ABSTRACT
A PC based desktop Virtual Reality system was developed for rehabilitating hand function in stroke patients. The system uses two hand input devices, a CyberGlove and a RMII force feedback glove, to allow the user to interact with one of four rehabilitation exercises. Each of which is designed to exercise one specific parameter of hand movement, namely range, speed, fractionation or strength. The therapy program is semi-automated and personalized to each user through the use of performance-based target levels. These are adapted between sessions in order to induce the user to improve. Feedback is provided to each user throughout the exercise sessions. To further motivate the user to continue the exercise program, screen displays are designed as interactive games. The system is described and sample data is presented from preliminary studies performed on control subjects.
- 1.Burdea, G. and P. Coiffet, Virtual Reality Technology. 1994, New York: Wiley. Google ScholarDigital Library
- 2.Dam, M., et al., The Effects of Long-Term Rehabilitation Therapy on Poststroke Hemiplegic Patients. Stroke, 1993. 24: p. 1186- 1191.Google Scholar
- 3.Duncan, P., Synthesis of Intervention Trials to Improve Motor Recovery Following Stroke. Stroke Rehabilitation, 1997. 3(4): p. 1-20.Google Scholar
- 4.Foreman, N., P. Wilson, and D. Stanton, VR and Spatial Awareness in Disabled Children. Communications of the ACM, 1997. 40(8): p. 76-77. Google ScholarDigital Library
- 5.Holden, M., et al., Virtual Environment Training Improves Motor Performance in Two Patients with Stroke: Case Report. Neurology Report, 1999. 23(2): p. 57-67.Google Scholar
- 6.Inma, D., et al., Teaching Orthopedically Impaired Children to Drive Motorized Wheelchairs in Virtual Reality, in Center on Disabilities Virtual Reality Conference. 1994.Google Scholar
- 7.Jenkins, W. and M. Merzenich, Reorganization of Neocortical Representations after Brain Injury: a Neurophysiological Model of the Bases of Recovery from Stroke., in Progress in Brain, F. Seil, E. Herbert, and B. Carlson, Editors. 1987, Elsivier.Google Scholar
- 8.Jorgensen, H., et al., Outcome and Time Course of Recovery in Stroke, Parts I and II. The Copenhagen Stroke Study. Arch Phys Med Rehab, 1995. 76: p. 399-412.Google Scholar
- 9.Kozak, J., et al., Transfer of Training from Virtual Reality. Ergonomics, 1993. 36(7): p. 777- 784.Google Scholar
- 10.Kramer, J., P. Lindener, and W. George, Communication System for Deaf, Deaf-Blind, or Nonvocal Individuals using a Instrumented Glove. 1991: USA.Google Scholar
- 11.Krebs, H.I., et al., Robot-Aided Neurorehabilitation. IEEE Transactions on Rehabilitation Engineering, 1998. 6: p. 75-87.Google Scholar
- 12.Kwakkel, K.G., et al., Effects of Intensity of Rehabilitation After Stroke, a Research Aynthesis. Stroke, 1997. 28(8): p. 1550-1556.Google Scholar
- 13.Langhorne, P., R.C. Wagenaar, and C. Partridge, Physiotherapy After Stroke: More is Better? Physiotherapy Research International, 1996. 1: p. 75-88.Google Scholar
- 14.Nudo, R.J., Neural Substrates for the Effects of Rehabilitative Training on Motor Recovery After Ischemic Infarction. Science, 1996. 272: p. 1791-1794.Google Scholar
- 15.Popescu, V., et al., A Virtual Reality-based Telerehabilitation System with Force Feedback. IEEE Transactions on Information Technology in Biomedicine, 2000. 4(1): p. 45-51. Google ScholarDigital Library
- 16.Rijken, P. and J. Dekker, Clinical Experience of Rehabilitation Therapists with Chronic Diseases: a Quantitative Approach. Clinical Rehabilitation, 1998. 12(2): p. 143-150.Google Scholar
