Effects of movement imitation training in Parkinson's disease: A virtual reality pilot study

Robles-García, Verónica; Corral-Bergantiños, Yoanna; Espinosa, Nelson; García-Sancho, Carlos; Sanmartín, Gabriel; Flores, Julián; Cudeiro, Javier; Arias, Pablo

doi:10.1016/j.parkreldis.2016.02.022

Cited by 25 publications

(22 citation statements)

References 31 publications

(38 reference statements)

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“…Our findings are in line with those of other studies, which have found that individuals perceive VR as a form of therapy with benefits for the mind and body [ 35 , 36 ]. Previous studies have found VR to be effective in reducing chronic pain [ 37 ], aiding in stroke rehabilitation [ 14 , 35 ], improving movement in Parkinson's patients [ 38 - 40 ], treating nicotine addiction [ 41 ], reducing anxiety and post-traumatic stress disorder [ 42 ], and aiding in the rehabilitation of traumatic brain injury [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Public Perceptions Regarding Use of Virtual Reality in Health Care: A Social Media Content Analysis Using Facebook

Keller¹,

Park²,

Cunningham³

et al. 2017

J Med Internet Res

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Background Virtual reality (VR) technology provides an immersive environment that enables users to have modified experiences of reality. VR is increasingly used to manage patients with pain, disability, obesity, neurologic dysfunction, anxiety, and depression. However, public opinion regarding the use of VR in health care has not been explored. Understanding public opinion of VR is critical to ensuring effective implementation of this emerging technology. Objective This study aimed to examine public opinion about health care VR using social listening, a method that allows for the exploration of unfiltered views of topics discussed on social media and online forums. Methods In March 2016, NBC News produced a video depicting the use of VR for patient care. The video was repackaged by NowThis, a social media news website, and distributed on Facebook by Upworthy, a news aggregator, yielding 4.3 million views and 2401 comments. We used Microsoft Excel Power Query and ATLAS.ti software (version 7.5, Scientific Software Development) to analyze the comments using content analysis and categorized the comments around first-, second-, and third-order concepts. We determined self-identified gender from the user’s Facebook page and performed sentiment analysis of the language to analyze whether the perception of VR differed by gender using a Pearson’s chi-square test. Results Out of the 1614 analyzable comments, 1021 (63.26%) were attributed to female Facebook users, 572 (35.44%) to male users, and 21 (1.30%) to users of unknown gender. There were 1197 comments coded as expressing a positive perception about VR (74.16%), 251 coded as expressing a negative perception and/or concern (15.56%), and 560 coded as neutral (34.70%). Informants identified 20 use cases for VR in health care, including the use of VR for pain and stress reduction; bed-bound individuals; women during labor; and patients undergoing chemotherapy, dialysis, radiation, or imaging procedures. Negative comments expressed concerns about radiation, infection risk, motion sickness, and the ubiquity of and overall dependence on technology. There was a statistically significant association between the language valence of the Facebook post and the gender of the Facebook user; men were more likely to post negative perceptions about the use of VR for health care, whereas women were more likely to post positive perceptions ( P <.001). Conclusions Most informants expressed positive perceptions about the use of VR in a wide range of health care settings. However, many expressed concerns that should be acknowledged and addressed as health care VR continues to evolve. Our results provide guidance in determining where further research on the use of VR in patient care is needed, and offer a formal opportunity for public opinion to shape the VR research agenda.

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Section: Discussionmentioning

confidence: 99%

Public Perceptions Regarding Use of Virtual Reality in Health Care: A Social Media Content Analysis Using Facebook

Keller¹,

Park²,

Cunningham³

et al. 2017

J Med Internet Res

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show abstract

“…Therefore, some new approaches, such as TMS and effective cognitive training including VR, could be developed to intervene the decline of metabolic efficiency and neuroplasticity with age. In particular, many studies have shown that the cognitive training in VR could enhance the neuroplasticity of the brain (Johnson et al, 1998 ; Anopas and Wongsawat, 2014 ; Robles-García et al, 2016 ; Teo et al, 2016 ), and help repair damaged brain circuits (Subramanian and Prasanna, 2017 ; Yang et al, 2017 ). In consequence, we postulate that the cognitive training using VR and EEG can intervene effectively and help improve the cognitive functions of the patients in this paper.…”

Section: Discussionmentioning

confidence: 99%

The Study of Evaluation and Rehabilitation of Patients With Different Cognitive Impairment Phases Based on Virtual Reality and EEG

Dong

Zhou

et al. 2018

Front. Aging Neurosci.

