Virtual reality for stroke rehabilitation

Laver, Kate; Lange, Belinda; George, Stacey; Deutsch, Judith E.; Saposnik, Gustavo; Crotty, Maria

doi:10.1002/14651858.cd008349.pub4

Cited by 763 publications

(842 citation statements)

References 174 publications

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“…This space was set up in response to current evidence reporting the potential of VR for improving motor function and activity level in stroke and cerebral palsy [1,15]. Patients treated by our clinic include a variety of neurologic conditions, but primarily consists of cerebral palsy and traumatic brain injury.…”

Section: Kiosk Model For Pediatric Neurorehabilitation At Schön Clinimentioning

confidence: 99%

“…Over the last decade, interest in nonimmersive virtual reality (VR) for rehabilitation has led to the development of low‐cost systems capable of providing personalized task practice for the rehabilitation of motor impairment in clinical [1‐3] and home settings [4]. This field has grown partly due to technological advances in motion capture and cloud computing, making technologies more accessible for clinicians to test and developers in this field to produce content for.…”

Section: Introductionmentioning

confidence: 99%

“…Current evidence suggests that VR may be a useful adjunct to conventional care in stroke [1], Parkinson disease [2,6], and multiple sclerosis [7] and have potential to increase access to personalized rehabilitation in the home setting [4]. However, there is consensus that the quality of data found in trials for neurorehabilitation is limited; studies in this field typically have low sample sizes, and several meta‐analyses conclude that the risk of bias is high because of poor reporting [1,3,4,6,7].…”

Section: Introductionmentioning

confidence: 99%

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Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

O'Neil¹,

Fernandez

Herzog³

et al. 2018

PM&R

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Virtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for health care providers to augment the dose of task-oriented exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is typically characterized by the use of gamified exergames which feature task-oriented physiotherapy exercises. At present, evidence for the efficacy of this technology is sparse, with some reviews suggesting it is the same or no better than conventional approaches. The purpose of this article is to provide real-world insights on the adoption of a virtual reality by 3 European clinics in 3 different service delivery models. These include an inpatient setting for Parkinson disease, a kiosk model for pediatric neurorehabilitation, and a home-based telerehabilitation model for neurologic patients. Motivations, settings, requirements for the pathology, outcomes, and challenges encountered during this process are reported with the objective of priming clinicians on what to expect when implementing virtual reality in neurorehabilitation.

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Section: Kiosk Model For Pediatric Neurorehabilitation At Schön Clinimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

O'Neil¹,

Fernandez

Herzog³

et al. 2018

PM&R

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“…After all, the goal is that patients’ speech improves, and if a patient's speech improves it might be better to make the thresholds for that patient somewhat more challenging; and vice versa if a patient's speech deteriorates. The literature on the personalisation of exergames also point in this direction (Goršič, Darzi, & Novak, ; Laver et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Speech training for neurological patients using a serious game

Ganzeboom¹,

Bakker²,

Beijer³

et al. 2018

Brit J Educational Tech

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The majority of patients with neurological impairment like Parkinson's Disease (PD) or stroke are affected by dysarthria. Dysarthria is a motor speech impairment which negatively affects speech dimensions such as articulation and loudness. This leads to reduced intelligibility, often hindering daily life communication. Intensive and prolonged speech training can increase patients’ speech intelligibility. Unfortunately, interventions by speech therapists are generally provided only for a short period of time, while continuing practice is needed to maintain or improve intelligibility. eHealth applications might provide a solution. In our research, we explored whether it is possible to develop a game that is suitable for providing speech training in elderly patients with dysarthria due to PD or stroke. In the game, we developed, called Treasure Hunters, two players interact verbally to find the way to the treasure, while receiving automatic feedback on voice loudness and pitch. Participants played with our game in several sessions and generally appreciated it, hinting at our game's potential for speech training in elderly patients. In a within‐subjects experiment with five dysarthric patients, our game was compared to a non‐game computer‐based speech training system: e‐learning‐based Speech Therapy (EST). We focussed on three variables: speech intelligibility, user satisfaction and user preference. Substantial variability between participants was observed, in the outcomes of these three variables and their relations. We conclude that ”one size that fits all” does not apply to computer‐based speech training, but a personalised approach is needed.

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“…In addition, the greater effect of robotic or virtual reality rehabilitation rather than conventional rehabilitation is not sure. Cochrane systematic reviews on this topic concluded that “ virtual reality and physiotherapy may have similar effects on gait, balance, and quality of life ” for Parkinson disease [14] or that “ the use of virtual reality and interactive video gaming was not more beneficial than conventional therapy approaches in improving upper limb function ” after stroke [101]. When there is effect of robot-assisted training, the quality of evidence is very low or low for improving arm functions after stroke [102] or moderate for improving independent walking in people after stroke [103].…”

Section: Discussionmentioning

confidence: 99%

Do Robotics and Virtual Reality Add Real Progress to Mirror Therapy Rehabilitation? A Scoping Review

Darbois

Guillaud

Pinsault

2018

Rehabilitation Research and Practice

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Background Mirror therapy has been used in rehabilitation for multiple indications since the 1990s. Current evidence supports some of these indications, particularly for cerebrovascular accidents in adults and cerebral palsy in children. Since 2000s, computerized or robotic mirror therapy has been developed and marketed. Objectives To map the extent, nature, and rationale of research activity in robotic or computerized mirror therapy and the type of evidence available for any indication. To investigate the relevance of conducting a systematic review and meta-analysis on these therapies. Method Systematic scoping review. Searches were conducted (up to May 2018) in the Cochrane Library, Google Scholar, IEEE Xplore, Medline, Physiotherapy Evidence Database, and PsycINFO databases. References from identified studies were examined. Results In sum, 75 articles met the inclusion criteria. Most studies were publicly funded (57% of studies; n = 43), without disclosure of conflict of interest (59% of studies; n = 44). The main outcomes assessed were pain, satisfaction on the device, and body function and activity, mainly for stroke and amputees patients and healthy participants. Most design studies were case reports (67% of studies; n = 50), with only 12 randomized controlled trials with 5 comparing standard mirror therapy versus virtual mirror therapy, 5 comparing second-generation mirror therapy versus conventional rehabilitation, and 2 comparing other interventions. Conclusion Much of the research on second-generation mirror therapy is of very low quality. Evidence-based rationale to conduct such studies is missing. It is not relevant to recommend investment by rehabilitation professionals and institutions in such devices.

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Virtual reality for stroke rehabilitation

Cited by 763 publications

References 174 publications

Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

Speech training for neurological patients using a serious game

Do Robotics and Virtual Reality Add Real Progress to Mirror Therapy Rehabilitation? A Scoping Review

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