Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174248
S. Raspelli, L. Carelli, F. Morganti, G. Riva, P. Weiss, R. Kizony, N. Katz
Our goal is to develop a tool for the assessment and rehabilitation of executive functions by customizing a virtual reality VR system. The specific objective of this study was to conduct a pilot study using a virtual version of the Multiple Errand Test (VMET) in a healthy population. Results are presented which provide support for the feasibility of using the VMET for a subsequent randomized clinical trial.
{"title":"Implementation of the multiple errand test in a NeuroVR-supermarket","authors":"S. Raspelli, L. Carelli, F. Morganti, G. Riva, P. Weiss, R. Kizony, N. Katz","doi":"10.1109/ICVR.2009.5174248","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174248","url":null,"abstract":"Our goal is to develop a tool for the assessment and rehabilitation of executive functions by customizing a virtual reality VR system. The specific objective of this study was to conduct a pilot study using a virtual version of the Multiple Errand Test (VMET) in a healthy population. Results are presented which provide support for the feasibility of using the VMET for a subsequent randomized clinical trial.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121658182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174223
L. Zimmerli, A. Duschau-Wicke, A. Mayr, R. Riener, L. Lunenburger
The application of virtual reality in rehabilitation has led to a rapid development of game-like applications. Since the key concept to successful rehabilitation involves the constant repetition of a task that involves the affected part of the body, such applications motivate patients to practice movements over and over again. Driven gait orthoses provide an excellent tool to use such methods for gait training in a meaningful way. In the present paper we give a first impression of how such an application may look like for the driven gait orthosis Lokomat. With a preliminary study we furthermore show, that such applications not only lead to higher motivation during training but also increase the activity of the patient. All patients report to prefer this new way of feedback and want to use it in subsequent training sessions.
{"title":"Virtual reality and gait rehabilitation Augmented feedback for the Lokomat","authors":"L. Zimmerli, A. Duschau-Wicke, A. Mayr, R. Riener, L. Lunenburger","doi":"10.1109/ICVR.2009.5174223","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174223","url":null,"abstract":"The application of virtual reality in rehabilitation has led to a rapid development of game-like applications. Since the key concept to successful rehabilitation involves the constant repetition of a task that involves the affected part of the body, such applications motivate patients to practice movements over and over again. Driven gait orthoses provide an excellent tool to use such methods for gait training in a meaningful way. In the present paper we give a first impression of how such an application may look like for the driven gait orthosis Lokomat. With a preliminary study we furthermore show, that such applications not only lead to higher motivation during training but also increase the activity of the patient. All patients report to prefer this new way of feedback and want to use it in subsequent training sessions.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125217606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174218
Sarah E Kruger, J. C. Bell, B. Schnall
To review the outcomes of rehabilitation for a service member with bilateral lower extremity amputations. A 25 year-old marine suffered a right knee disarticulation and a left transtibial amputation during military service. For two years, the patient underwent a comprehensive rehabilitation program at Walter Reed Army Medical Center. During the course of his rehabilitation, this patient took part in conventional physical therapy and at 16.5 months post-injury added clinical sessions in the Computer Assisted Rehabilitation Environment (CAREN) Laboratory to his therapy regimen for approximately six months. Gait analyses were conducted at three different points in his rehabilitation program: 5.5, 18, and 23.5 months post-injury. Temporal spatial parameters of self-selected velocities, cadence, and step length increased while his stance support time and step width decreased, becoming closer to asymptomatic populations. During the CAREN clinical sessions, the patient showed an increase in overall speed in the Road with Overhead Targets application. With the Boat application, the patient was able to improve the application time at increased levels of difficulty. The use of virtual reality as an adjunct to conventional rehabilitation for individuals with amputations provides a novel approach for maximizing function.
