Gait rehabilitation with a high tech platform based on virtual reality conveys improvements in walking ability of children suffering from acquired brain injury

Biffi, Emilia; Beretta, Elena; Diella, Eleonora; Panzeri, Daniele; Maghini, Cristina; Turconi, Anna Carla; Strazzer, Sandra; Reni, Gianluigi

doi:10.1109/embc.2015.7320103

Cited by 14 publications

(25 citation statements)

References 20 publications

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“…Children and adolescents with ataxia exhibit coordinative limitations, which often affect their locomotion and balance. In recent years, more and more attention has been devoted to training that exploit the potential of VR in rehabilitative context, but up to now only few studies described improvements on children with ABI treated with VR [23, 33], and, to our knowledge, none specifically on ataxic patients.…”

Section: Discussionmentioning

confidence: 99%

Motor Improvement in Adolescents Affected by Ataxia Secondary to Acquired Brain Injury: A Pilot Study

Peri

Panzeri

Beretta

et al. 2019

BioMed Research International

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Aim To assess changes in locomotion and balance in adolescents affected by ataxia secondary to acquired brain injury after a rehabilitation treatment with physiotherapy and the Gait Real-time Analysis Interactive Lab (GRAIL), an immersive virtual reality platform. Methods 11 ataxic adolescents (16(5) years old, 4.7(6.7) years from injury) underwent 20 45-minute sessions with GRAIL plus 20 45-minute sessions of physiotherapy in one month. Patients were assessed before and after rehabilitation with functional scales and three-dimensional multiple-step gait analysis. Results Results showed significant improvements in ataxia score assessed by the Scale for the Assessment and Rating of Ataxia, in dimension D and E of Gross Motor Function Measure, in walking endurance and in balance abilities. Moreover, the training fostered significant changes at hip, knee, and ankle joints, and the decrease of gait variability, toward healthy references. Interpretation In spite of the pilot nature of the study, data suggest that training with immersive virtual reality and physiotherapy is a promising approach for ataxic gait rehabilitation, even in chronic conditions.

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Section: Discussionmentioning

confidence: 99%

Motor Improvement in Adolescents Affected by Ataxia Secondary to Acquired Brain Injury: A Pilot Study

Peri

Panzeri

Beretta

et al. 2019

BioMed Research International

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“…The articles were published between 2002 and 2017. The studies were conducted in inpatient 37 , 38 , 39 , 40 , 41 , 42 , 43 and outpatient rehabilitation settings 44 , 45 in Italy, 37 , 38 , 41 the USA, 39 , 42 , 43 , 44 , 45 and the Republic of Korea. 40 Seven articles were cohort studies without concurrent controls 37 , 38 , 39 , 40 , 41 , 42 , 43 and two articles were case reports.…”

Section: Resultsmentioning

confidence: 99%

“…The studies were conducted in inpatient 37 , 38 , 39 , 40 , 41 , 42 , 43 and outpatient rehabilitation settings 44 , 45 in Italy, 37 , 38 , 41 the USA, 39 , 42 , 43 , 44 , 45 and the Republic of Korea. 40 Seven articles were cohort studies without concurrent controls 37 , 38 , 39 , 40 , 41 , 42 , 43 and two articles were case reports. 44 , 45 A summary of funding sources of included studies is presented in Table S1 (online supporting information).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies included TBI exclusively, 41 , 42 , 44 five studies included a combination of TBI and nTBI (brain tumour and cerebrovascular diseases), 37 , 38 , 39 , 40 , 43 and one study included a male child with nTBI (arteriovenous malformation). 45 Age at the start of the intervention varied between 1 year and 19 years 10 months.…”

Section: Resultsmentioning

confidence: 99%

“…It is not surprising that types of intervention vary for children and young people with ABI as they depend on the needs of the child and family, influenced by the stages of recovery as well as by healthcare resources. 16,56 Biffi et al 37,38 studied the effects of treadmill training with virtual reality in physical rehabilitation in children and young people using multisensory stimulation. They hypothesized that increased engagement would involve reward-related dopaminergic systems in the brain that, in turn, facilitate learning through long-term potentiation of neural connections.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Physical rehabilitation interventions in children with acquired brain injury: a scoping review

Meyling

Verschuren

Rentinck

et al. 2021

Develop Med Child Neuro

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Aim To synthesize the evidence about the characteristics (frequency, intensity, time, type) and effects of physical rehabilitation interventions on functional recovery and performance in daily functioning in children and young people with acquired brain injury (ABI), including traumatic brain injuries (TBI) and non‐TBI, during the subacute rehabilitation phase. Method Using scoping review methodology, a systematic literature search was performed using four databases. Articles were screened by title and abstract and data from eligible studies were extracted for synthesis. Results Nine of 3009 studies were included. The results demonstrated a variety of intervention characteristics: frequency varied between 1 and 7 days per week; time of intervention varied between 25 minutes and 6 hours a day; intervention types were specified in seven studies; and none of the included studies reported details of intensity of intervention. All studies reported positive results on the International Classification of Functioning, Disability and Health: Children and Youth (ICF‐CY) levels of body function and activities after the intervention period, with study designs of included studies being cohort studies without concurrent controls (n=7) or case reports (n=2). Interpretation Inconsistency in results hampers generalizability to guide clinical practice. Physical interventions during subacute rehabilitation have potential to improve functional recovery with intervention characteristics as an important factor influencing its effectiveness. Future well‐designed studies are indicated to gain knowledge and optimize rehabilitation practice in paediatric ABI and high‐quality research including outcomes across all ICF‐CY domains is needed.

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Context expectation influences the gait pattern biomechanics

Ciceri

Malerba

Gatti

et al. 2023

Sci Rep

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Beyond classical aspects related to locomotion (biomechanics), it has been hypothesized that walking pattern is influenced by a combination of distinct computations including online sensory/perceptual sampling and the processing of expectations (neuromechanics). Here, we aimed to explore the potential impact of contrasting scenarios (“risky and potentially dangerous” scenario; “safe and comfortable” scenario) on walking pattern in a group of healthy young adults. Firstly, and consistently with previous literature, we confirmed that the scenario influences gait pattern when it is recalled concurrently to participants’ walking activity (motor interference). More intriguingly, our main result showed that participants’ gait pattern is also influenced by the contextual scenario when it is evoked only before the start of walking activity (motor expectation). This condition was designed to test the impact of expectations (risky scenario vs. safe scenario) on gait pattern, and the stimulation that preceded walking activity served as prior. Noteworthy, we combined statistical and machine learning (Support-Vector Machine classifier) approaches to stratify distinct levels of analyses that explored the multi-facets architecture of walking. In a nutshell, our combined statistical and machine learning analyses converge in suggesting that walking before steps is not just a paradox.

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Gait rehabilitation with a high tech platform based on virtual reality conveys improvements in walking ability of children suffering from acquired brain injury

Cited by 14 publications

References 20 publications

Motor Improvement in Adolescents Affected by Ataxia Secondary to Acquired Brain Injury: A Pilot Study

Motor Improvement in Adolescents Affected by Ataxia Secondary to Acquired Brain Injury: A Pilot Study

Physical rehabilitation interventions in children with acquired brain injury: a scoping review

Context expectation influences the gait pattern biomechanics

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