Evaluation of a VR prototype for neuropsychological rehabilitation of attentional functions

Lorentz, Lukas; Simone, Mariella; Zimmermann, Marcel; Studer, Bettina; Suchan, Boris; Althausen, Anita; Eštočinová, Jana; Kh, Müller; Lendt, Michael

doi:10.1007/s10055-021-00534-1

Cited by 9 publications

(10 citation statements)

References 29 publications

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“…Finally, in a leisure approach, Lorentz et al (2021) conceptualized the VR Traveller, a training program of attentional functions in a more engaging setting that also resembles real-life activities. The program offers several modules to address specific attentional dysfunctions within the context of a virtual journey around the world.…”

Section: Resultsmentioning

confidence: 99%

“…Feasibility and acceptability were assessed with the user experience questionnaire (UEQ) ( Laugwitz et al, 2008 ) and a self-constructed feasibility questionnaire, and tolerability was assessed with the virtual reality sickness questionnaire (VRSQ) ( Kim et al, 2018 ). Overall, patients’ ratings of the VR training in terms of acceptability and feasibility were positive, suggesting that VR programs represent an accepted, feasible, and well-received alternative to traditional cognitive rehabilitation approaches ( Lorentz et al, 2021 ).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, training with VE simulating other environments has been shown to be specific, thus improving the performance in the virtual task in comparison to a computer-assisted instruction teaching program (Fong et al, 2010) and provide comparable improvements on upper-limb motor function assessed in comparison to conventionally presented activities (Fluet et al, 2013;Qiu et al, 2020). Finally, it is important to highlight that leisure simulations, such as travelling, are also promising for assessment and rehabilitation of ABI (Lorentz et al, 2021(Lorentz et al, ). 10.3389/fpsyg.2023 Frontiers in Psychology 39 frontiersin.org 4.2.…”

Section: What Are the Most Common Virtual Environments Used In Acquir...mentioning

confidence: 99%

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Ecologically valid virtual reality-based technologies for assessment and rehabilitation of acquired brain injury: a systematic review

Faria,

Latorre,

Silva Cameirão

et al. 2023

Front. Psychol.

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PurposeA systematic review was conducted to examine the state of the literature regarding using ecologically valid virtual environments and related technologies to assess and rehabilitate people with Acquired Brain Injury (ABI).Materials and methodsA literature search was performed following the PRISMA guidelines using PubMed, Web of Science, ACM and IEEE databases. The focus was on assessment and intervention studies using ecologically valid virtual environments (VE). All studies were included if they involved individuals with ABI and simulated environments of the real world or Activities of Daily Living (ADL).ResultsSeventy out of 363 studies were included in this review and grouped and analyzed according to the nature of its simulation, prefacing a total of 12 kitchens, 11 supermarkets, 10 shopping malls, 16 streets, 11 cities, and 10 other everyday life scenarios. These VE were mostly presented on computer screens, HMD’s and laptops and patients interacted with them primarily via mouse, keyboard, and joystick. Twenty-five out of 70 studies had a non-experimental design.ConclusionEvidence about the clinical impact of ecologically valid VE is still modest, and further research with more extensive samples is needed. It is important to standardize neuropsychological and motor outcome measures to strengthen conclusions between studies.Systematic review registrationidentifier CRD42022301560, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=301560.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: What Are the Most Common Virtual Environments Used In Acquir...mentioning

confidence: 99%

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Ecologically valid virtual reality-based technologies for assessment and rehabilitation of acquired brain injury: a systematic review

Faria,

Latorre,

Silva Cameirão

et al. 2023

Front. Psychol.

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“…We aimed to recruit enough inpatients with ABI to identify all usability problems in the design [54] and the early stage of this self-developed VR tool and to gather sufficient data to estimate the SD of measured outcomes for planning a subsequent larger trial [55]. Recent studies, which involved new-generation headsets, customized VR-based rehabilitation tools, focused on patient needs, tested the system in samples ranging from 11 to 35 patients with ABI, and found that VR was accepted and feasible for rehabilitation [37,38,56].…”

Section: Discussionmentioning

confidence: 99%

“…The most recent studies on VR interventions for cognitive rehabilitation following ABI have focused on conducting detailed design and prototype evaluations of self-developed systems [36,37]. These studies underscore the significance of integrating expertise from cross-disciplinary perspectives, which has resulted in high levels of user satisfaction and low levels of simulator sickness.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality–Based Neurorehabilitation Support Tool for People With Cognitive Impairments Resulting From an Acquired Brain Injury: Usability and Feasibility Study

Prats-Bisbe,

López-Carballo,

García-Molina

et al. 2024

JMIR Neurotech

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Background Acquired brain injury (ABI) is a prominent cause of disability globally, with virtual reality (VR) emerging as a promising aid in neurorehabilitation. Nonetheless, the diversity among VR interventions can result in inconsistent outcomes and pose challenges in determining efficacy. Recent reviews offer best practice recommendations for designing and implementing therapeutic VR interventions to evaluate the acceptance of fully immersive VR interventions. Objective This study aims to evaluate the usability and feasibility of a co-designed VR-based neurorehabilitation support tool by conducting multiple proof-of-concept trials in a sample of patients with ABI within a hospital setting. Methods A single session deploying custom immersive serious games to train cognitive functions using a new-generation head-mounted display was conducted among a sample of inpatients with ABI. Structured questionnaires were administered at the end of the session to evaluate the usability of the system and the intervention, participants’ familiarity with the technology, and any adverse effects related to cybersickness. Additionally, the training duration while wearing the headset and the demographic characteristics of the participants were considered. Results A total of 20 patients with ABI participated in a 1-hour proof-of-concept trial. The mean usability score was 37 (SD 2.6) out of 40, the technology familiarity level was 9.2 (SD 2.9) out of 12, and the Simulator Sickness Questionnaire total score was 1.3 (SD 2). On average, participants wore the headset for approximately 25.6 (SD 4.7) minutes during the intervention. There were no substantial differences in usability and technology familiarity levels based on patients’ etiology or age, with no notable symptoms of cybersickness reported. Significantly strong correlations were noted between cybersickness symptoms and various usability categories, including exposure, motivation, interactivity, task specificity, and immersion aspects. Further, there was a significant association between the intervention time and the number of tasks performed (P<.001). Furthermore, patients who derived enjoyment from VR sessions expressed a heightened interest in incorporating VR into their daily neurorehabilitation practice (P<.001). Moreover, oculomotor issues were found to be highly sensitive to the onset of disorientation sickness symptoms (P<.001). Conclusions Through a collaborative approach, this study showcases the usability and feasibility of a VR-based support tool for cognitive rehabilitation among inpatients with ABI. Key components of such interventions encompass a multidisciplinary array of immersive experiences integrating neurorehabilitation principles and serious games techniques.

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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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Evaluation of a VR prototype for neuropsychological rehabilitation of attentional functions

Cited by 9 publications

References 29 publications

Ecologically valid virtual reality-based technologies for assessment and rehabilitation of acquired brain injury: a systematic review

Ecologically valid virtual reality-based technologies for assessment and rehabilitation of acquired brain injury: a systematic review

Virtual Reality–Based Neurorehabilitation Support Tool for People With Cognitive Impairments Resulting From an Acquired Brain Injury: Usability and Feasibility Study

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

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