{"title":"Virtual reality enhanced rehabilitation for a service member with bilateral lower extremity amputations: A case study","authors":"Sarah E Kruger, J. C. Bell, B. Schnall","doi":"10.1109/ICVR.2009.5174218","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174218","url":null,"abstract":"To review the outcomes of rehabilitation for a service member with bilateral lower extremity amputations. A 25 year-old marine suffered a right knee disarticulation and a left transtibial amputation during military service. For two years, the patient underwent a comprehensive rehabilitation program at Walter Reed Army Medical Center. During the course of his rehabilitation, this patient took part in conventional physical therapy and at 16.5 months post-injury added clinical sessions in the Computer Assisted Rehabilitation Environment (CAREN) Laboratory to his therapy regimen for approximately six months. Gait analyses were conducted at three different points in his rehabilitation program: 5.5, 18, and 23.5 months post-injury. Temporal spatial parameters of self-selected velocities, cadence, and step length increased while his stance support time and step width decreased, becoming closer to asymptomatic populations. During the CAREN clinical sessions, the patient showed an increase in overall speed in the Road with Overhead Targets application. With the Boat application, the patient was able to improve the application time at increased levels of difficulty. The use of virtual reality as an adjunct to conventional rehabilitation for individuals with amputations provides a novel approach for maximizing function.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123063998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174257
R. Guberek, S. Schneiberg, P. Mckinley, F. Cosentino, M. Levin, H. Sveistrup
As part of a larger study evaluating the effects of trunk restraint on the kinematics of arm movements in children with cerebral palsy (CP), we evaluated the level of cooperation and satisfaction of the children when practicing arm and hand movements during play-like activities in a physical environment (PE) compared to a video-capture based (IREX, GestureTek) virtual environment (VE) using 5-point Likert scales. While cooperation was similar in both environments, children expressed greater satisfaction with the PE compared to the VE (p ≪ 0.04). Reasons for this may include difficulty or frustration with the VE activities and/or appropriateness of the computer games.
{"title":"Virtual reality as adjunctive therapy for upper limb rehabilitation in cerebral palsy","authors":"R. Guberek, S. Schneiberg, P. Mckinley, F. Cosentino, M. Levin, H. Sveistrup","doi":"10.1109/ICVR.2009.5174257","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174257","url":null,"abstract":"As part of a larger study evaluating the effects of trunk restraint on the kinematics of arm movements in children with cerebral palsy (CP), we evaluated the level of cooperation and satisfaction of the children when practicing arm and hand movements during play-like activities in a physical environment (PE) compared to a video-capture based (IREX, GestureTek) virtual environment (VE) using 5-point Likert scales. While cooperation was similar in both environments, children expressed greater satisfaction with the PE compared to the VE (p ≪ 0.04). Reasons for this may include difficulty or frustration with the VE activities and/or appropriateness of the computer games.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121981318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174219
T. Wrigley, M. Simic, M. Hunt, R. Hinman, K. Bennell
A set of Matlab software tools is described for connecting to the real-time data stream from a Vicon MX system and generating movement biofeedback. The initial application is for patients with knee osteoarthritis, to aid in the teaching and learning of gait modification strategies to reduce knee loading.
{"title":"Real-time movement biofeedback for walking gait modification in knee osteoarthritis","authors":"T. Wrigley, M. Simic, M. Hunt, R. Hinman, K. Bennell","doi":"10.1109/ICVR.2009.5174219","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174219","url":null,"abstract":"A set of Matlab software tools is described for connecting to the real-time data stream from a Vicon MX system and generating movement biofeedback. The initial application is for patients with knee osteoarthritis, to aid in the teaching and learning of gait modification strategies to reduce knee loading.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126044722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174234
Mauricio Matamoros, Marco Negrete, R. Leder
The Nintendo wiimote sends 22 byte data packets to the Wii console over a blue tooth wireless channel at a typical rate of 100 packets per second. The wiimote wireless channel can be made to carry arbitrary digitized analog data via an I2C serial expansion port. The nunchuck I2C accessory unit provides a convenient five channel input port for analog data. One simply substitutes their signals for any of two channels of joystick axes and three axes of accelerometry which are part of the standard nunchuck configuration. This research describes customizing the low-cost and widely-available wiimote to be used to transmit relevant physiological data from stroke patients while they perform therapy exercises. An example is grip pressure or finger force from a handle while they are exercising in a virtual environment presented on a computer screen. This wiimote wireless data acquisition subsystem may be adequate to achieve a low-cost therapy oriented data system for the hand.
