scholarly journals Using an interactive virtual environment to integrate a digital Action Research Arm Test, motor imagery and action observation to assess and improve upper limb motor function in patients with neuromuscular impairments: a usability and feasibility study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e019646 ◽  
Author(s):  
Frank Behrendt ◽  
Corina Schuster-Amft

IntroductionIn the recent past, training systems using an interactive virtual environment have been introduced to neurorehabilitation. Such systems can be applied to encourage purposeful limb movements and will increasingly be used at home by the individual patient. Therefore, an integrated valid and reliable assessment tool on the basis of such a system to monitor the recovery process would be an essential asset.ObjectivesThe aim of the study is to evaluate usability, feasibility and validity of the digital version of the Action Research Arm Test using the Bi-Manu-Trainer system as a platform. Additionally, the feasibility and usability of the implementation of action observation and motor imagery tasks into the Bi-Manu-Trainer software will be evaluated.Patients and methodsThis observational study is planned as a single-arm trial for testing the new assessment and the action observation and motor imagery training module. Therefore, 75 patients with Parkinson’s disease, multiple sclerosis, stroke, traumatic brain injury or Guillain-Barré syndrome will be included. 30 out of the 75 patients will additionally take part in a 4-week training on the enhanced Bi-Manu-Trainer system. Primary outcomes will be the score on the System Usability Scale and the correlation between the conventional and digital Action Research Arm Test scores. Secondary outcomes will be hand dexterity, upper limb activities of daily living and quality of life.HypothesisWe hypothesise that the digital Action Research Arm Test assessment is a valid and essential tool and that it is feasible to incorporate action observation and motor imagery into Bi-Manu-Trainer practice. The results are expected to give recommendations for necessary modifications and might also contribute knowledge concerning the application of action observation and motor imagery tasks using a training system such as the Bi-Manu-Trainer.Trial registration numberNCT03268304; Pre-results.

2019 ◽  
Vol 29 (12) ◽  
pp. 1917-1929 ◽  
Author(s):  
Stephanie Romano Smith ◽  
Greg Wood ◽  
Ginny Coyles ◽  
James W. Roberts ◽  
Caroline J. Wakefield

2021 ◽  
Vol 12 ◽  
Author(s):  
Joanna Mencel ◽  
Anna Jaskólska ◽  
Jarosław Marusiak ◽  
Łukasz Kamiński ◽  
Marek Kurzyński ◽  
...  

This study explored the effect of kinesthetic motor imagery training on reaching-to-grasp movement supplemented by a virtual environment in a patient with congenital bilateral transverse upper-limb deficiency. Based on a theoretical assumption, it is possible to conduct such training in this patient. The aim of this study was to evaluate whether cortical activity related to motor imagery of reaching and motor imagery of grasping of the right upper limb was changed by computer-aided imagery training (CAIT) in a patient who was born without upper limbs compared to a healthy control subject, as characterized by multi-channel electroencephalography (EEG) signals recorded before and 4, 8, and 12 weeks after CAIT. The main task during CAIT was to kinesthetically imagine the execution of reaching-to-grasp movements without any muscle activation, supplemented by computer visualization of movements provided by a special headset. Our experiment showed that CAIT can be conducted in the patient with higher vividness of imagery for reaching than grasping tasks. Our results confirm that CAIT can change brain activation patterns in areas related to motor planning and the execution of reaching and grasping movements, and that the effect was more pronounced in the patient than in the healthy control subject. The results show that CAIT has a different effect on the cortical activity related to the motor imagery of a reaching task than on the cortical activity related to the motor imagery of a grasping task. The change observed in the activation patterns could indicate CAIT-induced neuroplasticity, which could potentially be useful in rehabilitation or brain-computer interface purposes for such patients, especially before and after transplantation. This study was part of a registered experiment (ID: NCT04048083).


