Design Factors of Virtual Environments for Upper Limb Motor Rehabilitation of Stroke Patients

Ramírez-Fernández, Cristina; Morán, Alberto L.; García–Canseco, Eloísa; Orihuela‐Espina, Felipe

doi:10.1145/2676690.2676700

Cited by 7 publications

(13 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A variety of study designs were included: 1 systematic review [ 10 ], 4 literature reviews [ 93 - 96 ], 5 text and opinion papers [ 39 - 41 , 66 , 67 ], 2 mixed methods studies [ 97 , 98 ], 1 scoping review [ 35 ], and 1 qualitative study [ 99 ]. A total of 5 of these studies were published as conference proceedings [ 39 , 93 , 96 , 98 , 99 ]. Further information regarding the details of the included studies is presented in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Recommendations for the Design and Implementation of Virtual Reality for Acquired Brain Injury Rehabilitation: Systematic Review

et al. 2021

View full text Add to dashboard Cite

Background Virtual reality (VR) is increasingly being used for the assessment and treatment of impairments arising from acquired brain injuries (ABIs) due to perceived benefits over traditional methods. However, no tailored options exist for the design and implementation of VR for ABI rehabilitation and, more specifically, traumatic brain injury (TBI) rehabilitation. In addition, the evidence base lacks systematic reviews of immersive VR use for TBI rehabilitation. Recommendations for this population are important because of the many complex and diverse impairments that individuals can experience. Objective This study aims to conduct a two-part systematic review to identify and synthesize existing recommendations for designing and implementing therapeutic VR for ABI rehabilitation, including TBI, and to identify current evidence for using immersive VR for TBI assessment and treatment and to map the degree to which this literature includes recommendations for VR design and implementation. Methods This review was guided by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). A comprehensive search of 11 databases and gray literature was conducted in August 2019 and repeated in June 2020. Studies were included if they met relevant search terms, were peer-reviewed, were written in English, and were published between 2009 and 2020. Studies were reviewed to determine the level of evidence and methodological quality. For the first part, qualitative data were synthesized and categorized via meta-synthesis. For the second part, findings were analyzed and synthesized descriptively owing to the heterogeneity of data extracted from the included studies. Results In the first part, a total of 14 papers met the inclusion criteria. Recommendations for VR design and implementation were not specific to TBI but rather to stroke or ABI rehabilitation more broadly. The synthesis and analysis of data resulted in three key phases and nine categories of recommendations for designing and implementing VR for ABI rehabilitation. In the second part, 5 studies met the inclusion criteria. A total of 2 studies reported on VR for assessment and three for treatment. Studies were varied in terms of therapeutic targets, VR tasks, and outcome measures. VR was used to assess or treat impairments in cognition, balance, and anxiety, with positive outcomes. However, the levels of evidence, methodological quality, and inclusion of recommendations for VR design and implementation were poor. Conclusions There is limited research on the use of immersive VR for TBI rehabilitation. Few studies have been conducted, and there is limited inclusion of recommendations for therapeutic VR design and implementation. Future research in ABI rehabilitation should consider a stepwise approach to VR development, from early co-design studies with end users to larger controlled trials. A list of recommendations is offered to provide guidance and a more consistent model to advance clinical research in this area.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Studies included a range of participants or populations: ABIs (8/14, 57%) [ 39 , 40 , 67 , 93 - 95 , 98 , 99 ], stroke only (4/14, 29%) [ 10 , 41 , 96 , 97 ], or a variety of medical conditions with reference to ABIs (2/14, 14%) [ 35 , 66 ].…”

Section: Resultsmentioning

confidence: 99%

Recommendations for the Design and Implementation of Virtual Reality for Acquired Brain Injury Rehabilitation: Systematic Review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The ontology proposed in this paper is based on a refined version of a design model obtained through i) a systematic review of design recommendations from the literature, ii) a contextual study in a rehabilitation center, iii) the results of an evaluation of a VE with patients and therapist in terms of the effectiveness of therapy and patient safety [11,12], and iv) the results of the current evaluation of a preliminary version of the ontology [23].…”

Section: Discussionmentioning

confidence: 99%

“…The ontology that we propose in this work for the design of VEs for Upper Limb Motor Rehabilitation (VEULMoR) was obtained by iterating the design model we introduced in our previous work [11,12], and a preliminary version of the proposed ontology [23]. The VEULMoR ontology was created using the Protégé tool [24] with the Ontology Web Language (OWL).…”

Section: Veulmor Ontologymentioning

confidence: 99%

“…clinician, occupational and physical thera-REHAB pist). Although we can obtain a variety of design recommendations from different research groups around the world, see for instance [7,11,12,13], those recommendations are inherently heterogeneous in their semantics and perspectives. Furthermore, there are no common standards to represent disparate sources, which makes extremely challenging to connect heterogeneous recommendations with each other.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation