Virtual Reality–Based Training to Improve Obstacle-Crossing Performance and Dynamic Balance in Patients With Parkinson’s Disease

Liao, Ying Yi; Yang, Yea Ru; Cheng, Shih‐Jung; Wu, Yih Ru; Fuh, Jong Ling; Wang, Ray Yau

doi:10.1177/1545968314562111

Cited by 144 publications

(227 citation statements)

References 52 publications

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“…121,116,131 People with PD who were on average 5 years post-diagnosis played Wii Sports (specifically tennis, boxing and bowling) for 12 one hour sessions over one month and improved in the PDQ that lasted four months post intervention. 121 Changes in the PDQ were reported by a group that used the Wii as a balance training tool 131 and similarly by a group that used the Kinect Adventures games to improve balance. 116 By contrast a home-based VR intervention for balance and mobility was no different than standard of care home physical therapy in changing the PDQ.…”

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

“…Due to some conflicting evidence on carryover of motor improvements within VR systems to the natural environment, future research on participation outcomes should also evaluate VR and SG practice alone and within natural environments to determine programs leading to the best movement outcomes. 100,127,131,132 Standardization of behavioral outcome measures across studies would increase the usefulness of meta-analyses. Control interventions should be standardized and described in addition to the VR and SG programs.…”

Section: Reflections and Recommendationsmentioning

confidence: 99%

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Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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Use of virtual reality (VR) and serious games (SGs) interventions within rehabilitation as motivating tools for task specific training for individuals with neurological conditions are fast-developing. Within this perspective paper we use the framework of the IV STEP conference to summarize the literature on VR and SG for children and adults by three topics: Prevention; Outcomes: Body-Function-Structure, Activity and Participation; and Plasticity. Overall the literature in this area offers support for use of VR and SGs to improve body functions and to some extent activity domain outcomes. Critical analysis of clients' goals and selective evaluation of VR and SGs are necessary to appropriately take advantage of these tools within intervention. Further research on prevention, participation, and plasticity is warranted. We offer suggestions for bridging the gap between research and practice integrating VR and SGs into physical therapist education and practice.

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Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

Section: Reflections and Recommendationsmentioning

confidence: 99%

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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“…By combining both tactile and visual feedback, the virtual reality-based training technology made a significant role in rehabilitation for patients with stroke or Parkinson disease (Saposnik et al, 2010; Liao et al, 2014). For the amputees, accomplishing tactile sensory feedback of prosthetics will improve their acceptance for the artificial limb (Antfolk et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

A 3D Computational Model of Transcutaneous Electrical Nerve Stimulation for Estimating Aβ Tactile Nerve Fiber Excitability

Zhu

Wei

et al. 2017

Front. Neurosci.

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Tactile sensory feedback plays an important role in our daily life. Transcutaneous electrical nerve stimulation (TENS) is widely accepted to produce artificial tactile sensation. To explore the underlying mechanism of tactile sensation under TENS, this paper presented a novel 3D TENS computational model including an active Aβ tactile nerve fiber (TNF) model and a forearm finite element model with the fine-layered skin structure. The conduction velocity vs. fiber diameter and strength-duration relationships in this combined TENS model matched well with experimental data. Based on this validated TENS model, threshold current variation were further investigated under different stimulating electrode sizes with varied fiber diameters. The computational results showed that the threshold current intensity increased with electrode size, and larger nerve fibers were recruited at lower current intensities. These results were comparable to our psychophysical experimental data from six healthy subjects. This novel 3D TENS model would further guide the floorplan of the surface electrodes, and the stimulating paradigms for tactile sensory feedback.

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“…La habilidad en la integración sensorial es un factor importante que también se ha estudiado; por ejemplo, se ha reportado el efecto de claves visuales en el conocimiento de resultados para controlar el movimiento. Estos cambios se correlacionaron con pruebas clínicas de Time up and Go, Cuestionario en EP -PDQ39-y test de organización sensorial (38,39).…”

Section: Experiencias Terapéuticas En Enfermedad De Parkinsonunclassified

Entrenamiento motor en el continuo de la realidad a la virtualidad

Narvaez¹,

Sánchez-Romero²,

Pérez-Viatela³

et al. 2018

Rev. Fac. Med.

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Introducción. La trasformación de la capacidad de movimiento de las personas es un reto que el fisioterapeuta asume como estrategia de aprendizaje motor.Objetivo. Plantear los referentes teóricos y prácticos más relevantes en el uso de ambientes terapéuticos en el continuo de la realidad a la virtualidad en el entrenamiento motor de pacientes con accidente cerebrovascular y enfermedad de Parkinson. Materiales y métodos. Revisión de la literatura que analiza y aporta de manera conceptual, en el área de la rehabilitación y la fisioterapia, información sobre entrenamiento y aprendizaje motor.Resultados. Se evidencia potencial en el uso de la realidad virtual para la rehabilitación de alteraciones del movimiento debidas a disfunciones neurológicas. Las herramientas tecnológicas propias de la realidad virtual permiten un mayor conocimiento de los resultados con respecto a las características del movimiento, lo cual ayuda a mejorar el aprendizaje motor, en comparación con el entrenamiento tradicional.Conclusiones. Se requiere objetivar el proceso de rehabilitación para medir con precisión los cambios que producen estrategias de aprendizaje en las capacidades de movimiento de las personas con deficiencias del sistema neuromuscular para generar evidencia del impacto que tienen los programas de entrenamiento motor en el continuo de la realidad a la virtualidad.

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Virtual Reality–Based Training to Improve Obstacle-Crossing Performance and Dynamic Balance in Patients With Parkinson’s Disease

Abstract: VRWii training significantly improved obstacle crossing performance and dynamic balance, supporting implementation of VRWii training in participants with PD.

Cited by 144 publications

References 52 publications

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

A 3D Computational Model of Transcutaneous Electrical Nerve Stimulation for Estimating Aβ Tactile Nerve Fiber Excitability

Entrenamiento motor en el continuo de la realidad a la virtualidad

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