Markerless motion capture systems as training device in neurological rehabilitation: a systematic review of their use, application, target population and efficacy

Abstract

BackgroundClient-centred task-oriented training is important in neurological rehabilitation but is time consuming and costly in clinical practice. The use of technology, especially motion capture systems (MCS) which are low cost and easy to apply in clinical practice, may be used to support this kind of training, but knowledge and evidence of their use for training is scarce. The present review aims to investigate 1) which motion capture systems are used as training devices in neurological rehabilitation, 2) how they are applied, 3) in which target population, 4) what the content of the training and 5) efficacy of training with MCS is.MethodsA computerised systematic literature review was conducted in four databases (PubMed, Cinahl, Cochrane Database and IEEE). The following MeSH terms and key words were used: Motion, Movement, Detection, Capture, Kinect, Rehabilitation, Nervous System Diseases, Multiple Sclerosis, Stroke, Spinal Cord, Parkinson Disease, Cerebral Palsy and Traumatic Brain Injury. The Van Tulder’s Quality assessment was used to score the methodological quality of the selected studies. The descriptive analysis is reported by MCS, target population, training parameters and training efficacy.ResultsEighteen studies were selected (mean Van Tulder score = 8.06 ± 3.67). Based on methodological quality, six studies were selected for analysis of training efficacy. Most commonly used MCS was Microsoft Kinect, training was mostly conducted in upper limb stroke rehabilitation. Training programs varied in intensity, frequency and content. None of the studies reported an individualised training program based on client-centred approach.ConclusionMotion capture systems are training devices with potential in neurological rehabilitation to increase the motivation during training and may assist improvement on one or more International Classification of Functioning, Disability and Health (ICF) levels. Although client-centred task-oriented training is important in neurological rehabilitation, the client-centred approach was not included. Future technological developments should take up the challenge to combine MCS with the principles of a client-centred task-oriented approach and prove efficacy using randomised controlled trials with long-term follow-up.Trial registrationProspero registration number 42016035582.Electronic supplementary materialThe online version of this article (doi:10.1186/s12984-017-0270-x) contains supplementary material, which is available to authorized users.

Use of a Technology-based System to Motivate Aged Persons in Performing Physical Activity: A Feasibility Study

“…The participants wanted to play against other people, sort of like a competition. It has already been proven that a multiplayer feature motivates people more (43). Furthermore, in other research it is also suggested to combine a virtual environment with auditory and visual cues to increase exercise intensity and consequently promote tness in older adults (42).…”

“…Furthermore, in other research it is also suggested to combine a virtual environment with auditory and visual cues to increase exercise intensity and consequently promote tness in older adults (42). Although these are good suggestions and they will be considered when developing the i-ACT further with the focus towards aged persons, the rst focus of i-ACT is still to work as client-centred as possible, as this will also positively in uence the motivation of users (43). Therefore a good combination of working as clientcentred as possible, but with more game-like features and implementation of auditory cues, should be taken into account during the following steps in the development of i-ACT for use in aged care.…”

Effects of Virtual Reality Associated With Serious Games for Upper Limb Rehabilitation in Patients With Multiple Sclerosis. a Randomized Controlled Trial

“…CG received a speci c UL intervention by two physical therapists based on conventional motor rehabilitation therapy (60 minutes) based on shoulder, elbow, wrist, and nger mobilization, strengthening of UL extensor muscles and stretching exercises for UL exor muscles [7,8], and with functional task practice trying to imitate the movements of the serious games designed for the experimental group (i.e. reaching movements, dexterity, grasping and pincer grasp movements using objects of daily living, such as coins, keys, balls, cups, plates) [10,11].…”

Analysis of Body Movement and Gaze Dynamics during Endotracheal Intubation: Comparison of Performance between Experts and Novices

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