Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch, Judith E.; McCoy, Sarah Westcott

doi:10.1097/pep.0000000000000387

Cited by 68 publications

(59 citation statements)

References 147 publications

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“…A new trend within the telerehab sector is the development of applications through multimedia and gamification techniques in the rehabilitation of patients with physical disabilities. One example is "Rehab@Home," which is an infrastructure based on commercially available and relatively low-cost devices, such as "Kinect" or "Nintendo Wii," creating a virtual environment for the patient, and uses "exergames" that increase the engagement of rehabilitation [22]. Additionally, OPTI-RERC -Optimizing Participation Through Technology for Successful Aging with Disability -is a project that is providing VR and gamification in the home-based motor assessment.…”

Section: Review Technology and Technical Featuresmentioning

confidence: 99%

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Fiani¹,

Siddiqi²,

Lee³

et al. 2020

Cureus

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The coronavirus disease 2019 (COVID-19) pandemic has triggered governments worldwide to implement severe restrictions on physical therapy protocols in order to better control the spread of the virus. One of the mechanisms of providing physical therapy patient care during this era is via telemedicine. Telerehabilitation or telerehab is a technological visual-audio system that serves patients, including those with a spine injury, ailment, or postoperatively, with neurological deficits. In this scoping review, we discuss the development of telerehab, the technological advances in the field, and the usage of telerehab specifically pertaining to spine patients, and comment on the advancement of telerehab in the time of COVID-19. There is preliminary evidence that suggests that the adoption of telerehab in lieu of face-to-face interventions is beneficial for reducing pain and improving physical function in patients afflicted with chronic nonmalignant musculoskeletal pain from low back pain, lumbar stenosis, neck pain, and osteoarthritis. Availability is important, as the necessary technology should be accessible to all participants. Safety and security should be addressed, as the passage of patient data over the Internet requires secure confidentiality. Ease-of-use is crucial to promote practicality, user-friendly operation, and adherence to therapy. The combination of evidence-based methodologies with cost-effective services will serve as a basis for the further expansion of vital telerehab services and increases reimbursement by health insurance providers.

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Section: Review Technology and Technical Featuresmentioning

confidence: 99%

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Fiani¹,

Siddiqi²,

Lee³

et al. 2020

Cureus

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show abstract

“…stroke, traumatic brain injury, spinal cord injury, cerebral palsy, multiple sclerosis, etc.) (Deutsch & McCoy, 2017; Howard, 2017; Klamroth-Marganska et al, 2014; Lange et al, 2012; Merians et al, 2010), and for the assessment and rehabilitation of attention, memory, spatial skills, and other cognitive functions in both clinical and unimpaired populations (Bogdanova, Yee, Ho, & Cicerone, 2016; Matheis et al, 2007; Parsons, Rizzo, Rogers, & York, 2009; Pugnetti et al, 1995; Rizzo, 1994; Rizzo et al, 2006; Valladares-Rodriguez et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Rizzo

Shilling

2017

European Journal of Psychotraumatology

152

107

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Numerous reports indicate that the incidence of posttraumatic stress disorder (PTSD) in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) military personnel has created a significant behavioural healthcare challenge. These findings have served to motivate research on how to better develop and disseminate evidence-based treatments for PTSD. The current article presents the use of Virtual Reality (VR) as a clinical tool to address the assessment, prevention, and treatment of PTSD, based on the VR projects that were evolved at the University of Southern California Institute for Creative Technologies since 2004. A brief discussion of the definition and rationale for the clinical use of VR is followed by a description of a VR application designed for the delivery of prolonged exposure (PE) for treating Service Members (SMs) and Veterans with combat- and sexual assault-related PTSD. The expansion of the virtual treatment simulations of Iraq and Afghanistan for PTSD assessment and prevention is then presented. This is followed by a forward-looking discussion that details early efforts to develop virtual human agent systems that serve the role of virtual patients for training the next generation of clinical providers, as healthcare guides that can be used to support anonymous access to trauma-relevant behavioural healthcare information, and as clinical interviewers capable of automated behaviour analysis of users to infer psychological state. The paper will conclude with a discussion of VR as a tool for breaking down barriers to care in addition to its direct application in assessment and intervention.

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“…[22][23][24] Recent neuroimaging studies too have reaffirmed these aspects, as VR-based interventions were shown to instigate neural plasticity. [25][26][27][28][29] In addition, other mechanisms that have been proposed to facilitate recovery using VR include enhanced biomechanical efficiency, real-time error feedback, 30,31 increased arousal, 32 and motivation. 33 Recently published systematic reviews have recommended the use of VR as a tool for gait rehabilitation poststroke.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality training enhances gait poststroke: a systematic review and meta‐analysis

Ghai

Ghai²,

Lamontagne

2020

Annals of the New York Academy of Sciences

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Virtual reality (VR)-based interventions are gaining widespread attention for managing neurological disorders such as stroke. A metastatistical consensus regarding the intervention is strongly warranted. In this study, we attempt to address this gap in the literature and provide the current state of evidence for the effects of VR on gait performance. We conducted both between-and within-group meta-analyses to provide a state of evidence for VR. Moreover, we conducted a search adhering to PRISMA guidelines on nine databases. Out of 1866 records, 32 studies involving a total of 809 individuals were included in this review. Considering all included studies, significant enhancements in gait parameters were observed with VR-based interventions compared with conventional therapy. A between-group meta-analysis reported beneficial significant medium effects of VR training on cadence (Hedge's g = 0.55), stride length ((STrL; Hedge's g = 0.46), and gait speed (Hedge's g = 0.30). Similarly, a within-group metaanalysis further revealed positive medium effects of VR on cadence (Hedge's g = 0.76), STrL (Hedge's g = 0.61), and gait speed (Hedge's g = 0.69). Additional subgroup analyses revealed beneficial effects of joint application of VR and robot-assisted gait training on gait speed (Hedge's g = 0.50). Collectively, findings from this review provide evidence for the effectiveness of VR-based gait training for stroke survivors.

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Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Cited by 68 publications

References 147 publications

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Virtual reality training enhances gait poststroke: a systematic review and meta‐analysis

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