Sensorimotor Training in a Virtual Reality Environment: Does It Improve Functional Recovery Poststroke?

Merians, Alma S.; Poizner, Howard; Boian, Rareș; Burdea, Grigore; Adamovich, Sergei V.

doi:10.1177/1545968306286914

Cited by 201 publications

(161 citation statements)

References 40 publications

(51 reference statements)

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“…Merians et al [59] investigated the use of computerised haptic enhanced VR training on the hemiparetic hand of eight participants poststroke. Each participant received 2-2½ hours of training per day over a three-week period and were measured using the Jebsen hand function test, plus computerised measurement of finger and thumb range of motion, velocity and fractionation.…”

Section: Adamovichmentioning

confidence: 99%

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

Demain

Metcalf

Merrett

et al. 2012

Disability and Rehabilitation: Assistive Technology

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 The current lack of emphasis on somatosensory rehabilitation may contribute to poor hand recovery in patients with central nervous system pathology.  Haptic technologies have the potential to improve sensation and sensory motor integration in neurological conditions  An underlying theoretical rationale is provided for the design and clinical use of haptic technologies in neuro-rehabilitation of the hand. AbstractPurpose. This paper provides rehabilitation professionals and engineers with a theoretical and pragmatic rationale for the inclusion of haptic feedback in the rehabilitation of central nervous system disorders affecting the hand. Method. A narrative review of haptic devices used in sensorimotor hand rehabilitation was undertaken. Presented papers were selected to outline and clarify the underlying somatosensory mechanisms underpinning these technologies and provide exemplars of the evidence to date.Results. Haptic devices provide kinaesthetic and/or tactile stimulation. Kinaesthetic haptics are beginning to be incorporated in central nervous system rehabilitation, however, there has been limited development of tactile haptics. Clinical research in haptic rehabilitation of the hand is embryonic but initial findings indicate potential clinical benefit. Conclusions. Haptic rehabilitation offers the potential to advance sensorimotor hand rehabilitation but both scientific and pragmatic developments are needed to ensure that its potential is realised.

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Section: Adamovichmentioning

confidence: 99%

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

Demain

Metcalf

Merrett

et al. 2012

Disability and Rehabilitation: Assistive Technology

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“…Several commercial systems such as the MIST-VR, developed to train complex surgical skills, have been shown to significantly improve the human motor performance (Gallagher, McClure, McGruigan, Crothers, & Browning, 1999). Virtual environments have also been shown to be excellent promise as a tool for rehabilitative movement retraining (see (Merians, Poizner, Boian, Burdea, & Adamovich, 2006) for a more extensive review).…”

Section: Virtual Reality To Support Learningmentioning

confidence: 99%

Haptic Communication to Support Biopsy Procedures Learning in Virtual Environments

Chellali

Dumas

Milleville-Pennel³

2012

Presence: Teleoperators and Virtual Environments

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In interventional radiology, physicians require high haptic sensitivity and fine motor skills development because of the limited real-time visual feedback of the surgical site. The transfer of this type of surgical skill to novices is a challenging issue. This paper presents a study on the design of a biopsy procedure learning system. Our methodology, based on a task-centered design approach, aims to bring out new design rules for virtual learning environments. A new collaborative haptic training paradigm is introduced to support human-haptic interaction in a virtual environment. The interaction paradigm supports haptic communication between two distant users to teach a surgical skill. In order to evaluate this paradigm, a user experiment was conducted. Sixty volunteer medical students participated in the study to assess the influence of the teaching method on their performance in a biopsy procedure task. The results show that to transfer the skills, the combination of haptic communication with verbal and visual communications improves the novices’ performance compared to conventional teaching methods. Furthermore, the results show that, depending on the teaching method, participants developed different needle insertion profiles. We conclude that our interaction paradigm facilitates expert-novice haptic communication and improves skills transfer; and new skills acquisition depends on the availability of different communication channels between experts and novices. Our findings indicate that the traditional fellowship methods in surgery should evolve to an off-patient collaborative environment that will continue to support visual and verbal communication, but also haptic communication, in order to achieve a better and more complete skills training.

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“…Research suggests that VR and AR technology can offer new opportunities and methods for neurorehabilitation [20]. Typically VR or AR can be used to immerse a patient in a safe environment to practice rehabilitation exercises [61], such as hand [49], [56] and motor [57] rehabilitation in stroke and gait rehabilitation in Parkinson's Disease [54]. For example in MS rehabilitation, rhythmic audio signals and a moving checker patterned floor [5] can be used effectively for feedback.…”

Section: Introductionmentioning

confidence: 99%

Underwater Mixed Environments

Lukas

Quarles

Kaklis

et al. 2015

Lecture Notes in Computer Science

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Sensorimotor Training in a Virtual Reality Environment: Does It Improve Functional Recovery Poststroke?

Cited by 201 publications

References 40 publications

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

Haptic Communication to Support Biopsy Procedures Learning in Virtual Environments

Underwater Mixed Environments

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