Immersive virtual reality in traumatic brain injury rehabilitation: A literature review

Aida, Jared T.; Chau, Brian; Dunn, Justin

doi:10.3233/nre-172361

Cited by 93 publications

(56 citation statements)

References 19 publications

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“…VR is an emerging technology for which researchers are finding novel uses in a variety of different disorders. VR has shown promise in traumatic brain injury rehabilitation for both cognitive and gait‐related difficulties . VR has shown to be useful in psychiatric settings, especially for those with anxiety‐related disorders , such as social anxiety disorder.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality–Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

Venuturupalli

Chu²,

Vicari³

et al. 2019

ACR Open Rheumatology

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Objective. As technology continues to improve, it plays an increasingly vital role in the practice of medicine. This study aimed to assess the feasibility of the implementation of virtual reality (VR) in a rheumatology clinic as a platform to administer guided meditation and biofeedback as a means of reducing chronic pain.Methods. Twenty participants were recruited from a rheumatology clinic. These participants included adults with physician-diagnosed autoimmune disorders who were on a stable regimen of medication and had a score of at least 5 on the pain Visual Analog Scale (VAS) for a minimum of 4 days during the prior 30 days. VAS, part of most composite outcome measurements in rheumatology, is an instrument used to assess pain that consists of a straight line with the endpoints ranging from "no pain at all" and "pain as bad as it could be." Patients were randomized into two groups that differed in the order in which they experienced the two VR modules. One module consisted of a guided meditation (GM) environment, whereas the other module consisted of a respiratory biofeedback (BFD) environment. Data on pain and anxiety levels were gathered before, during, and after the two modules.Results. The three most common diagnoses among participants were rheumatoid arthiritis (RA), lupus, and fibromyalgia. There was a significant reduction in VAS scores after BFD and GM (P values = 0.01 and 0.04, respectively). There was a significant reduction in Facial Anxiety Scale after the GM compared with the BFD (P values = 0.02 and 0.08, respectively).Conclusion. This novel study demonstrated that VR could be a feasible solution for the management of pain and anxiety in rheumatology patients. Further trials with varying treatment exposures and durations are required to solidify the viability of VR as a treatment option in rheumatology clinics.

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Section: Discussionmentioning

confidence: 99%

Virtual Reality–Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

Venuturupalli

Chu²,

Vicari³

et al. 2019

ACR Open Rheumatology

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“…Leveraging VR for the rehabilitation of cognitive and motor functions for children after a traumatic brain injury (TBI) is an active field of research and development [ 4 - 6 ]. TBI often disrupts the normal function of the brain of a child and is the leading cause of death and acquired disability in children, with an estimated 700,000 pediatric TBI cases annually in the United States [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Most traditional rehabilitation exercises involve repetitive, task-oriented training, which patients with TBI have reported to be boring, leading to poor adherence [ 9 , 10 ]. VR may provide a more engaging and cost-effective alternative or supplement to the traditional rehabilitation program [ 4 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality–Based Executive Function Rehabilitation System for Children With Traumatic Brain Injury: Design and Usability Study

Shen¹,

Xiang²,

Luna³

et al. 2020

JMIR Serious Games

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Background Traumatic brain injury (TBI) poses a significant threat to children’s health. Cognitive rehabilitation for pediatric TBI has the potential to improve the quality of life following the injury. Virtual reality (VR) can provide enriched cognitive training in a life-like but safe environment. However, existing VR applications for pediatric TBIs have primarily focused on physical rehabilitation. Objective This study aims to design and develop an integrative hardware and software VR system to provide rehabilitation of executive functions (EF) for children with TBI, particularly in 3 core EF: inhibitory control, working memory, and cognitive flexibility. Methods The VR training system was developed by an interdisciplinary team with expertise in best practices of VR design, developmental psychology, and pediatric TBI rehabilitation. Pilot usability testing of this novel system was conducted among 10 healthy children and 4 children with TBIs. Results Our VR-based interactive cognitive training system was developed to provide assistive training on core EF following pediatric TBI. Pilot usability testing showed adequate user satisfaction ratings for both the hardware and software components of the VR system. Conclusions This project designed and tested a novel VR-based system for executive function rehabilitation that is specifically adapted to children following TBI.

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“…This, in turn, has supported its deployment for both clinical and non-clinical samples of elderly people and young adults ( García-Betances et al, 2015 ; De Tommaso et al, 2016 ; Plancher and Piolino, 2017 ). Within medical and neuropsychological settings, VR has been extensively applied as an assessment and a rehabilitation tool for elderly people suffering from consequences of a traumatic brain injury ( Aida et al, 2018 ; Alashram et al, 2019 ; Maggio et al, 2019 ), for post-stroke patients ( Henderson et al, 2007 ; Saposnik and Levin, 2011 ; Laver et al, 2017 ), and for spatial memory and balance ( Allain et al, 2014 ; Serino et al, 2017 ; Gerber et al, 2018 ; Soares et al, 2018 ), among other applications (see Plancher and Piolino, 2017 ; Moreno et al, 2019 ). Crucially, VR allows the therapy to be tailored in a controlled way, according to each disease starting from a continuous assessment of the individual’s behaviors.…”

Section: A New Integrated Approach To MCI Assessmentmentioning

confidence: 99%

Digital Biomarkers for the Early Detection of Mild Cognitive Impairment: Artificial Intelligence Meets Virtual Reality

Cavedoni

Chirico

Pedroli

et al. 2020

Front. Hum. Neurosci.

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Elderly people affected by Mild Cognitive Impairment (MCI) usually report a perceived decline in cognitive functions that deeply impacts their quality of life. This subtle waning, although it cannot be diagnosable as dementia, is noted by caregivers on the basis of their relative's behaviors. Crucially, if this condition is also not detected in time by clinicians, it can easily turn into dementia. Thus, early detection of MCI is strongly needed. Classical neuropsychological measures-underlying a categorical model of diagnosis-could be integrated with a dimensional assessment approach involving Virtual Reality (VR) and Artificial Intelligence (AI). VR can be used to create highly ecologically controlled simulations resembling the daily life contexts in which patients' daily instrumental activities (IADL) usually take place. Clinicians can record patients' kinematics, particularly gait, while performing IADL (Digital Biomarkers). Then, Artificial Intelligence employs Machine Learning (ML) to analyze them in combination with clinical and neuropsychological data. This integrated computational approach would enable the creation of a predictive model to identify specific patterns of cognitive and motor impairment in MCI. Therefore, this new dimensional cognitive-behavioral assessment would reveal elderly people's neural alterations and impaired cognitive functions, typical of MCI and dementia, even in early stages for more time-sensitive interventions.

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Immersive virtual reality in traumatic brain injury rehabilitation: A literature review

Cited by 93 publications

References 19 publications

Virtual Reality–Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

Virtual Reality–Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

Virtual Reality–Based Executive Function Rehabilitation System for Children With Traumatic Brain Injury: Design and Usability Study

Digital Biomarkers for the Early Detection of Mild Cognitive Impairment: Artificial Intelligence Meets Virtual Reality

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