Efficacy of a Virtual Reality Commercial Gaming Device in Upper Limb Recovery after Stroke: A Randomized, Controlled Study

Kong, Keng-He; Loh, Yong-Joo; Thia, Ernest; Chai, Audrey L.; Ng, Chwee-Yin; Soh, Yan-Ming; Toh, Shirlene; Tjan, Soon-Yin

doi:10.1080/10749357.2016.1139796

Cited by 65 publications

(46 citation statements)

References 31 publications

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“…All of the dropouts in our study resulted from compliance issues. Although we used the Mini-Mental State Examination score to assess the patients' self-efficacy and compliance issues, high rates of dropout due to compliance issues indicate that a more detailed assessment tool is needed for VR rehabilitation 39,40 . Another limitation of this study was that the long-term effects of immersive VR-based rehabilitation were not investigated, and further studies are needed to determine the long-term effects of immersive VR-based rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients

Öğün

Kurul

Yaşar

et al. 2019

Arq. Neuro-Psiquiatr.

130

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Immersive virtual reality (VR) is a technology that provides a more realistic environmental design and object tracking than ordinary VR. The aim of this study was to investigate the effectiveness of immersive VR on upper extremity function in patients with ischemic stroke. Sixty-five patients with ischemic stroke were included in this randomized, controlled, double-blind study. Patients were randomly divided into VR (n = 33) and control (n = 32) groups. The VR group received 60 minutes of the upper extremity immersive VR rehabilitation program and the control group received 45 minutes of conventional therapy and 15 minutes of a sham VR program. Rehabilitation consisted of 18 sessions of therapy, three days per week, for six weeks. The outcome measures were the Action Research Arm Test (ARAT), Functional Independence Measure (FIM), Fugl-Meyer Upper Extremity Scale (FMUE) and Performance Assessment of Self-Care Skills (PASS). In both the VR and control groups all parameters except the PASS improved over time. However independent t-test results showed that all of the FMUE, ARAT, FIM and PASS scores were significantly higher in the VR group compared with the control (p < 0.05). The minimal clinically important difference (MCID) scores of the FMUE and ARAT were higher than the cut-off MCID scores described in the literature in the VR group, whereas the FIM scores were below the cut-off MCID scores. All scores in the control group were below the cut-off scores. Immersive VR rehabilitation appeared to be effective in improving upper extremity function and self-care skills, but it did not improve functional independence.

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Section: Discussionmentioning

confidence: 99%

Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients

Öğün

Kurul

Yaşar

et al. 2019

Arq. Neuro-Psiquiatr.

130

View full text Add to dashboard Cite

show abstract

“…Moreover, the use of both quantitative and qualitative methods allowed the strengths of both types of study to off-set the methodological weaknesses inherent in the other [68]. [49]). Although some UL movement to use the PST system was required (thereby limiting use in those with severe disability), the use of a hands-free system and the ability to individually calibrate activities ensured that those with moderately-severe disability were able to use the system.…”

Section: Study Strengths and Limitationsmentioning

confidence: 99%

“…However, although protocols of some studies included in the review by Laver et al [48] allowed the inclusion of those with more severe UL deficits, in many cases it is not possible to ascertain the severity of those who actually participated and as such, the effectiveness with those with more severe deficits is unclear. Moreover, many studies inclusive of participants with moderate to severe UL impairments, have also employed the use of robotics or physical assistance from therapists in addition to VR, suggesting issues of feasibility of the systems when used alone and limited feasibility in the community [49,50,51,52]. While critical to exercise-adherence, few studies have considered patient evaluation of VR devices and when such evaluation has been performed, there has often been a lack of analytical rigour [38].…”

mentioning

confidence: 99%

The feasibility, acceptability and preliminary efficacy of a low-cost, virtual-reality based, upper-limb stroke rehabilitation device: a mixed methods study

Warland

Paraskevopoulos

Tsekleves

et al. 2018

Disability and Rehabilitation

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Integrated findings suggested that the system is feasible and acceptable for use with a group of community-dwelling stroke-survivors including those with moderately-severe disability. Implications for rehabilitation To ensure feasibility of use and maintenance of an appropriate level of challenge, gaming technologies for use in upper-limb stroke rehabilitation should be personalised, dependent on individual need. Through the use of hands-free systems and personalisation, stroke survivors with moderate and moderately-severe levels of upper-limb impairment following stroke are able to use gaming technologies as a means of delivering upper-limb rehabilitation. Future studies should address issues of acceptability, feasibility, and efficacy of personalised gaming technologies for delivery of upper-limb stroke rehabilitation in the home environment. Findings from this study can be used to develop future games and activities suitable for use in stroke rehabilitation.

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“…It will help the application developer to obtain a properly captured parameter to evaluate rehabilitation progress or performance. While most of the recent virtual reality applications for stroke rehabilitation are using automated process to capture progress data, there are still researchers at present who are still using manual observation to evaluate the rehabilitation process [14][15][16][17]. Data been captured without proper time sequence will provide only a large set of data with no significant impact.…”

Section: Introductionmentioning

confidence: 99%

Time-based Simplified Denavit-Heartenberg Translation (TS-DH) for Capturing Finger Kinematic Data

Iberahim¹,

Shamsuddin²,

Makhtar³

et al. 2018

IJET

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Virtual finger model is commonly used in many applications for stroke fine motor rehabilitation especially in Virtual Reality (VR) applications. Capturing movement data for fingers is one of the important phases in any virtual fine motor rehabilitation process. Manual observation provides inconsistent evaluation given by different therapists for different rehabilitation sessions. Although the process of capturing data is performed, without time series of captured data, the data will not have a significant impact in producing consistent and meaningful evaluation. Furthermore, the consistency of the assessment of rehabilitation sessions will deliver more robust rehabilitation progress analysis. This data is very useful when paired with time information which can be analyzed to produce optimal evaluation. This paper proposes Time-based Simplified Denavit-Heartenberg Translation (TS-DH) consisting of forward kinematic with simplified DH parameter for capturing coordinate of end of each bone from virtual finger model paired with timeframe data. The DH model is enhanced by implementing 2 additional rules in assigning joint parameter. The data will be recorded with timeframe of every finger movement. As a conclusion, TS-DH model can be used in any virtual finger environment accurately.

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Efficacy of a Virtual Reality Commercial Gaming Device in Upper Limb Recovery after Stroke: A Randomized, Controlled Study

Abstract: Twelve sessions of augmented upper limb exercises via NW gaming or conventional therapy over a 3-week period was not effective in enhancing upper limb motor recovery compared to control.

Cited by 65 publications

References 31 publications

Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients

Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients

The feasibility, acceptability and preliminary efficacy of a low-cost, virtual-reality based, upper-limb stroke rehabilitation device: a mixed methods study

Time-based Simplified Denavit-Heartenberg Translation (TS-DH) for Capturing Finger Kinematic Data

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