Innovative approaches to the rehabilitation of upper extremity hemiparesis using virtual environments.
Identifieur interne : 001344 ( PubMed/Curation ); précédent : 001343; suivant : 001345Innovative approaches to the rehabilitation of upper extremity hemiparesis using virtual environments.
Auteurs : A S Merians ; E. Tunik ; G G Fluet ; Q. Qiu ; S V AdamovichSource :
- European journal of physical and rehabilitation medicine [ 1973-9087 ] ; 2009.
English descriptors
- KwdEn :
- Adult, Computer Simulation, Equipment Design, Exercise Therapy (instrumentation), Feasibility Studies, Humans, Magnetic Resonance Imaging, Middle Aged, Paresis (physiopathology), Paresis (rehabilitation), Recovery of Function (physiology), Stroke (physiopathology), Stroke (rehabilitation), Transcranial Magnetic Stimulation, Treatment Outcome, Upper Extremity (physiopathology), User-Computer Interface.
- MESH :
- instrumentation : Exercise Therapy.
- physiology : Recovery of Function.
- physiopathology : Paresis, Stroke, Upper Extremity.
- rehabilitation : Paresis, Stroke.
- Adult, Computer Simulation, Equipment Design, Feasibility Studies, Humans, Magnetic Resonance Imaging, Middle Aged, Transcranial Magnetic Stimulation, Treatment Outcome, User-Computer Interface.
Abstract
Upper-extremity interventions for hemiparesis are a challenging aspect of stroke rehabilitation. Purpose of this paper is to report the feasibility of using virtual environments (VEs) in combination with robotics to assist recovery of hand-arm function and to present preliminary data demonstrating the potential of using sensory manipulations in VE to drive activation in targeted neural regions.
PubMed: 19158659
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Qiu</name></author><author><name sortKey="Adamovich, S V" sort="Adamovich, S V" uniqKey="Adamovich S" first="S V" last="Adamovich">S V Adamovich</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19158659</idno><idno type="pmid">19158659</idno><idno type="wicri:Area/PubMed/Corpus">001344</idno><idno type="wicri:Area/PubMed/Curation">001344</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Innovative approaches to the rehabilitation of upper extremity hemiparesis using virtual environments.</title><author><name sortKey="Merians, A S" sort="Merians, A S" uniqKey="Merians A" first="A S" last="Merians">A S Merians</name></author><author><name sortKey="Tunik, E" sort="Tunik, E" uniqKey="Tunik E" first="E" last="Tunik">E. Tunik</name></author><author><name sortKey="Fluet, G G" sort="Fluet, G G" uniqKey="Fluet G" first="G G" last="Fluet">G G Fluet</name></author><author><name sortKey="Qiu, Q" sort="Qiu, Q" uniqKey="Qiu Q" first="Q" last="Qiu">Q. Qiu</name></author><author><name sortKey="Adamovich, S V" sort="Adamovich, S V" uniqKey="Adamovich S" first="S V" last="Adamovich">S V Adamovich</name></author></analytic><series><title level="j">European journal of physical and rehabilitation medicine</title><idno type="ISSN">1973-9087</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Computer Simulation</term><term>Equipment Design</term><term>Exercise Therapy (instrumentation)</term><term>Feasibility Studies</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Paresis (physiopathology)</term><term>Paresis (rehabilitation)</term><term>Recovery of Function (physiology)</term><term>Stroke (physiopathology)</term><term>Stroke (rehabilitation)</term><term>Transcranial Magnetic Stimulation</term><term>Treatment Outcome</term><term>Upper Extremity (physiopathology)</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Recovery of Function</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Paresis</term><term>Stroke</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Paresis</term><term>Stroke</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Computer Simulation</term><term>Equipment Design</term><term>Feasibility Studies</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Transcranial Magnetic Stimulation</term><term>Treatment Outcome</term><term>User-Computer Interface</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Upper-extremity interventions for hemiparesis are a challenging aspect of stroke rehabilitation. Purpose of this paper is to report the feasibility of using virtual environments (VEs) in combination with robotics to assist recovery of hand-arm function and to present preliminary data demonstrating the potential of using sensory manipulations in VE to drive activation in targeted neural regions.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19158659</PMID><DateCreated><Year>2009</Year><Month>06</Month><Day>26</Day></DateCreated><DateCompleted><Year>2009</Year><Month>08</Month><Day>20</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Print">1973-9087</ISSN><JournalIssue CitedMedium="Print"><Volume>45</Volume><Issue>1</Issue><PubDate><Year>2009</Year><Month>Mar</Month></PubDate></JournalIssue><Title>European journal of physical and rehabilitation medicine</Title><ISOAbbreviation>Eur J Phys Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Innovative approaches to the rehabilitation of upper extremity hemiparesis using virtual environments.</ArticleTitle><Pagination><MedlinePgn>123-33</MedlinePgn></Pagination><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">Upper-extremity interventions for hemiparesis are a challenging aspect of stroke rehabilitation. Purpose of this paper is to report the feasibility of using virtual environments (VEs) in combination with robotics to assist recovery of hand-arm function and to present preliminary data demonstrating the potential of using sensory manipulations in VE to drive activation in targeted neural regions.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We trained 8 subjects for 8 three hour sessions using a library of complex VE's integrated with robots, comparing training arm and hand separately to training arm and hand together. Instrumented gloves and hand exoskeleton were used for hand tracking and haptic effects. Haptic Master robotic arm was used for arm tracking and generating three-dimensional haptic VEs. To investigate the use of manipulations in VE to drive neural activations, we created a "virtual mirror" that subjects used while performing a unimanual task. Cortical activation was measured with functional MRI (fMRI) and transcranial magnetic stimulation.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Both groups showed improvement in kinematics and measures of real-world function. The group trained using their arm and hand together showed greater improvement. In a stroke subject, fMRI data suggested virtual mirror feedback could activate the sensorimotor cortex contralateral to the reflected hand (ipsilateral to the moving hand) thus recruiting the lesioned hemisphere.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Gaming simulations interfaced with robotic devices provide a training medium that can modify movement patterns. In addition to showing that our VE therapies can optimize behavioral performance, we show preliminary evidence to support the potential of using specific sensory manipulations to selectively recruit targeted neural circuits.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Merians</LastName><ForeName>A S</ForeName><Initials>AS</Initials></Author><Author ValidYN="Y"><LastName>Tunik</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Fluet</LastName><ForeName>G G</ForeName><Initials>GG</Initials></Author><Author ValidYN="Y"><LastName>Qiu</LastName><ForeName>Q</ForeName><Initials>Q</Initials></Author><Author ValidYN="Y"><LastName>Adamovich</LastName><ForeName>S V</ForeName><Initials>SV</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Eur J Phys Rehabil Med</MedlineTA><NlmUniqueID>101465662</NlmUniqueID><ISSNLinking>1973-9087</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005081">Exercise Therapy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005240">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008279">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010291">Paresis</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000534">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020127">Recovery of Function</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020521">Stroke</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000534">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D050781">Transcranial Magnetic Stimulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D034941">Upper Extremity</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D014584">User-Computer Interface</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>1</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>1</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>8</Month><Day>21</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">R49092041</ArticleId><ArticleId IdType="pubmed">19158659</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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