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“…1b), the median frequency of all cycles was calculated from the goniometric recordings. We used customized MATLAB (The MathWorks, Inc) programs to perform these analyses 5,14,20 .…”

Section: Cmapmentioning

confidence: 99%

Temporal dynamics of muscle, spinal and cortical excitability and their association with kinematics during three minutes of maximal-rate finger tapping

Madinabeitia-Mancebo

Madrid

Jácome

et al. 2020

Sci Rep

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We tested peripheral, spinal and cortical excitability during 3 minutes of unresisted finger tapping at the maximal possible rate, which induced fatigue. Subsequently, we studied the temporal dynamics of muscle fatigue, expressed in the tapping movement profile, and its relationship to neural systems using mixed model analyses. The tapping rate decreased by 40% over the duration of the task. The change in the amplitude of the range of motion was not significant. The excitability of the flexor and extensor muscles of the index finger was tested via evoked potentials obtained with various types of stimulation at various levels of the motor system. the change in spinal excitability with time was evaluated considering the simultaneous changes in muscle excitability; we also considered how spinal excitability changed over time to evaluate cortical excitability. Excitability in the flexor and extensor muscles at the different levels tested changed significantly, but similar excitability levels were observed at notably different tapping rates. Our results showed that only 33% of the decrease in the tapping rate was explained by changes in the excitability of the structures tested in the present work.Determining the central mechanisms involved in muscle fatigue is important from a physiological perspective and can also have relevant implications from an applied perspective when we refer to sports, ergonomics or certain pathological conditions. These mechanisms have been studied thoroughly in the case of isometric muscle contractions; they include changes in excitability both at the spinal cord and M1 networks 1-8 .Another type of muscle activity corresponding to the contractions performed during rhythmic repetitive movements (RRMs) is essential in daily living and may result in fatigue. Traditionally, their central expressions of fatigue have been studied at the point at which an activity has been completed 9,10 , which is a limitation because the CNS recovers very quickly when the activity ends 11,12 . Several works recently tested fatigue at the central level immediately following the end of unresisted RRMs without allowing time for CNS recovery 5,13,14 . The reduction in the maximal movement rate was greater after 30 s of finger tapping (ft) than that after 10 s, and the reduction was accompanied by an increase in the excitability of M1 GABA b interneurons, which was more pronounced after 30 s of performing the task 5,13 . Interestingly, spinal excitability, which was tested by measuring cervicomedullary evoked potentials (CMEPs), increased during the waning of the tapping rate 14 , which is essentially different from the outcome when fatigue is caused by isometric exercise performed for the same duration and executed with the same body segment 14 .However, the description of how corticomuscular excitability changes with RRM fatigue development has not been performed, as previously done for isometric activities [15][16][17] . Another un-resolved point is whether the

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Effects of movement imitation training in Parkinson's disease: A virtual reality pilot study

Abstract: This pilot study suggests that movement imitation therapy enhances the effect of motor practice in patients with Parkinson's disease; imitation-training might be helpful for reducing hypometria in these patients. These results must be clarified in future larger trials.

Cited by 25 publications

References 31 publications

Public Perceptions Regarding Use of Virtual Reality in Health Care: A Social Media Content Analysis Using Facebook

Public Perceptions Regarding Use of Virtual Reality in Health Care: A Social Media Content Analysis Using Facebook

The Study of Evaluation and Rehabilitation of Patients With Different Cognitive Impairment Phases Based on Virtual Reality and EEG

Temporal dynamics of muscle, spinal and cortical excitability and their association with kinematics during three minutes of maximal-rate finger tapping

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