Serious Games for Stroke Telerehabilitation of Upper Limb - A Review for Future Research

Amorim, Paula; Santos, Beatriz Sousa; Dias, Paulo; Silva, Samuel; Martins, Henrique

doi:10.5195/ijt.2020.6326

Cited by 32 publications

(17 citation statements)

References 83 publications

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“…Hemiparesis/upper limb most studies, diverse methodology [21][22][23]; reviews [5,7,14,23,24] Constraint-induced movement therapy (CIMT) [25][26][27]; heterogeneous exercises [21][22][23];…”

Section: Studies Exercises Resultsmentioning

confidence: 99%

“…However, there is evidence that also supports an intense recovery program during the chronic phase of the disease [6,12]. Thereby, post-stroke rehabilitation has an important role when applied in any stage of the disease, with its absence having consequences such as pathological motor pattern development, non-use of the affected limb, spasticity enhancement, joint rigidity, increased pain and disability [12][13][14]. In addition, rehabilitation programs initiated in the clinic and continued at patients' homes represent a therapeutic alternative to hepatotoxic and nephrotoxic medications administered to relieve pain and trophic effects [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Telerehabilitation—A Viable Option for the Recovery of Post-Stroke Patients

Ciortea

Motoașcă²,

Ungur

et al. 2021

Applied Sciences

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As the number of stroke survivors is continuously growing, with an important number suffering from consequent functional deficits, the rehabilitation field is facing more complex demands. Technological progress gives us the opportunity to remotely assist patients while they exercise at home through telerehabilitation (TR), addressing the problems of limited medical resources and staff, difficult transportation, or living a long distance from rehabilitation centers. In addition, TR is a way to provide continuity in long-term post-stroke recovery during the COVID-19 pandemic, which limits traveling and human interaction. While the implementation of TR is increasing, the biggest challenges are to raise patients’ acceptability of the new method and their motivation and engagement during the program. In this review, we aimed to find methods to address these challenges by identifying the patients who benefit the most from this therapy and efficiently organizing the space and technology used for telerehabilitation. User-friendly technologies and devices along with therapists’ constant support and feedback are some of the most important aspects that make TR an efficient intervention and an alternative to conventional therapy.

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Section: Studies Exercises Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Telerehabilitation—A Viable Option for the Recovery of Post-Stroke Patients

Ciortea

Motoașcă²,

Ungur

et al. 2021

Applied Sciences

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“…The technological apparatus of VR grants the user the experience of presence , where the user accesses a novel environment and interacts with it as if the computer ceased to exist [ 38 , 39 ]. In the context of rehabilitation, immersive VR environments are largely used to improve patients’ engagement and adherence to the rehabilitation regimen, which will accelerate their recovery in return [ 6 , 16 , 40 ]. The literature suggests that patients undergoing rehabilitation augmented with VR could substantially improve their motivation and motor functions [ 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

Data-Driven Classification of Human Movements in Virtual Reality–Based Serious Games: Preclinical Rehabilitation Study in Citizen Science

Ventura¹,

Hughes²,

Nov³

et al. 2022

JMIR Serious Games

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Background Sustained engagement is essential for the success of telerehabilitation programs. However, patients’ lack of motivation and adherence could undermine these goals. To overcome this challenge, physical exercises have often been gamified. Building on the advantages of serious games, we propose a citizen science–based approach in which patients perform scientific tasks by using interactive interfaces and help advance scientific causes of their choice. This approach capitalizes on human intellect and benevolence while promoting learning. To further enhance engagement, we propose performing citizen science activities in immersive media, such as virtual reality (VR). Objective This study aims to present a novel methodology to facilitate the remote identification and classification of human movements for the automatic assessment of motor performance in telerehabilitation. The data-driven approach is presented in the context of a citizen science software dedicated to bimanual training in VR. Specifically, users interact with the interface and make contributions to an environmental citizen science project while moving both arms in concert. Methods In all, 9 healthy individuals interacted with the citizen science software by using a commercial VR gaming device. The software included a calibration phase to evaluate the users’ range of motion along the 3 anatomical planes of motion and to adapt the sensitivity of the software’s response to their movements. During calibration, the time series of the users’ movements were recorded by the sensors embedded in the device. We performed principal component analysis to identify salient features of movements and then applied a bagged trees ensemble classifier to classify the movements. Results The classification achieved high performance, reaching 99.9% accuracy. Among the movements, elbow flexion was the most accurately classified movement (99.2%), and horizontal shoulder abduction to the right side of the body was the most misclassified movement (98.8%). Conclusions Coordinated bimanual movements in VR can be classified with high accuracy. Our findings lay the foundation for the development of motion analysis algorithms in VR-mediated telerehabilitation.

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“…Telehealth technologies has a fundamental role in the field of medical and enable the remote monitoring and rehabilitation (Amorim et al, 2020). According to (Mantovani et al, 2020), telerehabilitation approaches have been shown to be effective in patient rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Home-based telerehabilitation: A review of remote therapy frameworks

Miguel

Sá

Souza

et al. 2021

RSD

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Remote therapy frameworks play the main role in home-based telerehabilitation. These remote therapies are exergames that help in the physical and cognitive rehabilitation of the patient. The objective of this review is to present the frameworks of home-based therapies using exergames and to identify the points that can be improved in the development of future systems. To carry out this research, the criteria of the PRISMA were adopted. Literature searches were conducted up to April 2021 in the Web of Sicence, Pubmed, Cochrane, Embase and Scopus databases. The search query was: (("game*" OR "exergame*") AND ("rehabilitation") AND ("remote" OR "telerehabilitation" OR "telemedicine")). We have selected a total of fourteen studies. We found five types of frameworks: Client-Server, Web-Based, Layers, Cloud Based and Multi users. We identified that it may be advantageous to mix the features of these frameworks to have a cheaper home-based system and prevent the patient from having to purchase more powerful computers. In addition, there are some challenges that need to be studied that will also help reduce costs for the patient: 1) Reduce the need for high processing of exergames on the patient's computer; 2) Prevent the patient from having to purchase expensive external devices for motion tracking.

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Serious Games for Stroke Telerehabilitation of Upper Limb - A Review for Future Research

Cited by 32 publications

References 83 publications

Telerehabilitation—A Viable Option for the Recovery of Post-Stroke Patients

Telerehabilitation—A Viable Option for the Recovery of Post-Stroke Patients

Data-Driven Classification of Human Movements in Virtual Reality–Based Serious Games: Preclinical Rehabilitation Study in Citizen Science

Home-based telerehabilitation: A review of remote therapy frameworks

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