Feasibility of an Exoskeleton‐Based Interactive Video Game System for Upper Extremity Burn Contractures

Schneider, Jeffrey C.; Ozsecen, Muzaffer Y.; Muraoka, Nicholas K.; Mancinelli, Chiara; Croce, Ugo Della; Ryan, Colleen M.; Bonato, Paolo

doi:10.1016/j.pmrj.2015.09.012

Cited by 6 publications

(8 citation statements)

References 29 publications

(42 reference statements)

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“…Importantly, significant changes in multiple outcome measures were observed in the VR group after intervention. Jeffery et al reported that the VR system can be modified to maximize therapeutic benefits such as improving the ROM of the shoulder and elbow joints after burn injury [26]. The tasks in the VR system include ADLs, such as cooking, cleaning windows, squeezing oranges, and turning over pages.…”

Section: Discussionmentioning

confidence: 99%

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study

Joo

Cho

Lee

et al. 2020

JCM

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Hands are the most frequent burn injury sites. Appropriate rehabilitation is essential to ensure good functional recovery. Virtual reality (VR)-based rehabilitation has proven to be beneficial for the functional recovery of the upper extremities. We investigated and compared VR-based rehabilitation with conventional rehabilitation (CON) in patients with burned hands. Fifty-seven patients were randomized into a VR or CON group. Each intervention was applied to the affected hand for four weeks, and clinical and functional variables were evaluated. Hand function was evaluated before intervention and four weeks after intervention using the Jebsen-Taylor hand function test (JTT), Grasp and Pinch Power Test, Purdue Pegboard test (PPT), and Michigan Hand Outcomes Questionnaire (MHQ). The JTT scores for picking up small objects and the MHQ scores for hand function, functional ADL, work, pain, aesthetics, and patient satisfaction were significantly higher in the VR group than in the CON group (p < 0.05). The results suggested that VR-based rehabilitation is likely to be as effective as conventional rehabilitation for recovering function in a burned hand. VR-based rehabilitation may be considered as a treatment option for patients with burned hands.

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Section: Discussionmentioning

confidence: 99%

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study

Joo

Cho

Lee

et al. 2020

JCM

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“…Additional categories with lower frequency in the retrieved literature were cerebral palsy, hemiparesis, and neurological motor deficits. Furthermore, one study was related to Parkinson disease [19], one study was related to burn contractures [20], two studies addressed patients with brain impairment [21,22], three focused on general cognitive deficits [23][24][25], and other conditions were identified as shoulder [26] or wrist [12,27] injuries.…”

Section: Medical Conditionmentioning

confidence: 99%

“…Besides interest in developing robotic devices identified in the hardware development category, some research teams have also focused on robotic devices that are already available on the market. Several studies used haptic devices such as Phantom Omni [22,[120][121][122], Novint Falcon [77,122,123], Haptic Master [59,[124][125][126][127], and Geomagic Touch [128], whereas others used robotic gloves such as CyberGrasp [124,126,129] and 5DT Data Glove [130,131] or robotic arms such as Barrett Wam [132] and Armeo Spring [20,108,133].…”

Section: Commercial Sensorsmentioning

confidence: 99%

“…ROM and data regarding the angles of the hand during its motion constitute another significant group of features that have been commonly used by researchers and health professionals to [12,20,69,81,98,103,152] referred to the calculation of these kinds of features. Four studies [20,69,98,152] reported that they monitored ROM data (minimum, maximum, and average) for each single joint or exercise movement, and only one study [12] calculated ROM as a summative score of multiple movements or the difference. This extracted feature comprises a valuable tool, as it can be compared across sessions, subjects, or between the impaired and nonimpaired limb of each subject.…”

Section: Extracted Game Featuresmentioning

confidence: 99%

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Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

