Interactive virtual feedback improves gait motor imagery after spinal cord injury: An exploratory study

Roosink, Meyke; Robitaille, Nicolas; Jackson, Philip L.; Bouyer, Laurent J.; Mercier, Catherine

doi:10.3233/rnn-150563

Cited by 26 publications

(34 citation statements)

References 41 publications

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“…The MD&B score was 17/27 for both studies indicating low risk of bias. The third study evaluated twosessions of 1.5 hours (≥1 hour apart) of a VR environment projected onto two screens in front of patients with a spinal cord injury (C4 or lower) at least 3 months prior 49. This study found no significant difference in pain reported immediately after the VR exposure.…”

Section: Resultsmentioning

confidence: 96%

“…While the HMD was more effective in reducing subjective pain ratings, mobile devices also were able to achieve pain reduction effectively. The Visual Analog Pain Scale decreased when subjects were using the mobile phone pain distraction (mean scoredecreased by 0.58, p < 0.02), while it decreased by an additional 0.445 (p < 0.04) when the HMD was used.Pain intensity during treatmentunable to calculateunable to calculateunable to calculateunable to calculateRoosink, 201649Quasi-experimental study (no comparison group)9Range: 25-72A convenience sample was recruited among the outpatients of the Institut de r'eadaptation en d´eficience physique de Qu´ebec (IRDPQ). Individuals had sustained a traumatic SCI at least 3 months prior to participation, and had a lesion at the level of C4 or lower.NPChronicMD&B 17/27The set-up consisted of an inertial movement sensor, a virtual reality system, two projectors (allowing for 3D vision), and a large silver-coated projection screen.Patients engaged in a virtual forest path leading to the door of a small cabin (fixed distance) with a horizontal progress bar in the lower left corner of the screen (to provide feedback on the distance covered).…”

Section: Resultsmentioning

confidence: 99%

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<p>Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis</p>

Mallari

Spaeth

Goh

et al. 2019

JPR

262

181

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Background: Previous studies have shown that virtual reality (VR) is effective in reducing acute and chronic pain both in adults and in children. Given the emergence of new VR technology, and the growing body of research surrounding VR and pain management, an updated systematic review is warranted. Purpose: The purpose of this systematic review is to compare the effectiveness of VR in reducing acute and chronic pain in adults. Data Sources: A search was conducted in three databases (PubMed, CINAHL, Trip) using standardized search terms. Study Selection: Twenty experimental and quasi-experimental trials published between January 2007 and December 2018 were included based on prespecified inclusion and exclusion criteria. Pain intensity was the primary outcome. Data Extraction: We extracted data and appraised the quality of articles using either the PEDro or Modified Downs and Black risk of bias tools. Data Synthesis: The majority of studies supported the use of VR to reduce acute pain both during the procedure and immediately after. Numerous studies found VR reduced chronic pain during VR exposure but there is insufficient evidence to support lasting analgesia. There was considerable variability in patient population, pain condition and dosage of VR exposure. Limitations: Due to heterogeneity, we were unable to perform meta-analyses for all study populations and pain conditions. Conclusions: VR is an effective treatment for reducing acute pain. There is some research that suggests VR can reduce chronic pain during the intervention; however, more evidence is needed to conclude that VR is effective for lasting reductions in chronic pain.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

<p>Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis</p>

Mallari

Spaeth

Goh

et al. 2019

JPR

262

181

View full text Add to dashboard Cite

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“…However, long-term effects of MI training probably help to overcome these experienced troubles, as has been suggested by Gustin et al ( 2008 ). Furthermore, it is important to note, that this does not mean that the ability to perform MI is impaired, as it has been reported that MI vividness in patients with SCI is comparable to that of healthy subjects (Hotz-Boendermaker et al, 2008 ; Di Rienzo et al, 2014b , c , 2015 ; Fusco et al, 2016 ; Roosink et al, 2016 ). Additionally, we investigated visual and kinesthetic MI and it is possible that MI strategies may change after SCI (Fiori et al, 2014 ).…”

