Immersive Virtual Environments and Wearable Haptic Devices in rehabilitation of children with neuromotor impairments: a single-blind randomized controlled crossover pilot study

Bortone, Ilaria; Barsotti, Michele; Leonardis, Daniele; Crecchi, Alessandra; Tozzini, A; Bonfiglio, Luca; Frisoli, Antonio

doi:10.1186/s12984-020-00771-6

Cited by 36 publications

(39 citation statements)

References 43 publications

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“…Study participants had the opportunity to engage in a multi-sensory serious gaming experience. When evaluating upper extremity motor function, an improvement was seen in both experimental (VR enhanced therapy) and control groups (conventional rehabilitation therapy) with no statistical significance between the two [25]. One limitation to this study is a relatively small sample size (8 patients) which is understandable as a pilot randomized controlled trial.…”

Section: Upper Extremity Function In Cerebral Palsymentioning

confidence: 88%

“…Articles with a low risk of bias were included in this systemic review. Table 4 shows the data table for the 13 articles included in this review [25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Data Extractionmentioning

confidence: 99%

“…One question that came up is how effective VR rehabilitation is when it comes to motor function recovery in pediatric patients? An article by Bartone et al consisted of a pilot randomized controlled study that examined the effects of VR-based therapy on pediatric patients diagnosed with either cerebral palsy or developmental dyspraxia [25].…”

Section: Upper Extremity Function In Cerebral Palsymentioning

confidence: 99%

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Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Amirthalingam¹,

Paidi²,

Alshowaikh³

et al. 2021

Cureus

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There are many successful interventions in medicine, especially in neurology and rehabilitation. The neurosciences represent an area of medicine with tremendous recent research innovations, one of which is virtual reality. This paper aims to discover the powerful relationship between virtual reality and rehabilitation. We assessed the effectiveness of virtual reality-based rehabilitation compared to conventional rehabilitation on motor function recovery of three patient groups: patients with a diagnosis of cerebral palsy, Parkinson's disease, or stroke. We conducted a systematic review using PubMed and included only articles that were randomized controlled trials that were published in the last five years. We used a general search in combination with a more focused Medical Subject Headings (MeSH) search. After thorough assessment and risk of bias evaluation using the Cochrane risk of bias tool, we included thirteen studies in this review. The majority of the clinical trials showed a statistically significant effect for improved motor function. More specifically, improvements in upper extremity motor function, gait, and balance in patients diagnosed with stroke were seen. Similarly, when evaluating patients with Parkinson's disease, improved gait and posture were also seen. When it came to cerebral palsy, however, there were no significant differences between the experimental group and the control. The level of improvement in motor function with a virtual reality intervention was striking, particularly since a few studies demonstrated sustained motor improvement a few months post-trial as well. Virtual reality-based rehabilitation has promising results for adult patients diagnosed with stroke or Parkinson's disease. For pediatric patients, on the other hand, a larger number of clinical trials would still need to be conducted to validate if virtual reality interventions have the capability of providing improved motor function recovery.

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Section: Upper Extremity Function In Cerebral Palsymentioning

confidence: 88%

Section: Data Extractionmentioning

confidence: 99%

Section: Upper Extremity Function In Cerebral Palsymentioning

confidence: 99%

See 1 more Smart Citation

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Amirthalingam¹,

Paidi²,

Alshowaikh³

et al. 2021

Cureus

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show abstract

“…Bortone et al [41][42][43][44] show a series of works related to serious games and wearable haptic devices for rehabilitation. They have several scenarios Immersive Virtual Environments (VE) with Head Mounted Display (HMD) devices and Wearable Haptic Devices for the rehabilitation of upper limb in children with Cerebral Palsy (CP) and Developmental Dyspraxia (DD).…”

Section: Related Workmentioning

confidence: 99%

Haptic Glove TV Device for People with Visual Impairment

Villamarín

Menéndez

2021

Sensors

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Immersive video is changing the way we enjoy TV. It is no longer just about receiving sequential images with audio, but also playing with other human senses through smells, vibrations of movement, 3D audio, feeling water, wind, heat, and other emotions that can be experienced through all human senses. This work aims to validate the usefulness of an immersive and interactive solution for people with severe visual impairment by developing a haptic glove that allows receiving signals and generating vibrations in hand, informing about what happens in a scene. The study case presented here shows how the haptic device can take the information about the ball’s location in the playing field, synchronized with the video reception, and deliver it to the user in the form of vibrations during the re-transmission of a soccer match. In this way, we take visually impaired people to live a new sensory experience, allowing digital and social inclusion and accessibility to audiovisual technologies that they could not enjoy before. This work shows the methodology used for the design, implementation, and results evaluation. Usability tests were carried out with fifteen visually impaired people who used the haptic device to attend a soccer match synchronized with the glove’s vibrations.

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“…The virtual nature of the environment allows behaviors that are impossible or very expensive in reality to be implemented in a low-cost way. Bortone et al [ 4 – 6 ] found that the use of a virtual environment and wearable devices offers a viable alternative to conventional therapy for improving upper extremity function in children with neuromotor impairments. Additionally, previous works indicate that the strength and ability of the affected side of the body can be effectively improved during rehabilitation that involves controlling an avatar’s upper limbs to interact with objects in VEs [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A novel upper-limb tracking system in a virtual environment for stroke rehabilitation

Cha

Wang

et al. 2021

J NeuroEngineering Rehabil

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Background The transfer of the behaviors of a human’s upper limbs to an avatar is widely used in the field of virtual reality rehabilitation. To perform the transfer, movement tracking technology is required. Traditionally, wearable tracking devices are used for tracking; however, these devices are expensive and cumbersome. Recently, non-wearable upper-limb tracking solutions have been proposed, which are less expensive and more comfortable. However, most products cannot track the upper limbs, including the arms and all the fingers at the same time, which limits the limb parts for tracking in a virtual environment and may lead to a limited rehabilitation effect. Methods In this paper, a novel virtual reality rehabilitation system (VRRS) was developed for upper-limb rehabilitation. The VRRS could track the motion of both upper limbs, integrate fine finger motion and the range of motion of the entire arm and map the motion to an avatar. To test the performance of VRRS, two experiments were designed. In the first experiment, we investigated the effect of VRRS on virtual body ownership, agency and location of the body and usability in 8 healthy participants by comparing it with a partial upper-limb tracking method based on a Leap Motion controller (LP) in the same virtual environments. In the second experiment, we examined the feasibility of VRRS in upper-limb rehabilitation with 27 stroke patients. Results VRRS improved the users’ senses of body ownership, agency, and location of the body. The users preferred using the VRRS to using the LP. In addition, we found that although the upper limb motor function of patients from all groups was improved, the difference between the FM scores tested on the first day and the last day of the experimental group was more significant than that of the control groups. Conclusions A VRRS with motion tracking of the upper limbs and avatar control including the arms and all the fingers was developed. It resulted in an improved user experience of embodiment and effectively improved the effects of upper limb rehabilitation in stroke patients. Trial registration The study was registered at the First Affiliated Hospital of Jinan University Identifier: KY-2020–036; Date of registration: June 01, 2020.

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Immersive Virtual Environments and Wearable Haptic Devices in rehabilitation of children with neuromotor impairments: a single-blind randomized controlled crossover pilot study

Cited by 36 publications

References 43 publications

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Haptic Glove TV Device for People with Visual Impairment

A novel upper-limb tracking system in a virtual environment for stroke rehabilitation

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