JMIR Serious Games

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Background: Serious gaming has increasingly gained attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. Objective: The aim of this scoping review was to evaluate the current role of serious games in upper extremity rehabilitation, and to identify common methods and practice as well as technology patterns. This objective was approached via the exploration of published research efforts over time. Methods: The literature search, using the PubMed and Scopus databases, included articles published from 1999 to 2019. The eligibility criteria were (i) any form of game-based arm rehabilitation; (ii) published in a peer-reviewed journal or conference; (iii) introduce a game in an electronic format; (iv) published in English; and (v) not a review, meta-analysis, or conference abstract. The search strategy identified 169 relevant articles. Results: The results indicated an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies that used commercial devices in their rehabilitation systems and those that proposed a custom-made robotic arm, glove, or other devices for the connection and interaction with the game platform. A particularly relevant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluated their implementations with patients, in most cases, there is the need for a larger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies that included some form of assessment for the introduced rehabilitation game mentioned user experience as one of the factors considered for evaluation of the system. Besides user experience assessment, the most common evaluation method involving patients was the use of standard medical tests. Finally, a few studies attempted to extract game features to introduce quantitative measurements for the evaluation of patient improvement. Conclusions: This paper presents an overview of a significant research topic and highlights the current state of the field. Despite extensive attempts for the development of gamified rehabilitation systems, there is no definite answer as to whether a serious game is a favorable means for upper extremity functionality improvement; however, this certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and more extensive experiments could generate richer evidence and contribute toward this direction.

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“…ROM and data regarding the angles of the hand during its motion constitute another significant group of features that have been commonly used by researchers and health professionals to Several studies [12,20,69,81,98,103,152] referred to the calculation of these kinds of features. Four studies [20,69,98,152] reported that they monitored ROM data (minimum, maximum, and average) for each single joint or exercise movement, and only one study [12] calculated ROM as a summative score of multiple movements or the difference. This extracted feature comprises a valuable tool, as it can be compared across sessions, subjects, or between the impaired and nonimpaired limb of each subject.…”

Section: Extracted Game Featuresmentioning

confidence: 99%

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review (Preprint)

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

Preprint

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BACKGROUND Serious gaming is increasingly gaining attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. OBJECTIVE This scoping review aims to evaluate the current role of serious games in the upper extremity rehabilitation and identify common methods and practice, technology patterns as well as gaps. This objective is approached via the exploration of published research efforts over the years. METHODS The literature research, using the PubMed and Scopus databases, included articles published until June 2019. The eligibility criteria were (i) to include any form of introduced game-based arm rehabilitation, (ii) to be a study published in a peer-reviewed journal or conference, (iii) to introduce a game in an electronic format, (iv) to be a study in English, (v) to not be a review, meta-analysis, editorial or commentary. The review identified 169 relevant articles. RESULTS The results indicate an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies which used commercial devices in their rehabilitation systems, with studies which created any type of robotic arm, glove or other devices for the connection with the game platform. A significant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluate in real use their implementations including patients, in most cases, there is the need for a bigger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies which included some form of assessment for the introduced rehabilitation game, mentioned among others the user experience as a factor for the system’s evaluation. Besides the user experience assessment, the most common evaluation method involving patients was the use of medical standard tests. Finally, a few studies attempted to extract game features in order to introduce quantitative measurements for the evaluation of the patient’s improvement. CONCLUSIONS This paper presents an overview of a significant research topic and highlights the current state of the field. Despite all the attempts for the development of a rehabilitation system, there is not a definite answer of whether a serious game is a favorable means for the upper extremity functionality improvement, but it is certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and the conductance of wider scale experiments could generate richer evidence and contribute in this direction.

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Feasibility of an Exoskeleton‐Based Interactive Video Game System for Upper Extremity Burn Contractures

Abstract: This study demonstrates the feasibility of use of an exoskeleton-based interactive gaming system in the burn population. Future studies are needed that examine the efficacy of tailoring interactive video games to the specific joint impairments of burn survivors.

Cited by 6 publications

References 29 publications

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review (Preprint)

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