The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke.
Identifieur interne : 000B50 ( PubMed/Curation ); précédent : 000B49; suivant : 000B51The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke.
Auteurs : M Nica S. Cameirão [Espagne] ; Sergi Bermúdez I Badia ; Esther Duarte ; Antonio Frisoli ; Paul F M J. VerschureSource :
- Stroke; a journal of cerebral circulation [ 1524-4628 ] ; 2012.
English descriptors
- KwdEn :
- Aged, Brain-Computer Interfaces, Chronic Disease, Feasibility Studies, Feedback, Sensory (physiology), Female, Humans, Male, Middle Aged, Outcome Assessment (Health Care), Patient Acceptance of Health Care, Patient Satisfaction, Recovery of Function (physiology), Stroke (physiopathology), Stroke (rehabilitation), Stroke (therapy), Treatment Outcome, Upper Extremity (physiopathology), Virtual Reality Exposure Therapy (instrumentation), Virtual Reality Exposure Therapy (methods).
- MESH :
- instrumentation : Virtual Reality Exposure Therapy.
- methods : Virtual Reality Exposure Therapy.
- physiology : Feedback, Sensory, Recovery of Function.
- physiopathology : Stroke, Upper Extremity.
- rehabilitation : Stroke.
- therapy : Stroke.
- Aged, Brain-Computer Interfaces, Chronic Disease, Feasibility Studies, Female, Humans, Male, Middle Aged, Outcome Assessment (Health Care), Patient Acceptance of Health Care, Patient Satisfaction, Treatment Outcome.
Abstract
Although there is strong evidence on the beneficial effects of virtual reality (VR)-based rehabilitation, it is not yet well understood how the different aspects of these systems affect recovery. Consequently, we do not exactly know what features of VR neurorehabilitation systems are decisive in conveying their beneficial effects.
DOI: 10.1161/STROKEAHA.112.653196
PubMed: 22871683
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pubmed:22871683Le document en format XML
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<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="1"><nlm:affiliation>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Barcelona</wicri:regionArea>
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<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>
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<author><name sortKey="Duarte, Esther" sort="Duarte, Esther" uniqKey="Duarte E" first="Esther" last="Duarte">Esther Duarte</name>
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<author><name sortKey="Frisoli, Antonio" sort="Frisoli, Antonio" uniqKey="Frisoli A" first="Antonio" last="Frisoli">Antonio Frisoli</name>
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<author><name sortKey="Verschure, Paul F M J" sort="Verschure, Paul F M J" uniqKey="Verschure P" first="Paul F M J" last="Verschure">Paul F M J. Verschure</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke.</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>
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<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>
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<author><name sortKey="Duarte, Esther" sort="Duarte, Esther" uniqKey="Duarte E" first="Esther" last="Duarte">Esther Duarte</name>
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<author><name sortKey="Frisoli, Antonio" sort="Frisoli, Antonio" uniqKey="Frisoli A" first="Antonio" last="Frisoli">Antonio Frisoli</name>
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<author><name sortKey="Verschure, Paul F M J" sort="Verschure, Paul F M J" uniqKey="Verschure P" first="Paul F M J" last="Verschure">Paul F M J. Verschure</name>
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<series><title level="j">Stroke; a journal of cerebral circulation</title>
<idno type="eISSN">1524-4628</idno>
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<term>Feedback, Sensory (physiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Patient Acceptance of Health Care</term>
<term>Patient Satisfaction</term>
<term>Recovery of Function (physiology)</term>
<term>Stroke (physiopathology)</term>
<term>Stroke (rehabilitation)</term>
<term>Stroke (therapy)</term>
<term>Treatment Outcome</term>
<term>Upper Extremity (physiopathology)</term>
<term>Virtual Reality Exposure Therapy (instrumentation)</term>
<term>Virtual Reality Exposure Therapy (methods)</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Virtual Reality Exposure Therapy</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Feedback, Sensory</term>
<term>Recovery of Function</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Stroke</term>
<term>Upper Extremity</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Stroke</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Stroke</term>
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<term>Brain-Computer Interfaces</term>
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<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Although there is strong evidence on the beneficial effects of virtual reality (VR)-based rehabilitation, it is not yet well understood how the different aspects of these systems affect recovery. Consequently, we do not exactly know what features of VR neurorehabilitation systems are decisive in conveying their beneficial effects.</div>
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<DateCreated><Year>2012</Year>
<Month>09</Month>
<Day>25</Day>
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<DateCompleted><Year>2013</Year>
<Month>01</Month>
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<Title>Stroke; a journal of cerebral circulation</Title>
<ISOAbbreviation>Stroke</ISOAbbreviation>
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<ArticleTitle>The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke.</ArticleTitle>
<Pagination><MedlinePgn>2720-8</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Although there is strong evidence on the beneficial effects of virtual reality (VR)-based rehabilitation, it is not yet well understood how the different aspects of these systems affect recovery. Consequently, we do not exactly know what features of VR neurorehabilitation systems are decisive in conveying their beneficial effects.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">To specifically address this issue, we developed 3 different configurations of the same VR-based rehabilitation system, the Rehabilitation Gaming System, using 3 different interface technologies: vision-based tracking, haptics, and a passive exoskeleton. Forty-four patients with chronic stroke were randomly allocated to one of the configurations and used the system for 35 minutes a day for 5 days a week during 4 weeks.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Our results revealed significant within-subject improvements at most of the standard clinical evaluation scales for all groups. Specifically we observe that the beneficial effects of VR-based training are modulated by the use/nonuse of compensatory movement strategies and the specific sensorimotor contingencies presented to the user, that is, visual feedback versus combined visual haptic feedback.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our findings suggest that the beneficial effects of VR-based neurorehabilitation systems such as the Rehabilitation Gaming System for the treatment of chronic stroke depend on the specific interface systems used. These results have strong implications for the design of future VR rehabilitation strategies that aim at maximizing functional outcomes and their retention. Clinical Trial Registration- This trial was not registered because it is a small clinical study that evaluates the feasibility of prototype devices.</AbstractText>
</Abstract>
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<ForeName>Mónica S</ForeName>
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