Virtual reality games for rehabilitation of upper extremities in stroke patients

Shahmoradi, Leila; Almasi, Sohrab; Ahmadi, Hossein; Bashiri, Azadeh; Azadi, Tania; Mirbagherie, Alireza; Ansari, Noureddin Nakhostin; Honarpishe, Roshanak

doi:10.1016/j.jbmt.2020.10.006

Cited by 23 publications

(17 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the fact that during the project, the number of the objectives for each game was increased (number of images, words, etc. to be achieved), we feel that, considering the feedback given and other studies using virtual reality [ 56 , 57 ] or collaboration-based games [ 58 , 59 ] the number of games should be extended with the help of health professionals to engage patients in longer therapies.…”

Section: Discussionmentioning

confidence: 99%

A usability study in patients with stroke using MERLIN, a robotic system based on serious games for upper limb rehabilitation in the home setting

Guillén-Climent

Garzo

Muñoz-Alcaraz

et al. 2021

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

Background Neuroscience and neurotechnology are transforming stroke rehabilitation. Robotic devices, in addition to telerehabilitation, are increasingly being used to train the upper limbs after stroke, and their use at home allows us to extend institutional rehabilitation by increasing and prolonging therapy. The aim of this study is to assess the usability of the MERLIN robotic system based on serious games for upper limb rehabilitation in people with stroke in the home environment. Methods 9 participants with a stroke in three different stages of recovery (subacute, short-term chronic and long-term chronic) with impaired arm/hand function, were recruited to use the MERLIN system for 3 weeks: 1 week training at the Maimonides Biomedical Research Institute of Cordoba (IMIBIC), and 2 weeks at the patients’ homes. To evaluate usability, the System Usability Scale (SUS), Adapted Intrinsic Motivation Inventory (IMI), Quebec User Evaluation of Satisfaction with assistive Technology (QUEST), and the ArmAssist Usability Assessment Questionnaire were used in the post-intervention. Clinical outcomes for upper limb motor function were assessed pre- and post-intervention. Results 9 patients participated in and completed the study. The usability assessment reported a high level of satisfaction: mean SUS score 71.94 % (SD = 16.38), mean QUEST scale 3.81 (SD = 0.38), and mean Adapted IMI score 6.12 (SD = 1.36). The results of the ArmAssist Questionnaire showed an average of 6 out of 7, which indicates that MERLIN is extremely intuitive, easy to learn and easy to use. Regarding clinical assessment, the Fugl-Meyer scores showed moderate improvements from pre- to post-intervention in the total score of motor function (p = 0.002). There were no significant changes in the Modified Ashworth scale outcomes (p = 0.169). Conclusions This usability study indicates that home-based rehabilitation for upper limbs with the MERLIN system is safe, useful, feasible and motivating. Telerehabilitation constitutes a major step forward in the use of intensive rehabilitation at home. Trial registration ClinicalTrials.gov, NCT04405609. Registered 06 January 2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04405609

show abstract

Section: Discussionmentioning

confidence: 99%

A usability study in patients with stroke using MERLIN, a robotic system based on serious games for upper limb rehabilitation in the home setting

Guillén-Climent

Garzo

Muñoz-Alcaraz

et al. 2021

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

show abstract

“…Some studies had employed telerehabilitation, reporting that Kinect-based rehabilitation is a safe and effective method for providing standard rehabilitation at home, whereby patients do not have to be present at physiotherapy clinics [ 59 , 61 , 63 – 66 ]. There was only one study in which the use of Kinect-based rehabilitation had the same effect on the intervention and control groups, and there was no difference between the two groups [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

Kinect-Based Rehabilitation Systems for Stroke Patients: A Scoping Review

Almasi

Ahmadi

Asadi

et al. 2022

BioMed Research International

Self Cite

View full text Add to dashboard Cite

Background and Objective. Kinect-based rehabilitation is an effective solution for creating motivation and promoting adherence to rehabilitation programs in stroke patients. The current study was aimed at examining the effects of Kinect-based rehabilitation systems on performance improvement, domains of use, and its limitations for stroke patients. Method. This study was conducted according to Arksey and O’Malley’s framework. To investigate the evidence on the effects of Kinect-based rehabilitation, a search was executed in five databases (Web of Science, PubMed, Cochrane Library, Scopus, and IEEE) from 2010 to 2020. Results. Thirty-three articles were finally selected by the inclusion criteria. Most of the studies had been conducted in the US (22%). In terms of the application of Kinect-based rehabilitation for stroke patients, most studies had focused on the rehabilitation of upper extremities (55%), followed by balance (27%). The majority of the studies had developed customized rehabilitation programs (36%) for the rehabilitation of stroke patients. Most of these studies had noted that the simultaneous use of Kinect-based rehabilitation and other physiotherapy methods has a more noticeable effect on performance improvement in patients. Conclusion. The simultaneous application of Kinect-based rehabilitation and other physiotherapy methods has a stronger effect on the performance improvement of stroke patients. Better effects can be achieved by designing Kinect-based rehabilitation programs tailored to the characteristics and abilities of stroke patients.

show abstract

“…Engaging activities, computer games, profiles, and improvement graphs can be used to keep participants involved with the device and take some onus off therapy. The concept of flow becomes important in these aspects [41,42]. However, if enough sustained improvement can be administered in a shorter time system designs can be simpler, hence easier and cheaper to produce.…”

Section: Discussionmentioning

confidence: 99%

Making Best Use of Home-Based Rehabilitation Robots

2022

View full text Add to dashboard Cite

Large-scale clinical trials have shown that rehabilitation robots are as affective as conventional therapy, but the cost-effectiveness is preventing their uptake. This study investigated whether a low-cost rehabilitation robot could be deployed in a home setting for rehabilitation of people recovering from stroke (n = 16) and whether clinical outcome measures correlated well with kinematic measures gathered by the robot. The results support the feasibility of patients independently using the robot with improvement in both clinical measures and kinematic data. We recommend using kinematic data early in an intervention to detect improvement while using a robotic device. The kinematic measures in the assessment task (hits/minute and normalised jerk) adequately pick up changes within a four-week period, thus allowing the rehabilitation regime to be adapted to suit the user’s needs. Estimating the long-term clinical benefit must be explored in future research.

show abstract

Virtual reality games for rehabilitation of upper extremities in stroke patients

Cited by 23 publications

References 43 publications

A usability study in patients with stroke using MERLIN, a robotic system based on serious games for upper limb rehabilitation in the home setting

A usability study in patients with stroke using MERLIN, a robotic system based on serious games for upper limb rehabilitation in the home setting

Kinect-Based Rehabilitation Systems for Stroke Patients: A Scoping Review

Making Best Use of Home-Based Rehabilitation Robots

Contact Info

Product

Resources

About