Upper limb virtual rehabilitation for traumatic brain injury: Initial evaluation of the elements system

Mumford, Nicholas; Duckworth, Jonathan; Thomas, Patrick R.; Shum, David; Williams, Gavin; Wilson, Peter H.

doi:10.3109/02699051003652807

Cited by 36 publications

(56 citation statements)

References 44 publications

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“…12,13 Eight of the included articles were case studies. [12][13][14][15][16][17][18][19] Five studies had a quasi-experimental design with a pre-post comparison, [20][21][22][23][24] and five were designed as pilot randomized controlled trials (RCTs)/comparative studies. [25][26][27][28][29] Details of these studies' characteristics and outcomes are presented in Table 1.…”

Section: Search Resultsmentioning

confidence: 99%

Using Virtual Reality and Videogames for Traumatic Brain Injury Rehabilitation: A Structured Literature Review

Pietrzak

Pullman

McGuire

2014

Games for Health Journal

105

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The evidence that the use of virtual reality in rehabilitation of traumatic brain injury improves motor and cognitive functionality is currently very limited. However, this approach has the potential to provide alternative, possibly more affordable and available rehabilitation therapy for traumatic brain injury in settings where access to therapy is limited by geographical or financial constraints.

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Section: Search Resultsmentioning

confidence: 99%

Using Virtual Reality and Videogames for Traumatic Brain Injury Rehabilitation: A Structured Literature Review

Pietrzak

Pullman

McGuire

2014

Games for Health Journal

105

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“…[35,36,95,96] Studies of varying levels of complexities in these populations have shown that groups utilizing VR have improved gait speed, standing endurance, and score higher than groups receiving the 'standard of care' on measures of posture, standing and higher level balance. [35,36] Despite the broad use of VR-based therapy for balance-focused rehabilitation in neurologically similar populations, the use of VR for the physical rehabilitation of patients with TBI has been limited, [35][36][37]97] with the majority of research focusing on cognitive rehabilitation. [31,[98][99][100][101][102][103][104][105][106] Applications of VR have sparsely been used for physical rehabilitation [37] and functional training, including completing kitchen activities, [32,98] using automatic teller machines, [107] driving [108][109][110] and wayfinding.…”

Section: Emerging Techniques For Balance Treatments: Virtual Realitymentioning

confidence: 99%

“…[35,36] Despite the broad use of VR-based therapy for balance-focused rehabilitation in neurologically similar populations, the use of VR for the physical rehabilitation of patients with TBI has been limited, [35][36][37]97] with the majority of research focusing on cognitive rehabilitation. [31,[98][99][100][101][102][103][104][105][106] Applications of VR have sparsely been used for physical rehabilitation [37] and functional training, including completing kitchen activities, [32,98] using automatic teller machines, [107] driving [108][109][110] and wayfinding. [111] In regards to balance, VR has been investigated as a tool to assess deficits post injury in athletes with mild TBI, [112][113][114] and as a therapeutic technique to treat long-term balance deficits in patients more than six months post TBI.…”

Section: Emerging Techniques For Balance Treatments: Virtual Realitymentioning

confidence: 99%

“…[32] Research on the use of VR-based therapy to treat balance deficits for populations with similar neurological deficiencies has shown improvements in several aspects of balance, and enhanced participant enjoyment (compared to the application of traditional equipment and activities), even in instances in which only simple VR systems have been utilized. [33,34] A small sample of VR-based therapeutic interventions for patients with TBI has been reported in the literature; [30,[35][36][37] however, these studies have predominantly involved cognitive rehabilitative efforts, as opposed to physical rehabilitation. In regards to balance, one small randomized controlled trial has been completed, comparing a physical therapist led activity-based balance exercise program with a program utilizing a highly complex VR-system in which participants completed balance exercises in front of a blue screen that were projected onto a large television on which the patient appeared to be completing the movements in an environment outside the rehabilitation facility.…”

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Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

et al. 2014

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Thesis directed by Assistant Clinical Professor Cynthia Harrison-Felix.Balance deficits are one of the most commonly occurring and physically limiting sequlae that result from more severe traumatic brain injury (TBI). The purpose of this study was to evaluate the effectiveness and applicability of using a commercially available virtual reality (VR) system as a treatment of these deficits for patients receiving inpatient rehabilitation for a primary diagnosis of TBI by conducting analyses of data collected as part of a pilot randomized controlled trial. The aims of this thesis were: (1) to examine the relationships between treatment received (VR or Extra Standard of Care) and static and dynamic balance changes over time; (2) to assess the predictive validity of the VR game scores on static and dynamic balance; and (3) to investigate dose response relationships between study treatments and changes in static and dynamic balance.Results indicate that patients receiving either treatment demonstrated significant balance improvements over time; however, neither treatment condition was found to be significantly better than the other. Scores from the VR balance games were found to have some moderately strong associations with the standardized assessment of static balance, with less strong relationships between VR scores and standardized assessments of dynamic balance. The results did not suggest the existence of any relationship between the amount of treatment received and changes in standardized assessments of balance. These data provide an essential first step in the establishment of the use of iv commercially available VR systems as effective tools for treating balance deficits for patients with TBI.The form and content of this abstract are approved. I recommend its publication.

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“…Mumford et al [6] describe a virtual tabletop workspace for upper-limb rehabilitation, and evaluated its effectiveness in promoting movement skills in patients with traumatic brain injury [7]. Participants demonstrated improvements in movement accuracy, efficiency and bimanual dexterity.…”

Section: Upper Extremity Rehabilitation Of Children With Cerebral Palmentioning

confidence: 99%

Upper extremity rehabilitation of children with cerebral palsy using accelerometer feedback on a multitouch display

Dunne

Do-Lenh

Laighin

et al. 2010

2010 Annual International Conference of the IEEE Engineering in Medicine and Biology

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-Cerebral palsy is a non-progressive neurological disorder caused by disturbances to the developing brain. Physical and occupational therapy, if started at a young age, can help minimizing complications such as joint contractures, and can improve limb range of motion and coordination. While current forms of therapy for children with cerebral palsy are effective in minimizing symptoms, many children find them boring or repetitive. We have designed a system for use in upper-extremity rehabilitation sessions, making use of a multitouch display. The system allows children to be engaged in interactive gaming scenarios, while intensively performing desired exercises. It supports games which require completion of specific stretching or coordination exercises using one or both hands, as well as games which use physical, or "tangible" input mechanisms. To encourage correct posture during therapeutic exercises, we use a wireless kinematic sensor, worn on the patient's trunk, as a feedback channel for the games. The system went through several phases of design, incorporating input from observations of therapy and clinical sessions, as well as feedback from medical professionals. This paper describes the hardware platform, presents the design objectives derived from our iterative design phases and meetings with clinical personnel, discusses our current game designs and identifies areas of future work.

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Upper limb virtual rehabilitation for traumatic brain injury: Initial evaluation of the elements system

Abstract: Taken together, the findings demonstrate that the Elements system shows promise in facilitating motor learning in these TBI patients. Larger scale trials are now deemed a viable step in further validating the system.

Cited by 36 publications

References 44 publications

Using Virtual Reality and Videogames for Traumatic Brain Injury Rehabilitation: A Structured Literature Review

Using Virtual Reality and Videogames for Traumatic Brain Injury Rehabilitation: A Structured Literature Review

Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

Upper extremity rehabilitation of children with cerebral palsy using accelerometer feedback on a multitouch display

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