Enhancing mirror therapy via scaling and shared control: a novel open-source virtual reality platform for stroke rehabilitation

Augenstein, Thomas E.; Kortemeyer, Daniel; Glista, Lawrence; Krishnan, Chandramouli

doi:10.1007/s10055-021-00593-4

Cited by 8 publications

(9 citation statements)

References 37 publications

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“…Immersive VR systems have been developed to carry out mirror therapy with differing setups and rehabilitation protocols [25][26][27][28][29][30][31], including two described systems papers without any study results [27,28]. Weber and colleagues [25] presented a system which uses the Oculus Rift and its accompanying hand controllers to carry out mirror therapy.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and psychophysical effects of immersive virtual reality-based mirror therapy

Heinrich

Morkisch²,

Langlotz³

et al. 2022

J NeuroEngineering Rehabil

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Background Virtual reality (VR) has been used as a technological medium to deliver mirror therapy interventions with people after stroke in numerous applications with promising results. The recent emergence of affordable, off-the-shelf head-mounted displays (like the Oculus Rift or HTC Vive) has opened the possibility for novel and cost-effective approaches for immersive mirror therapy interventions. We have developed one such system, ART-VR, which allows people after stroke to carry out a clinically-validated mirror therapy protocol in an immersive virtual environment and within a clinical setting. Methods A case cohort of 11 people with upper limb paresis following first time stroke at an in-patient rehabilitation facility received three interventions over a one week period. Participants carried out the BeST mirror therapy protocol using our immersive VR system as an adjunct therapy to their standard rehabilitation program. Our clinical feasibility study investigated intervention outcomes, virtual reality acceptance and user experience. Results The results show that the combination of an immersive VR system and mirror therapy protocol is feasible for clinical use. 9 out of 11 participants showed some improvement of their affected hand after the intervention. The vast majority of the participants (9/11) reported experiencing some psycho-physical effects, such as tingling or paraesthesia, in the affected limb during the intervention. Conclusions Our findings show that immersive VR-based mirror therapy is feasible and shows effects comparable to those of conventional mirror therapy. Trial Registration Trial was registered with the ISRCTN Registry (ISRCTN34011164) on December 3, 2021, retrospectively

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Section: Introductionmentioning

confidence: 99%

Feasibility and psychophysical effects of immersive virtual reality-based mirror therapy

Heinrich

Morkisch²,

Langlotz³

et al. 2022

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

show abstract

“…The virtual cat task in Reference 57 consists of three subtasks in which participants must complete each subtask successfully to move to the next subtasks. In the VR environment 61 created, the user has to interact with the virtual avatar and perform the exercises in coordination with him for stroke rehabilitation.…”

Section: Vr and Ar In Potmentioning

confidence: 99%

“…Patients use the VR rehabilitation system designed in Reference 22 for post‐stroke rehabilitation without difficulty, and good usability and satisfaction outcomes can be reached. The VR application created in Reference 61 shows that stroke patients with severe asymmetric motor impairments will gain the most from mirror therapy through scaling. The VR game designed in Reference 37 can help to improve the cost, precision, and availability of post‐stroke motor therapies and make training more enjoyable and encouraging.…”

Section: Vr and Ar In Potmentioning

confidence: 99%

“…The patients' wrists, hands, and fingers were captured using Leap motion controller 61 . Patients in Reference 57 used the Dexmo gloves for motion capturing and forced feedback in VR.…”

Section: Vr and Ar In Potmentioning

confidence: 99%

“…The questionnaire method was also used to collect feedback from the participants, patients, or users in studies 39,54,59,61 . Two studies used questionnaire metrics alone to measure the effectiveness of VR therapy.…”

Section: Vr and Ar In Potmentioning

confidence: 99%

See 2 more Smart Citations

A review of the application of virtual and augmented reality in physical and occupational therapy

Luckykumar Dwarkadas,

Talasila,

Challa

et al. 2024

Softw Pract Exp

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This paper includes a research review in five bibliographic databases on using the application of virtual reality (VR) and augmented reality (AR) in physical and occupational therapy (POT). This literature review addresses five research questions and two sub‐research questions. A total of 36 relevant studies were selected in the review based on the defined keywords and inclusion‐exclusion criteria. The primary motivation for using the application of VR and AR in POT is that it is accurate, involves higher patient participation, and requires less therapy recovery time. The standard software tool used is the Unity 3D game engine, and the common device used is the Oculus Rift HMD. Various applications of VR and AR consist of different VR environments and AR contents used in POT. Post‐stroke rehabilitation, rehabilitation exercises, pain management, mental and behavioral disorders, and autism in children are the main aspects addressed through the VR and AR environments. Literature review indicates that questionnaires, interviews, and observation are the primary metrics for measuring therapy's effectiveness. The study's findings show positive results such as reduced treatment time, nervousness, pain, hospitalization period, making therapy enjoyable and encouraging, improved quality of life, and focus on using the application of VR and AR in POT. This review will be relevant to researchers, VR and AR application designers, doctors, and patients using the application of VR and AR in POT. Further research addressing multiple participants with clinical trials, adding new VR environments and AR content in VR and AR applications, including follow‐up sessions, and increasing training sessions while using the application of VR and AR in POT are recommended.

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A haptic-feedback virtual reality system to improve the Box and Block Test (BBT) for upper extremity motor function assessment

et al. 2022

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Enhancing mirror therapy via scaling and shared control: a novel open-source virtual reality platform for stroke rehabilitation

Cited by 8 publications

References 37 publications

Feasibility and psychophysical effects of immersive virtual reality-based mirror therapy

Feasibility and psychophysical effects of immersive virtual reality-based mirror therapy

A review of the application of virtual and augmented reality in physical and occupational therapy

A haptic-feedback virtual reality system to improve the Box and Block Test (BBT) for upper extremity motor function assessment

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