{"title":"Nintendo WII remote and nunchuck as a wireless data subsystem for digital acquisition of analog physiologic data relevant to motor rehabilitation after stroke; poster","authors":"Mauricio Matamoros, Marco Negrete, R. Leder","doi":"10.1109/ICVR.2009.5174234","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174234","url":null,"abstract":"The Nintendo wiimote sends 22 byte data packets to the Wii console over a blue tooth wireless channel at a typical rate of 100 packets per second. The wiimote wireless channel can be made to carry arbitrary digitized analog data via an I2C serial expansion port. The nunchuck I2C accessory unit provides a convenient five channel input port for analog data. One simply substitutes their signals for any of two channels of joystick axes and three axes of accelerometry which are part of the standard nunchuck configuration. This research describes customizing the low-cost and widely-available wiimote to be used to transmit relevant physiological data from stroke patients while they perform therapy exercises. An example is grip pressure or finger force from a handle while they are exercising in a virtual environment presented on a computer screen. This wiimote wireless data acquisition subsystem may be adequate to achieve a low-cost therapy oriented data system for the hand.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130594205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174240
F. Magora, V. Leibovici, Sarale E. Cohen
This study investigated the effects of Virtual Reality Immersion (VRI) as compared with Audio-Visual Distraction (AVD) on the self reported intensity, quality and reactions to severe itching episodes and the associated discomfort, in patients suffering from atopic dermatitis and pruritus. The study suggested that VRI and AVD may be useful non-pharmacological adjunct in reducing itching and discomfort.
{"title":"Virtual reality methodology for pruritus and pain","authors":"F. Magora, V. Leibovici, Sarale E. Cohen","doi":"10.1109/ICVR.2009.5174240","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174240","url":null,"abstract":"This study investigated the effects of Virtual Reality Immersion (VRI) as compared with Audio-Visual Distraction (AVD) on the self reported intensity, quality and reactions to severe itching episodes and the associated discomfort, in patients suffering from atopic dermatitis and pruritus. The study suggested that VRI and AVD may be useful non-pharmacological adjunct in reducing itching and discomfort.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122000834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174200
M. Golomb, Monica Barkat-Masih, B. Rabin, Moustafa AbdelBaky, M. Huber, G. Burdea
Indiana University School of Medicine and the Rutgers Tele-rehabilitation Institute have collaborated for over a year on a clinical pilot study of in-home hand telerehabiltation. Virtual reality videogames were used to train three adolescents with hemiplegic cerebral palsy. Training duration varied between 6 and 11 months. The investigators summarize medical, technological, legal, safety, social, and economic issues that arose during this lengthy study. Solutions to deal with these multitude of issues are proposed. The authors stress the importance of choosing multiple outcome measures to detect clinically meaningful change. The authors believe that in-home telerehabilitation is the future of rehabilitation.
{"title":"Eleven Months of home virtual reality telerehabilitation - Lessons learned","authors":"M. Golomb, Monica Barkat-Masih, B. Rabin, Moustafa AbdelBaky, M. Huber, G. Burdea","doi":"10.1109/ICVR.2009.5174200","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174200","url":null,"abstract":"Indiana University School of Medicine and the Rutgers Tele-rehabilitation Institute have collaborated for over a year on a clinical pilot study of in-home hand telerehabiltation. Virtual reality videogames were used to train three adolescents with hemiplegic cerebral palsy. Training duration varied between 6 and 11 months. The investigators summarize medical, technological, legal, safety, social, and economic issues that arose during this lengthy study. Solutions to deal with these multitude of issues are proposed. The authors stress the importance of choosing multiple outcome measures to detect clinically meaningful change. The authors believe that in-home telerehabilitation is the future of rehabilitation.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122505791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174243
Jose-Antonio Lozano, J. Gil-Gómez, M. Alcañiz, J. Chirivella, J. Ferri
VIRCOG is a virtual reality system for the cognitive rehabilitation of patients with neuropsychological disorders (planning, attention, memory, neglect, etc.) in clinical centers. This system allows professionals to offer patients a focused cognitive rehabilitation process to train them to face several activities of daily living (ADL) in a progressive way (difficulty levels), and give them real time feedback about how he/she is confronting them.
