Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation
Identifieur interne : 003682 ( Main/Merge ); précédent : 003681; suivant : 003683Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation
Auteurs : M Nica S. Cameirão [Espagne] ; Sergi Bermúdez I Badia [Espagne] ; Esther Duarte Oller [Espagne] ; Paul Fmj Verschure [Espagne]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2010.
Abstract
Stroke is a frequent cause of adult disability that can lead to enduring impairments. However, given the life-long plasticity of the brain one could assume that recovery could be facilitated by the harnessing of mechanisms underlying neuronal reorganization. Currently it is not clear how this reorganization can be mobilized. Novel technology based neurorehabilitation techniques hold promise to address this issue. Here we describe a Virtual Reality (VR) based system, the Rehabilitation Gaming System (RGS) that is based on a number of hypotheses on the neuronal mechanisms underlying recovery, the structure of training and the role of individualization. We investigate the psychometrics of the RGS in stroke patients and healthy controls.
We describe the key components of the RGS and the psychometrics of one rehabilitation scenario called Spheroids. We performed trials with 21 acute/subacute stroke patients and 20 healthy controls to study the effect of the training parameters on task performance. This allowed us to develop a Personalized Training Module (PTM) for online adjustment of task difficulty. In addition, we studied task transfer between physical and virtual environments. Finally, we assessed the usability and acceptance of the RGS as a rehabilitation tool.
We show that the PTM implemented in RGS allows us to effectively adjust the difficulty and the parameters of the task to the user by capturing specific features of the movements of the arms. The results reported here also show a consistent transfer of movement kinematics between physical and virtual tasks. Moreover, our usability assessment shows that the RGS is highly accepted by stroke patients as a rehabilitation tool.
We introduce a novel VR based paradigm for neurorehabilitation, RGS, which combines specific rehabilitative principles with a psychometric evaluation to provide a personalized and automated training. Our results show that the RGS effectively adjusts to the individual features of the user, allowing for an unsupervised deployment of individualized rehabilitation protocols.
Url:
DOI: 10.1186/1743-0003-7-48
PubMed: 20860808
PubMed Central: 2949710
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PMC:2949710Le document en format XML
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Cameirão</name><affiliation wicri:level="4"><nlm:aff id="I1">Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author><author><name sortKey="Badia, Sergi Bermudez I" sort="Badia, Sergi Bermudez I" uniqKey="Badia S" first="Sergi Bermúdez I" last="Badia">Sergi Bermúdez I Badia</name><affiliation wicri:level="4"><nlm:aff id="I1">Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author><author><name sortKey="Oller, Esther Duarte" sort="Oller, Esther Duarte" uniqKey="Oller E" first="Esther Duarte" last="Oller">Esther Duarte Oller</name><affiliation wicri:level="3"><nlm:aff id="I2">Servei de Medicina Física i Rehabilitació, Hospital de L'Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Servei de Medicina Física i Rehabilitació, Hospital de L'Esperança, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Verschure, Paul Fmj" sort="Verschure, Paul Fmj" uniqKey="Verschure P" first="Paul Fmj" last="Verschure">Paul Fmj Verschure</name><affiliation wicri:level="4"><nlm:aff id="I1">Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20860808</idno><idno type="pmc">2949710</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2949710</idno><idno type="RBID">PMC:2949710</idno><idno type="doi">10.1186/1743-0003-7-48</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">002041</idno><idno type="wicri:Area/Pmc/Curation">002041</idno><idno type="wicri:Area/Pmc/Checkpoint">001E14</idno><idno type="wicri:Area/Ncbi/Merge">001702</idno><idno type="wicri:Area/Ncbi/Curation">001702</idno><idno type="wicri:Area/Ncbi/Checkpoint">001702</idno><idno type="wicri:Area/Main/Merge">003682</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation</title><author><name sortKey="Cameirao, M Nica S" sort="Cameirao, M Nica S" uniqKey="Cameirao M" first="M Nica S" last="Cameirão">M Nica S. Cameirão</name><affiliation wicri:level="4"><nlm:aff id="I1">Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author><author><name sortKey="Badia, Sergi Bermudez I" sort="Badia, Sergi Bermudez I" uniqKey="Badia S" first="Sergi Bermúdez I" last="Badia">Sergi Bermúdez I Badia</name><affiliation wicri:level="4"><nlm:aff id="I1">Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author><author><name