Neuromotor Recovery Based on BCI, FES, Virtual Reality and Augmented Feedback for Upper Limbs

2020 ◽  
pp. 75-85
Author(s):  
Robert Gabriel Lupu ◽  
Florina Ungureanu ◽  
Oana Ferche ◽  
Alin Moldoveanu
Keyword(s):  
Virtual Reality ◽  
Upper Limbs ◽  
Augmented Feedback

scholarly journals Virtual Reality Augmented Feedback Rehabilitation Associated to Action Observation Therapy in Buccofacial Apraxia: Case Report

2021 ◽  
Vol 14 ◽  
pp. 117954762199457
Author(s):  
Daniele Emedoli ◽  
Maddalena Arosio ◽  
Andrea Tettamanti ◽  
Sandro Iannaccone
Keyword(s):  
Virtual Reality ◽  
Neural Plasticity ◽  
Action Observation ◽  
Voluntary Movements ◽  
Augmented Feedback ◽  
Lower Face ◽  
Facial Movements ◽  
Upper Face ◽  
The Central Nervous System ◽  
Buccofacial Apraxia

Background: Buccofacial Apraxia is defined as the inability to perform voluntary movements of the larynx, pharynx, mandible, tongue, lips and cheeks, while automatic or reflexive control of these structures is preserved. Buccofacial Apraxia frequently co-occurs with aphasia and apraxia of speech and it has been reported as almost exclusively resulting from a lesion of the left hemisphere. Recent studies have demonstrated the benefit of treating apraxia using motor training principles such as Augmented Feedback or Action Observation Therapy. In light of this, the study describes the treatment based on immersive Action Observation Therapy and Virtual Reality Augmented Feedback in a case of Buccofacial Apraxia. Participant and Methods: The participant is a right-handed 58-years-old male. He underwent a neurosurgery intervention of craniotomy and exeresis of infra axial expansive lesion in the frontoparietal convexity compatible with an atypical meningioma. Buccofacial Apraxia was diagnosed by a neurologist and evaluated by the Upper and Lower Face Apraxia Test. Buccofacial Apraxia was quantified also by a specific camera, with an appropriately developed software, able to detect the range of motion of automatic face movements and the range of the same movements on voluntary requests. In order to improve voluntary movements, the participant completed fifteen 1-hour rehabilitation sessions, composed of a 20-minutes immersive Action Observation Therapy followed by a 40-minutes Virtual Reality Augmented Feedback sessions, 5 days a week, for 3 consecutive weeks. Results: After treatment, participant achieved great improvements in quality and range of facial movements, performing most of the facial expressions (eg, kiss, smile, lateral angle of mouth displacement) without unsolicited movement. Furthermore, the Upper and Lower Face Apraxia Test showed an improvement of 118% for the Upper Face movements and of 200% for the Lower Face movements. Conclusion: Performing voluntary movement in a Virtual Reality environment with Augmented Feedbacks, in addition to Action Observation Therapy, improved performances of facial gestures and consolidate the activations by the central nervous system based on principles of experience-dependent neural plasticity.

scholarly journals O EFEITO DA REALIDADE VIRTUAL NA CAPACIDADE FUNCIONAL DE MEMBROS SUPERIORES EM INDIVÍDUOS COM HEMIPARESIA

2020 ◽  
Vol 12 (1) ◽  
pp. 38-44
Author(s):  
Nicoly Ribeiro Uliam ◽  
Isabella Cristina Leoci ◽  
Silas de Oliveira Damasceno ◽  
Caroline Nunes Gonzaga ◽  
Isabela Bortolim Frasson ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Functional Capacity ◽  
Normal Function ◽  
Manual Dexterity ◽  
Upper Limbs ◽  
Partial Loss ◽  
Nine Hole Peg Test

Stroke maylead to total and/or partial loss of normal function inone of the upper limbs, and therehabilitation is one of the main focuses of physiotherapists.The objective was to analyze the effects of virtual reality on upper limb functional capacity in individuals with hemiparesis. Initially they were evaluated for manual dexterity by the Nine Hole Peg Test (NHPT) and Box and Blocks Test (BBT) then be conductedto perform a 16-session protocol using virtual reality game through Nintendo WiiTMconsole. ™.We included 10 individuals with mean age of 64.5±9.54 and did not demonstrated significant results when comparing the moments, only a small effect (d=0.23) was found in the left upper limb in the NHPT. It was concluded, there was no significant improvement in the functional capacity of the upper limbs using virtual reality in individuals with hemiparesis.

scholarly journals Influence of New Technologies on Post-Stroke Rehabilitation: A Comparison of Armeo Spring to the Kinect System

Medicina ◽  
2019 ◽  
Vol 55 (4) ◽  
pp. 98 ◽  
Author(s):  
Adomavičienė ◽  
Daunoravičienė ◽  
Kubilius ◽  
Varžaitytė ◽  
Raistenskis
Keyword(s):  
Virtual Reality ◽  
Grip Strength ◽  
Functional Recovery ◽  
Stroke Rehabilitation ◽  
New Technologies ◽  
Functional Independence ◽  
Upper Limbs ◽  
Post Stroke ◽  
Visuospatial Abilities ◽  
Attention Memory

