Designing virtual environments for motor rehabilitation: Towards a framework for the integration of best-practice information

Schüler, Thomas; Santos, Luara Ferreira dos; Hoermann, Simon

doi:10.1109/icvr.2015.7358620

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…In contrast, VR technology enables user engagement in a virtual realm. This is achieved by capturing the patient’s movements, integrating them into the virtual world, and providing multisensory feedback [ 41 ]. VR allows the customization of practice intensity and feedback in a dynamic environment, fostering interactive and engaging experiences for personalized movement retraining treatments [ 42 ].…”

Section: Concept and Categories Of Therapeutic Robots For Post-stroke...mentioning

confidence: 99%

Therapeutic robots for post-stroke rehabilitation

Hong,

Li,

Bao

et al. 2024

Medical Review

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Stroke is a prevalent, severe, and disabling health-care issue on a global scale, inevitably leading to motor and cognitive deficits. It has become one of the most significant challenges in China, resulting in substantial social and economic burdens. In addition to the medication and surgical interventions during the acute phase, rehabilitation treatment plays a crucial role in stroke care. Robotic technology takes distinct advantages over traditional physical therapy, occupational therapy, and speech therapy, and is increasingly gaining popularity in post-stroke rehabilitation. The use of rehabilitation robots not only alleviates the workload of healthcare professionals but also enhances the prognosis for specific stroke patients. This review presents a concise overview of the application of therapeutic robots in post-stroke rehabilitation, with particular emphasis on the recovery of motor and cognitive function.

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Section: Concept and Categories Of Therapeutic Robots For Post-stroke...mentioning

confidence: 99%

Therapeutic robots for post-stroke rehabilitation

Hong,

Li,

Bao

et al. 2024

Medical Review

View full text Add to dashboard Cite

show abstract

“…Yet, even these virtual representations with an arguably low physical fidelity, aim to maximize the psychological fidelity i.e., the feeling of ownership and agency for the displayed limb. Several aspects that link virtual components of rehabilitation applications with the experience of presence were discussed by Schüler et al (Schüler, Santos, & Hoermann, 2015; Schüler, Ferreira dos Santos, & Hoermann, 2014). In particular, they linked movement visualization, performance feedback and context information with presence dimensions.…”

Section: Applied Games For Healthcarementioning

confidence: 99%

Conceptualizing Fidelity for HCI in Applied Gaming

Lukosch

Hoermann

et al. 2019

Lecture Notes in Computer Science

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Fidelity of games as a concept describes the level of representation of, or accordance with reality. The level of fidelity has influence on the interaction between player and game. Our study discusses the outcomes of a literature study and three cases with the goal to propose a comprehensive framework of game fidelity. This framework could help game designers and researchers to adopt the 'right' or sufficient level of fidelity to achieve the intended objectives related to applied games. Our results show that functional and psychological fidelity have a higher impact on the experience and effects of applied games than their physical fidelity. Social and ethical fidelity are proposed as new dimensions of game fidelity that still have to be explored. In literature, both low and high levels of fidelity are described as effective in applied games, while a medium level seems not to be beneficial for the player.

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“…Embodiment illusion refers to the patient transferring their perceived body image onto a virtual avatar (Slater & Sanchez-Vives, 2016). Schüler, Santos, and Hoermann (2015) propose that patients also need to be able to identify with movements that are visualised by the virtual body in the virtual world. The Augmented Reflection Technology (Figure 2.3), uses video capture of a patient's hands performing exercises and projects this movement on a video display as the opposite limb (Hoermann et al, 2017).…”

Section: Immersion and Presencementioning

confidence: 99%

“…Virtual environments can simulate realistic environments and tasks. Through context information, these environments can utilise elements and interactions which are plausible, achievable, and based on real-world functional behaviours to aid in rehabilitation and motor learning (Rizzo & Kim, 2005;Schüler et al, 2015). In the instance of stroke rehabilitation, standardised exercise movements used in conventional physical rehabilitation should form the basis for these interactions.…”

Section: Immersion and Presencementioning

confidence: 99%

“…Gamification refers to the process of applying elements of game design principles and mechanics in a non-gaming context to enhance the players' motivation and engagement in the task (Deterding et al, 2011). Elements of gamification that may be useful in a rehabilitation context include progressive difficulty levels to provide a challenge and monitoring patient progress through point scoring to provide feedback (Afyouni et al, 2017;Schüler et al, 2015).…”

Section: Gamification Of Rehabilitationmentioning

confidence: 99%

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Mirror VR: The design of a fully immersive virtual reality game for upper limb rehabilitation post-stroke using mirror therapy

Leniston-Kahsai¹

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Motor rehabilitation post-stroke requires practice that is high-intensity, repetitive, task-specific, challenging, and goal-oriented to promote neuroplasticity to maximise functional recovery outcomes. There is concern that people with stroke (PwS) are not engaging in sufficient therapy dose to induce significant neuroplastic changes. PwS can utilise motor priming techniques, such as mirror therapy (MT), that are low-cost adjuncts to conventional physical rehabilitation proposed to induce neuroplasticity. However, the repetitive and perceived boring elements of conventional physical therapy exercises are potential reasons for low adherence in home-based independent rehabilitation. Interactive rehabilitation-focused video games have shown initial promise for facilitating engagement in rehabilitation. Virtual reality (VR) games focus on movement and promote increased immersion in virtual environments compared to 2D interfaces. The recent emergence of low-cost and standalone consumer-based VR headsets opens the accessibility of VR to new audiences. VR, in combination with interactive gaming, affords opportunities to extend the visual and proprioceptive feedback employed in MT and use gamification to facilitate engagement in rehabilitation. This thesis involved the design of a fully immersive VR game based on MT. The research comprised three stages: empathic design through a design thinking workshop, iterative prototyping, and expert review of game design with clinicians. A design thinking workshop involving PwS and stroke rehabilitation experts informed the construction of design criteria for the game. Research through design, using the design criteria, was conducted iteratively. An expert review by clinicians evaluated the potential usability of the game as well as validated the game against our design criteria. VR enhanced the visual illusion employed in mirror therapy and could provide an immersive and novel self-management tool for PwS to positively engage with their rehabilitation. Future directions will include testing how VR could facilitate engagement in rehabilitation through qualitative and quantitative analysis of the user testing with PwS.

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Designing virtual environments for motor rehabilitation: Towards a framework for the integration of best-practice information

Cited by 10 publications

References 8 publications

Therapeutic robots for post-stroke rehabilitation

Therapeutic robots for post-stroke rehabilitation

Conceptualizing Fidelity for HCI in Applied Gaming

Mirror VR: The design of a fully immersive virtual reality game for upper limb rehabilitation post-stroke using mirror therapy

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