{"title":"Activities of daily living in a virtual reality system for cognitive rehabilitation","authors":"Jose-Antonio Lozano, J. Gil-Gómez, M. Alcañiz, J. Chirivella, J. Ferri","doi":"10.1109/ICVR.2009.5174243","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174243","url":null,"abstract":"VIRCOG is a virtual reality system for the cognitive rehabilitation of patients with neuropsychological disorders (planning, attention, memory, neglect, etc.) in clinical centers. This system allows professionals to offer patients a focused cognitive rehabilitation process to train them to face several activities of daily living (ADL) in a progressive way (difficulty levels), and give them real time feedback about how he/she is confronting them.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127084917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-07-24DOI: 10.1109/ICVR.2009.5174202
O. Lahav, D. W. Schloerb, M. Srinivasan
In the process of becoming blind, newly- blinded people participate in a rehabilitation program, which includes different skills that a newly- blinded person needs to adapt as a result of his or her lost of vision. The virtual system, the BlindAid, involves active collaboration between orientation and mobility instructors from the Carroll Center for the Blind in Newton, Massachusetts and engineers and cognitive scientists at the MIT Touch Lab in Cambridge, Massachusetts. The two teams collaborated in the integration of the BlindAid system in the traditional orientation and mobility rehabilitation program. In this study we will describe the model of the integration. The three main goals of this model were to study: (1) cognitive mapping process of newly-blinded when using the virtual environment; (2) mental support of the BlindAid system to the newly- blinded; and (3) enhancement of the BlindAid system for the orientation and mobility instructors. The findings supply strong evidence that interaction with the BlindAid system by people who are newly-blinded provides a robust foundation for the participants' development of comprehensive cognitive maps of actual unknown spaces during their rehabilitation program.
在失明的过程中，新失明的人要参加一个康复计划，其中包括新失明的人需要适应的不同技能，因为他或她失去了视力。这个名为“盲助”(BlindAid)的虚拟系统需要来自马萨诸塞州牛顿市卡罗尔盲人中心(Carroll Center for The Blind)的定向和行动指导老师，以及马萨诸塞州剑桥市麻省理工学院触觉实验室(MIT Touch Lab)的工程师和认知科学家之间的积极合作。这两个小组合作将助盲系统整合到传统的定向和行动康复方案中。在本研究中，我们将描述整合的模型。该模型主要研究三个目标:(1)新盲者使用虚拟环境时的认知映射过程;(2)盲助系统对新盲者的心理支持;(3)增强定向和行动指导员的盲助系统。研究结果提供了强有力的证据，表明新失明的人与盲助系统的互动为参与者在康复过程中对实际未知空间的全面认知地图的发展提供了坚实的基础。
{"title":"Integrate the BlindAid system in a traditional orientation and mobility rehabilitation program","authors":"O. Lahav, D. W. Schloerb, M. Srinivasan","doi":"10.1109/ICVR.2009.5174202","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174202","url":null,"abstract":"In the process of becoming blind, newly- blinded people participate in a rehabilitation program, which includes different skills that a newly- blinded person needs to adapt as a result of his or her lost of vision. The virtual system, the BlindAid, involves active collaboration between orientation and mobility instructors from the Carroll Center for the Blind in Newton, Massachusetts and engineers and cognitive scientists at the MIT Touch Lab in Cambridge, Massachusetts. The two teams collaborated in the integration of the BlindAid system in the traditional orientation and mobility rehabilitation program. In this study we will describe the model of the integration. The three main goals of this model were to study: (1) cognitive mapping process of newly-blinded when using the virtual environment; (2) mental support of the BlindAid system to the newly- blinded; and (3) enhancement of the BlindAid system for the orientation and mobility instructors. The findings supply strong evidence that interaction with the BlindAid system by people who are newly-blinded provides a robust foundation for the participants' development of comprehensive cognitive maps of actual unknown spaces during their rehabilitation program.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127181453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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