8] combined VR with neurophysiology to stimulate the participants' brains through localized induction to facilitate hand movements. The research has shown that VR-assisted rehabilitation improves neural conduction speed in the arms faster than traditional methods, leading to enhanced upper limb recovery.…”

Section: A Vr-assisted Rehabilitationmentioning

confidence: 99%

A Post-Stroke Rehabilitation System With Compensatory Movement Detection Using Virtual Reality and Electroencephalogram Technologies

Shih,

Lin,

Chen

et al. 2024

IEEE Access

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Stroke is a leading cause of global population mortality and disability, imposing burdens on patients and caregivers, and significantly affecting the quality of life of patients. Therefore, in this study, we aimed to explore the application of virtual reality technology in physical therapy by using immersive interactive training and designing rehabilitation modes for individual and group settings. We also aimed to provide patients with stroke with a comprehensive home-based rehabilitation and treatment plan, ultimately enhancing training effectiveness. Patients can engage in home-based rehabilitation through this system and undergo functional, mirror, and constraint-induced therapies tailored to different task contents. Simultaneously, using brain-computer interface technology, an emotion analysis mechanism was designed to map the patients' brainwave signal data onto a two-dimensional space of positive-negative valence arousal; this approach can enable remote physical therapists to discern the patients' emotional states during the rehabilitation process through virtual spaces, facilitating timely adjustments to rehabilitation tasks. Moreover, to prevent compromised effectiveness owing to improper training postures leading to compensation, the system offers real-time identification and recording, promptly issuing alerts when compensation occurs. The system provides a multiuser virtual rehabilitation space, enabling timely corrections and data observations, offering patients with stroke a home-based rehabilitation program, thereby realizing a localized aging care model.

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“…Besides than being useful in the assessment and treatment of patient, this advanced technology also scientifically validated as a supplemental and stand-alone (e.g., pain distraction) treatment option for a variety of pain and behavioral conditions, and it is emerging as a tool for the detection of neurological disorders [8]. While the main area supported by modern technologies in rehabilitation regards the improvement of motor functions of upper limb, the restoration of lower limb function is still being developed [9]. One of the study proposed a motion rehabilitation and evaluation system using a Kinect sensor [10].…”

Section: Virtual Rehabilitationmentioning

confidence: 99%

“…This advanced technology also scientifically validated as a supplemental and stand-alone (e.g., pain distraction) treatment option for a variety of pain and behavioral conditions, and it is emerging as a tool for the detection of neurological disorders [8]. Study show that VR consoles (Kinect system and Nintendo Wii) and robots or exoskeletons are commonly used in virtual rehabilitation [9]. This paper focused on the experiments of Virtual Lower Limb Stroke Rehabilitation (VRLite) prototype with post stroke patients.…”

Section: Introductionmentioning

confidence: 99%

Virtual Lower Limb Stroke Rehabilitation to Assess Post Stroke Patients

Jian

Shamsuddin

2019

Advances in Visual Informatics

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Stroke is a disease that causes disability in adults due to the abrupt interruption of constant blood flow to the brain. Most people encounter difficulties with movement after a stroke, which prevents them from moving around. However, patients often show a lessened endurance and motivation in participating in these boring exercises. This may lead to an early termination of stroke rehabilitation, which can cause permanent disability in life. The application of virtual reality in stroke rehabilitation provides an immersive environment to increase the engagement of patients in rehabilitation exercises. In this study, a prototype named virtual lower limb stroke rehabilitation (VRLite) was developed and tested with post stroke patients on the accuracy of measurements and its usability and acceptance. The measurements of knee angles using Kinect and goniometer were compared using Bland-Altman plot to assess the system validity. The upper and lower LoA were 7.2°and −7.5°respectively. The result shows that 95% of LoA were within the upper and lower limit. The result shows that there is no significant difference between the measurements of knee angles using Kinect and goniometer. Hence, the developed program can be used interchangeably with the conventional rehabilitation.

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The Role of Virtual Reality and Biomechanical Technologies in Stroke Rehabilitation

Cited by 5 publications

References 23 publications

Gamifying Motor Rehabilitation Therapies: Challenges and Opportunities of Immersive Technologies

Gamifying Motor Rehabilitation Therapies: Challenges and Opportunities of Immersive Technologies

A Post-Stroke Rehabilitation System With Compensatory Movement Detection Using Virtual Reality and Electroencephalogram Technologies

Virtual Lower Limb Stroke Rehabilitation to Assess Post Stroke Patients

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