Cost Analysis of a Home-Based Virtual Reality Rehabilitation to Improve Upper Limb Function in Stroke Survivors

Veras, Mirella; Stewart, Jennifer; Deonandan, Raywat; Tatmatsu-Rocha, José Carlos; Higgins, Johanne; Poissant, Lise; Kairy, Dahlia

doi:10.5539/gjhs.v12n2p98

Cited by 6 publications

(9 citation statements)

References 14 publications

(12 reference statements)

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“…Our expectation is confirmed also by previous work, which focused on the impact in terms of cost of adopting remote rehabilitation on the healthcare costs (Dalal et al, 2019;Veras et al, 2020). Bettger et al (2020) investigated the impact of a virtual treatment program on healthcare expenditures and clinical outcomes following Total Knee Arthroplasty (TKA) when compared to standard treatment.…”

Section: Reduction Of Costs Related To Rehabilitationsupporting

confidence: 79%

2Vita-B Physical: An Intelligent Home Rehabilitation System Based on Microsoft Azure Kinect

Antico¹,

Balletti

Ciccotelli³

et al. 2021

Front. Hum. Dyn.

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Active rehabilitation is an exercise-based program designed to improve the level of function of people with motor disabilities. The effectiveness of such programs is strongly influenced by the correctness of the exercise execution. An exercise done incorrectly could even lead to a worsening of the health status. For this reason, specialists are required to guide the patient during the execution of an exercise. The drastic reduction of the costs of motion tracking systems has paved the way to the implementation of virtual assistant software able to automatically assess the correctness of an exercise. In this paper 2Vita-B Physical is presented, a rehabilitation software system properly designed to support both 1) the patients, by guiding them in the correct execution of an exercise; and 2) the physiotherapists, by allowing them to remotely check the progress of a patient. The motion capturing in 2Vita-B is performed by using the recently released Microsoft Kinect Azure DK. Thus, the system is easy to use and completely non-invasive. Besides the hardware and software requirements of the system, the results of a preliminary usability evaluation of the system conducted with 29 users is also reported. The results achieved are promising and provide evidence of the high usability of 2Vita-B Physical as home rehabilitation system.

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Section: Reduction Of Costs Related To Rehabilitationsupporting

confidence: 79%

2Vita-B Physical: An Intelligent Home Rehabilitation System Based on Microsoft Azure Kinect

Antico¹,

Balletti

Ciccotelli³

et al. 2021

Front. Hum. Dyn.

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“…ER offers a wide range of options, based on users' needs, aiming to promote rehabilitation and offer psychomotor benefits ( 25 ). As an interventional tool, ER can be applied for people with disabilities, where the subjects experience functional activities within digital or virtual environment, without external constraints ( 66 ). Exergaming and virtual rehabilitation could facilitate tele-physiotherapy sessions and promotes access to rehabilitation ( 66 ).…”

Section: Discussionmentioning

confidence: 99%

“…As an interventional tool, ER can be applied for people with disabilities, where the subjects experience functional activities within digital or virtual environment, without external constraints ( 66 ). Exergaming and virtual rehabilitation could facilitate tele-physiotherapy sessions and promotes access to rehabilitation ( 66 ). Exergaming ensures multiple and targeted repetitions and offers the opportunity to apply home based therapy ( 37 , 64 , 67 ).…”

Section: Discussionmentioning

confidence: 99%

Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis

et al. 2021

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Parkinson's disease (PD) is a neurodegenerative condition with both motor and non-motor symptoms affecting the quality of life (QoL) of older adults. Exergaming rehabilitation allows the interaction of the subject with digital games through the implementation of repetitive functional activities. Conventional physiotherapy uses patient-centered programs that include a variety of active exercises. The aim of this review was to look into the effectiveness of exergaming rehabilitation on the QoL of people with PD and compare it with conventional physiotherapy. Five electronic databases were searched for eligible studies until February 2021. For the statistical analysis, the mean, standard deviation, and 95% confidence interval were used to calculate effect sizes between groups. To determine heterogeneity, statistical index I2 was used. A total of 548 participants were included in 14 studies. Exergaming rehabilitation related with improved QoL (p = 0.687, 95% CI: −1.682 to −0.734), balance (p = 0.039, 95% CI: 0.364–13.689), (p = 0.018, 95% CI: 0.446–4.830), and gait (p = 0.005, 95% CI: 0.351–1.924). No significant difference was found between groups regarding the Unified Parkinson's Disease Rating Scale (p = 0.196, 95% CI: −5.970 to 1.225) and for the Timed Up and Go Test (p = 0.12, 95% CI: 0.446–4.830). Exergames as a rehabilitation method can be used to provide alternative interactive intervention with positive results for QoL in people with PD. Further investigation is needed to assess the effect on mental health in this population group.

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“…38 A Canadian cost analysis study aimed to estimate the costs associated with running a 4-week home-based VR rehabilitation program for stroke survivors. 39 The hardware costs included a computer, screen, keyboard, mouse, internet connection, and Microsoft Kinect camera. 39 Additional program costs included installation/ removal, technical support, software subscription, and physiotherapist time.…”

Section: Costmentioning

confidence: 99%

“…39 The hardware costs included a computer, screen, keyboard, mouse, internet connection, and Microsoft Kinect camera. 39 Additional program costs included installation/ removal, technical support, software subscription, and physiotherapist time. 39 The study found that a program supplying all the required technology would cost between CA$475 and CA$482 per patient.…”

Section: Costmentioning

confidence: 99%

An Overview of Clinical Applications of Virtual and Augmented Reality

Farrell¹,

MacDougall²

2023

cjht

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This Horizon Scan summarizes the available information regarding virtual reality (VR) and augmented reality (AR) interventions for various clinical applications. While the technologies are not new, the use of VR and AR as clinical interventions in health care is still emerging in Canadian health care systems. VR interventions have been studied in various clinical applications, including acute and chronic pain, stroke, traumatic brain injury, cerebral palsy, Parkinson disease, autism spectrum disorder, anxiety and depression, mental health in older adults, and attention-deficit/hyperactivity disorder (ADHD). Limited information on AR interventions was identified in this Horizon Scan. There is a wide range of VR and AR hardware and software available that varies in cost and complexity. Much of this hardware and software is commercially available; however, some have been developed specifically for clinical use. There are several VR interventions for various clinical indications cleared by the FDA and available in the US. Many factors should be taken into account when considering implementing a VR or AR intervention, including those related to safety, privacy, and access. It will be essential to ensure equitable access to VR and AR interventions so that their introduction does not exacerbate health inequities.

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Cost Analysis of a Home-Based Virtual Reality Rehabilitation to Improve Upper Limb Function in Stroke Survivors

Cited by 6 publications

References 14 publications

2Vita-B Physical: An Intelligent Home Rehabilitation System Based on Microsoft Azure Kinect

2Vita-B Physical: An Intelligent Home Rehabilitation System Based on Microsoft Azure Kinect

Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis

An Overview of Clinical Applications of Virtual and Augmented Reality

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