Section: Discussionmentioning

confidence: 96%

Imagine There Is No Plegia. Mental Motor Imagery Difficulties in Patients with Traumatic Spinal Cord Injury

et al. 2017

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In rehabilitation of patients with spinal cord injury (SCI), imagination of movement is a candidate tool to promote long-term recovery or to control futuristic neuroprostheses. However, little is known about the ability of patients with spinal cord injury to perform this task. It is likely that without the ability to effectively perform the movement, the imagination of movement is also problematic. We therefore examined, whether patients with SCI experience increased difficulties in motor imagery (MI) compared to healthy controls. We examined 7 male patients with traumatic spinal cord injury (aged 23–70 years, median 53) and 20 healthy controls (aged 21–54 years, median 30). All patients had incomplete SCI, with AIS (ASIA Impairment Scale) grades of C or D. All had cervical lesions, except one who had a thoracic injury level. Duration after injury ranged from 3 to 314 months. We performed the Movement Imagery Questionnaire Revised as well as the Beck Depression Inventory in all participants. The self-assessed ability of patients to visually imagine movements ranged from 7 to 36 (Md = 30) and tended to be decreased in comparison to healthy controls (ranged 16–49, Md = 42.5; W = 326.5, p = 0.055). Also, the self-assessed ability of patients to kinesthetically imagine movements (range = 7–35, Md = 31) differed significantly from the control group (range = 23–49, Md = 41; W = 337.5, p = 0.0047). Two patients yielded tendencies for depressive mood and they also reported most problems with movement imagination. Statistical analysis however did not confirm a general relationship between depressive mood and increased difficulty in MI across both groups. Patients with spinal cord injury seem to experience difficulties in imagining movements compared to healthy controls. This result might not only have implications for training and rehabilitation programs, but also for applications like brain-computer interfaces used to control neuroprostheses, which are often based on the brain signals exhibited during the imagination of movements.

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“…Virtual reality (VR) technology, as an emerging intervention, has gradually become an adjunctive therapy of various diseases (such as cerebral palsy, depression, and Parkinson's disease) (Roosink et al, 2016 ). VR technology is a technology that uses the human senses (sight, touch, movement) to control a virtually-created environment.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitative Effects of Virtual Reality Technology for Mild Cognitive Impairment: A Systematic Review With Meta-Analysis

Ren

2020

Front. Psychol.

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Objective: To evaluate the impact of virtual reality (VR) technology on the cognitive functions (overall cognitive ability, executive function, short-term memory, and long-term memory) of people with mild cognitive impairment (MCI). Methods: All major databases, including Web of Science, PubMed, Scopus, Proquest, WanFang, and CNKI, were searched to identify all relevant studies published in English or Chinese since October 28th, 2019. Two researchers independently conducted document retrieval, study selection, data extraction, and methodological quality evaluation. Result: 15 randomized controlled trials were analyzed (N = 612 people with MCI), with the methodological quality evaluation score ranging from 5 to 7 points. A random effects model was selected to combine effect sizes. The result of the meta-analysis indicates that VR significantly enhanced MCI patients' overall cognitive ability (SMD = 0.869, 95% confidence interval [CI] = 0.330-1.407, P = 0.002, I 2 = 86.822, n = 537) and executive function (SMD = 1.083, 95%, 95%CI = 00.134-2.031, P = 0.025, I 2 = 93.748, n = 220). The meta-analysis indicated that after VR training, effects on short-term memory (SMD = 0.488, 95%CI = −0.108-1.084, P = 0.109, I 2 = 62.354, n = 131) and longterm memory (SMD = 0.335, 95%CI = −1.194-0.863, P = 0.0.214, I 2 = 58.868, n = 152) were not statistically significant. Conclusions: The present meta-analysis verifies the potential rehabilitative effects of VR technology for mild cognitive impairment.

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Interactive virtual feedback improves gait motor imagery after spinal cord injury: An exploratory study

Cited by 26 publications

References 41 publications

<p>Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis</p>

<p>Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis</p>

Imagine There Is No Plegia. Mental Motor Imagery Difficulties in Patients with Traumatic Spinal Cord Injury

Rehabilitative Effects of Virtual Reality Technology for Mild Cognitive Impairment: A Systematic Review With Meta-Analysis

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