Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial

Turolla, Andrea; Dam, Mauro; Ventura, Laura; Tonin, Paolo; Agostini, Michela; Zucconi, Carla; Kiper, Paweł; Cagnin, Annachiara; Piron, Lamberto

doi:10.1186/1743-0003-10-85

Cited by 249 publications

(159 citation statements)

References 29 publications

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“…By executing therapy exercises, the patient interacts with an immersive or non-immersive VE, e.g., [13], [19], [20]. To do so, the patient uses robotic or non-robotic devices to conduct the exercises [21]- [24].…”

Section: Introductionmentioning

confidence: 99%

Haptic Feedback in Motor Hand Virtual Therapy Increases Precision and Generates Less Mental Workload

Ramírez-Fernández¹,

Morán²,

García–Canseco³

2015

EAI Endorsed Trans Perv Health Tech

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Abstract-In this work we show that haptic feedback in upper limb motor therapy improves performance and generates a lower mental workload. To demonstrate this, two groups of participants (healthy adults and elders with hand motor problems) used a low-cost haptic device (Novint Falcon) and a non-robotic device (Leap Motion Controller). Participants conducted the same rehabilitation task by using a non-immersive virtual environment. Results show significant differences for all participants regarding precision on the use of the haptic feedback device. Additionally, participants in the older adult group demonstrated a lower mental workload while using the haptic device (Novint Falcon). Finally, qualitative results show that participants preferred to conduct their therapy exercises by using the haptic device, as they found it more useful, easier to use and easier to learn.

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Section: Introductionmentioning

confidence: 99%

Haptic Feedback in Motor Hand Virtual Therapy Increases Precision and Generates Less Mental Workload

Ramírez-Fernández¹,

Morán²,

García–Canseco³

2015

EAI Endorsed Trans Perv Health Tech

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“…Rehabilitation of motor function is currently considered to be a matter of priority after thrombolysis [6-8], and is the evidence for the effectiveness of stroke unit care [9]. However, post-stroke cognitive impairment (PSCI) was reported to have a prevalence ranging from 50 to 90% [10, 11], which will further lead to other dementias [12].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Function and Prognosis of Multimodal Neuroimage-Guided Thrombectomy on Mild to Moderate Anterior Circulation Infarction Patients with Broadened Therapeutic Window: A Prospective Study

Xu¹,

Dong²,

Niu³

et al. 2017

Eur Neurol

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Background and Objectives: Endovascular mechanical thrombectomy is an important approach for acute ischemic stroke (AIS) treatment. Multimodal neuroimaging methods ideally provide the exact localization, extent, and metabolic activity of target tissues. Post-stroke cognitive impairment has recently been realized to be another major concern except for neurological function impairment. The aim of our study was to carry out a prospective study to compare neurological and cognitive functions after thrombectomy in mild to moderate anterior circulation infarction patients selected by multimodal neuroimaging. Methods: Ninety patients were recruited from January 2016 to March 2017 consecutively. Neurological function was assessed by NIHSS before thrombectomy, and 6 h, 24 h, 7 days, 90 days after mechanical thrombectomy. Cognitive functions were evaluated by Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA) and Hachinski Ischemic Scale. Results: Patients who received mechanical thrombectomy had significantly better neurological functions at 6 h (p < 0.001), 24 h (p < 0.001), 7 days (p < 0.001), and 90 days (p < 0.001), as well as cognitive functions evaluated by MoCA (26.23 ± 3.85 vs. 24.62 ± 2.25, p = 0.022, n = 85) and MMSE (26.65 ± 2.77 vs. 25.10 ± 2.36, p = 0.023, n = 85) compared to the standard therapy group. Conclusions: The current prospective study demonstrated that mechanical thrombectomy can significantly improve neurological and cognitive functions in patients with mild to moderate AIS at broadened therapeutic window under multimodal CT and multimodal MRI imaging.

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“…O treinamento com RV apresenta-se promissor, especialmente na reabilitação do membro superior pós AVC [23][24][25][26]. Além dos ganhos funcionais, o processo de reabilitação através da RV permite um maior envolvimento no programa, aproveitamento e sensação de controle sobre o ambiente pelos pacientes [27].…”

Section: Introductionunclassified

Terapia baseada em realidade virtual usando o Leap Motion Controller para reabilitação do membro superior após acidente vascular cerebral

Soares

Pereira

Figueiredo

et al. 2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT AIMS: To evaluate the applicability of a virtual reality-based motion sensor for post-stroke upper limb rehabilitation. CASES DESCRIPTION: Three post-stroke patients were subjected to virtual reality training for rehabilitation of their upper limbs using the Leap Motion Controller technology and the game Playground 3D ® for 3 consecutive days. On the first and last days, the Box and Blocks test, the De Melo Eye-Hand Coordination Test, and transcranial magnetic stimulation were applied. On the last day, the patients were evaluated with the Experience Evaluation Form. After the proposed training, a lower motor threshold was observed in both cerebral hemispheres, as well as better performance in the tests that evaluated hand and eye-hand coordination skills. The proposed therapy was well received by the patients. CONCLUSIONS: No adverse effects were observed, and promising and precise results were obtained for the virtual reality-based training using the Leap Motion Controller and Playground 3D ® . The training allowed patients to have an active role in the rehabilitation of strokeinduced upper limb sequelae.

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Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial

Cited by 249 publications

References 29 publications

Haptic Feedback in Motor Hand Virtual Therapy Increases Precision and Generates Less Mental Workload

Haptic Feedback in Motor Hand Virtual Therapy Increases Precision and Generates Less Mental Workload

Cognitive Function and Prognosis of Multimodal Neuroimage-Guided Thrombectomy on Mild to Moderate Anterior Circulation Infarction Patients with Broadened Therapeutic Window: A Prospective Study

Terapia baseada em realidade virtual usando o Leap Motion Controller para reabilitação do membro superior após acidente vascular cerebral

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