- 17.Riva, G., et al. Virtual Reality Environments for Psycho-Neuro-Physiological Assessment and Rehabilitation. in Proceedings of Medicine Meets Virtual Reality. 1997. Amsterdam, Netherlands: IOS Press.Google Scholar
- 18.Tangeman, P., D. Banaitis, and A. Williams, Rehabilitation of Chronic Stroke Patients: Changes in Functional Performance. Arch Phys Med Rehab, 1990. 71: p. 876-880.Google Scholar
- 19.Taub, E., et al., Technique to Improve Chronic Motor Deficit After Stroke. Arch Phys Med Rehab, 1993. 74: p. 347-354.Google Scholar
- 20.Todorov, E., H. Shadmehr, and E. Bizzi, Augmented Feedback Presented in a Virtual Environment Accelerates Learning of a Difficult Motor Task. Journal of Motor Behavior, 1997. 29(2): p. 147-158.Google Scholar
- 21.Volpe, B.T., et al., Robot Training Enhanced Motor Outcome in Patients with Stroke Maintained Over 3 Years. Neurology, 1999. 53: p. 1874-1876.Google Scholar
- 22.Volpe, B.T., et al., A Novel Approach to Stroke Rehabilitation: Robot-Aided Sensorimotor Stimulation. Neurology, 2000. 54: p. 1938-1944.Google ScholarCross Ref
- 23.Wann, P., et al., Rehabilitative Environments for Attention and Movement Disorders. Communications of the ACM, 1997. 40(8): p. 49-52. Google ScholarDigital Library
- 24.Weghorst, S., Augmented Reality and Parkinson's Disease. Communications of the ACM, 1997. 40(8): p. 47-48. Google ScholarDigital Library
- 25.Werner, R. and S. Kessler, Effectiveness of an Intensive Outpatient Rehabilitation Program for Postacute Stroke Patients. American Journal of Physical Medicine Rehabilitation, 1996. 75: p. 114-120.Google Scholar
- 26.Wilson, P., N. Foreman, and D. Stanton, Virtual Reality, Disability and Rehabilitation. Disability and Rehabilitation, 1997. 19(6): p. 213-220.Google Scholar
- 27.Wilson, P., N. Foreman, and M. Tlauka, Transfer of Spatial Information From a Virtual to a Real Environment in Physically Disabled Children. Disability and Rehabilitation, 1996. 18(12): p. 633-637.Google Scholar
- 28.Wolf, S., et al., Forced use of Hemiplegic Upper Extremities to Reverse the Effect of Learned Non-use Among Chronic Stroke and Head Injured Patients. Experimental Neurology, 1989. 104: p. 125-132.Google Scholar
Index Terms
- A virtual reality-based exercise program for stroke rehabilitation
Recommendations
Move-IT: A Virtual Reality Game for Upper Limb Stroke Rehabilitation Patients
Computers Helping People with Special NeedsAbstractStroke rehabilitation plays an important role in recovering the lifestyle of stroke survivors. Although existing research proved the effectiveness and engagement of Non-immersive Virtual Reality (VR) based rehabilitation systems, however, limited ...
Augmented Reality Games for Upper-Limb Stroke Rehabilitation
VS-GAMES '10: Proceedings of the 2010 Second International Conference on Games and Virtual Worlds for Serious ApplicationsStroke is the number one cause of severe physical disability in the UK. Recent studies have shown that technologies such as virtual reality and imaging can provide an engaging and motivating tool for physical rehabilitation. In this paper we summarize ...
Investigating the Trend of Virtual Reality-Based Stroke Rehabilitation Systems
IV '10: Proceedings of the 2010 14th International Conference Information VisualisationThe existing techniques used for post stroke rehabilitation have sought to offer stroke survivors with upper extremity motor deficits a system for the practice and re-learning of motor tasks. Some studies suggest that the use of Virtual Reality ...
Comments