sortKey="Oller, Esther Duarte" sort="Oller, Esther Duarte" uniqKey="Oller E" first="Esther Duarte" last="Oller">Esther Duarte Oller</name><affiliation wicri:level="3"><nlm:aff id="I2">Servei de Medicina Física i Rehabilitació, Hospital de L'Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Servei de Medicina Física i Rehabilitació, Hospital de L'Esperança, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Verschure, Paul Fmj" sort="Verschure, Paul Fmj" uniqKey="Verschure P" first="Paul Fmj" last="Verschure">Paul Fmj Verschure</name><affiliation wicri:level="4"><nlm:aff id="I1">Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Edifici la Nau, Roc Boronat 138, 08018 Barcelona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Stroke is a frequent cause of adult disability that can lead to enduring impairments. However, given the life-long plasticity of the brain one could assume that recovery could be facilitated by the harnessing of mechanisms underlying neuronal reorganization. Currently it is not clear how this reorganization can be mobilized. Novel technology based neurorehabilitation techniques hold promise to address this issue. Here we describe a Virtual Reality (VR) based system, the Rehabilitation Gaming System (RGS) that is based on a number of hypotheses on the neuronal mechanisms underlying recovery, the structure of training and the role of individualization. We investigate the psychometrics of the RGS in stroke patients and healthy controls.</p></sec><sec><title>Methods</title><p>We describe the key components of the RGS and the psychometrics of one rehabilitation scenario called Spheroids. We performed trials with 21 acute/subacute stroke patients and 20 healthy controls to study the effect of the training parameters on task performance. This allowed us to develop a Personalized Training Module (PTM) for online adjustment of task difficulty. In addition, we studied task transfer between physical and virtual environments. Finally, we assessed the usability and acceptance of the RGS as a rehabilitation tool.</p></sec><sec><title>Results</title><p>We show that the PTM implemented in RGS allows us to effectively adjust the difficulty and the parameters of the task to the user by capturing specific features of the movements of the arms. The results reported here also show a consistent transfer of movement kinematics between physical and virtual tasks. Moreover, our usability assessment shows that the RGS is highly accepted by stroke patients as a rehabilitation tool.</p></sec><sec><title>Conclusions</title><p>We introduce a novel VR based paradigm for neurorehabilitation, RGS, which combines specific rehabilitative principles with a psychometric evaluation to provide a personalized and automated training. Our results show that the RGS effectively adjusts to the individual features of the user, allowing for an unsupervised deployment of individualized rehabilitation protocols.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hendricks, Ht" uniqKey="Hendricks H">HT Hendricks</name></author><author><name sortKey="Van Limbeek, J" uniqKey="Van Limbeek J">J van Limbeek</name></author><author><name sortKey="Geurts, Ac" uniqKey="Geurts A">AC Geurts</name></author><author><name sortKey="Zwarts, Mj" uniqKey="Zwarts M">MJ Zwarts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mathers, Cd" uniqKey="Mathers C">CD Mathers</name></author><author><name sortKey="Loncar, D" uniqKey="Loncar D">D Loncar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strong, K" uniqKey="Strong K">K Strong</name></author><author><name sortKey="Mathers, C" uniqKey="Mathers C">C 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Haan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levin, Mf" uniqKey="Levin M">MF Levin</name></author><author><name sortKey="Knaut, La" uniqKey="Knaut L">LA Knaut</name></author><author><name sortKey="Magdalon, Ec" uniqKey="Magdalon E">EC Magdalon</name></author><author><name sortKey="Subramanian, S" uniqKey="Subramanian S">S Subramanian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cameirao, Ms" uniqKey="Cameirao M">MS Cameirão</name></author><author><name sortKey="Bermudez I Badia, S" uniqKey="Bermudez I Badia S">S Bermúdez i Badia</name></author><author><name sortKey="Duarte Oller, E" uniqKey="Duarte Oller E">E Duarte Oller</name></author><author><name sortKey="Verschure, Pfmj" uniqKey="Verschure P">PFMJ Verschure</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Granger, Cv" uniqKey="Granger C">CV Granger</name></author><author><name sortKey="Albrecht, Gl" uniqKey="Albrecht G">GL Albrecht</name></author><author><name sortKey="Hamilton, Bb" uniqKey="Hamilton B">BB Hamilton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brunnstrom, S" uniqKey="Brunnstrom S">S Brunnstrom</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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