Background: New technologies to improve post-stroke rehabilitation outcomes are of great interest and have a positive impact on functional, motor, and cognitive recovery. Identifying the most effective rehabilitation intervention is a recognized priority for stroke research and provides an opportunity to achieve a more desirable effect. Objective: The objective is to verify the effect of new technologies on motor outcomes of the upper limbs, functional state, and cognitive functions in post-stroke rehabilitation. Methods: Forty two post-stroke patients (8.69 ± 4.27 weeks after stroke onset) were involved in the experimental study during inpatient rehabilitation. Patients were randomly divided into two groups: conventional programs were combined with the Armeo Spring robot-assisted trainer (Armeo group; n = 17) and the Kinect-based system (Kinect group; n = 25). The duration of sessions with the new technological devices was 45 min/day (10 sessions in total). Functional recovery was compared among groups using the Functional Independence Measure (FIM), and upper limbs’ motor function recovery was compared using the Fugl–Meyer Assessment Upper Extremity (FMA-UE), Modified Ashworth Scale (MAS), Hand grip strength (dynamometry), Hand Tapping test (HTT), Box and Block Test (BBT), and kinematic measures (active Range Of Motion (ROM)), while cognitive functions were assessed by the MMSE (Mini-Mental State Examination), ACE-R (Addenbrooke’s Cognitive Examination-Revised), and HAD (Hospital Anxiety and Depression Scale) scores. Results: Functional independence did not show meaningful differences in scores between technologies (p > 0.05), though abilities of self-care were significantly higher after Kinect-based training (p < 0.05). The upper limbs’ kinematics demonstrated higher functional recovery after robot training: decreased muscle tone, improved shoulder and elbow ROMs, hand dexterity, and grip strength (p < 0.05). Besides, virtual reality games involve more arm rotation and performing wider movements. Both new technologies caused an increase in overall global cognitive changes, but visual constructive abilities (attention, memory, visuospatial abilities, and complex commands) were statistically higher after robotic therapy. Furthermore, decreased anxiety level was observed after virtual reality therapy (p < 0.05). Conclusions: Our study displays that even a short-term, two-week training program with new technologies had a positive effect and significantly recovered post-strokes functional level in self-care, upper limb motor ability (dexterity and movements, grip strength, kinematic data), visual constructive abilities (attention, memory, visuospatial abilities, and complex commands) and decreased anxiety level.

Virtual reality based stroke recovery for upper limbs using leap motion

2016 ◽  
Author(s):  
Robert Gabriel Lupu ◽  
Nicolae Botezatu ◽  
Florina Ungureanu ◽  
Daniel Ignat ◽  
Alin Moldoveanu
Keyword(s):  
Virtual Reality ◽  
Stroke Recovery ◽  
Leap Motion ◽  
Upper Limbs

scholarly journals THERAPY OF UPPER LIMBS BY MEANS OF VIRTUAL REALITY TECHNOLOGIES

2021 ◽  
Vol 21 (3) ◽  
pp. 30-37
Author(s):  
Branislav SOBOTA ◽  
◽  
Štefan KOREČKO ◽  
Sára JAVORKOVÁ ◽  
Marián HUDÁK ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Virtual Environment ◽  
Upper Limb ◽  
Upper Limbs ◽  
Web Based ◽  
Virtual Training ◽  
Rehabilitation Process ◽  
Rotation System ◽  
Skeletal Model ◽  
Testing And Evaluation

This paper deals with an approach to upper limbs therapy that uses virtual reality technologies. The previous methods and subsequent improvements of these procedures by means of a skeletal model of the upper limb in a virtual environment are presented here. So, main focus of the paper is on the description of calculation related to the bone rotation system within appropriate skeletal model. The therapist can add either more virtual upper limb objects or more virtual training objects to the virtual environment and thus expand/change the scene or the therapy complexity. The functions used in the limb movement calculations are useful for creating additional animations with various objects. With this system, the patient can be stimulated under the supervision of a therapist to practice certain rehabilitation procedures. Due to the use of collaborative web-based virtual reality, the therapy can be also applied in a remote form. The way in which the underlying idea of rehabilitation process is implemented and it is also described. In the conclusion are the some notes about system testing and evaluation including description of a therapist interface.

Movement analysis of upper limbs during motor task in down syndrome immediately after TDCS combined with non-immersive virtual reality

2021 ◽  
Vol 90 ◽  
pp. 137-138
Author(s):  
J.B.P. Lopes ◽  
L.C. Barbosa ◽  
R.B. Parreira ◽  
N.D.A.C. Duarte ◽  
T.D. Silva ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Down Syndrome ◽  
Motor Task ◽  
Movement Analysis ◽  
Immersive Virtual Reality ◽  
Upper Limbs

Virtual reality and gait rehabilitation Augmented feedback for the Lokomat

2009 ◽  
Author(s):  
Lukas Zimmerli ◽  
Alexander Duschau-Wicke ◽  
Andreas Mayr ◽  
Robert Riener ◽  
Lars Lunenburger
Keyword(s):  
Virtual Reality ◽  
Gait Rehabilitation ◽  
Augmented Feedback
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