Author(s):  
Els Knippenberg ◽  
Ilse Lamers ◽  
Annick Timmermans ◽  
Annemie Spooren

(1) Background: technology-based training systems are increasingly integrated in neurorehabilitation but are rarely combined with a client-centred task-oriented approach. To provide a low-cost client-centred task-oriented system, the intelligent activity-based client-centred task-oriented training (i-ACT) was developed. The objective was to evaluate the usability, credibility and treatment expectancy of i-ACT, and the motivation towards i-ACT use in rehabilitation over time. Additionally, this study will evaluate the upper limb treatment effects after training with i-ACT. (2) Methods: a mixed-method study was performed in four rehabilitation centres. Training with i-ACT was provided during six weeks, three times per week, forty-five minutes per day, additional to conventional care. (3) Results: seventeen persons with central nervous system diseases were included. High scores were seen in the system usability scale (score ≥ 73.8/100), credibility (score ≥ 22.0/27.0)/expectancy (score ≥ 15.8/27.0) questionnaire, and intrinsic motivation inventory (score ≥ 5.2/7.0), except the subscale pressure (score ≤ 2.0/7.0). Results from the interviews corroborate these findings and showed that clients and therapists believe in the i-ACT system as an additional training support system. Upper limb functional ability improved significantly (p < 0.05) over time on the Wolf motor function test. (4) Conclusion: i-ACT is a client-centred task-oriented usable and motivational system which has the potential to enhance upper limb functional training in persons with neurological diseases.


2015 ◽  
Vol 3 (2) ◽  
pp. 123
Author(s):  
Maya Indah Wahyuni

The research is aimed to see and give the description whether the using of card as a learning media can increase the students` achievement in learning japanese language this research design uses action research that consists of two cycles. Every cycle consists of plan, action, observation, and reflection. The instrument used to know the students` activity during the teachung and learning process.This research consists of two cycles. Every cycle consits of four meetings. If there is a weakness in the first cycle, it result will be repaired in the second cycle. The result of the research is that 1, 56% students listens teacher`s explanation, 14, 06 % students take note from the tacher`s explanation, 44, 53 % students give opinion, 23, 44 % students ask questions, and 43, 34 % students answer the questions. By using card as media in learning process, it is hoped that the students will be motivated and interested in learning japanese language.Key words : media card, development of the result learning


2019 ◽  
Vol 3 (1) ◽  
pp. 189
Author(s):  
Hasnawati Hasnawati

ABSTRAKPenelitian ini bertujuan untuk meningkatkan hasil belajar Ilmu Pengetahuan Alam (IPA) siswa dengan penerapan model pembelajaran picture and picture di kelas III Sekolah Dasar Negeri 004 Cendirejo Kecamatan Pasir Penyu. Penelitian ini merupakan penelitian tindakan kelas (Classroom Action Research) yang mencakup kegiatan perencanaan (planning), tindakan (action), observasi (observation), refleksi (reflection) atau evaluasi. Hasil penelitian menunjukkan, dilihat dari skor dasar siswa yang tuntas sebesar 13 orang dengan persentase 46%. Setelah dilakukan perbaikan pada siklus I, hasil belajar siswa meningkat, hal ini dibuktikan dengan siswa yang tuntas sebesar 20 orang atau 71%. Sedangkan pada siklus II, hasil belajar siswa kembali meningkat menjadi 28 orang siswa yang tuntas dengan persentase 100%. Dari analisis hasil penelitian ini dapat disimpulkan bahwa dengan menerapkan model pemebelajaran Picture and Picture dapat meningkatkan hasil belajar IPA siswa kelas II SDN 004 Cendirejo Kecamatan Pasir Penyu Kabupaten Indragiri Hulu.Kata kunci: model picture and picture, hasil belajar IPA. ABSTRACTThis study aims to improve student learning outcomes with the application of a picture and picture learning model in class III 004 Cendirejo Public Primary School Pasir Penyu District. This research is a classroom action research that includes planning, action, observation, reflection or evaluation activities. The results showed, seen from the basic score of students who completed at 13 people with a percentage of 46%. After making improvements in the first cycle, student learning outcomes increase, this is evidenced by students who complete by 20 people or 71%. While in the second cycle, student learning outcomes again increased to 28 students who completed a percentage of 100%. From the analysis of the results of this study it can be concluded that by applying the Picture and Picture learning model can improve the learning outcomes of Natural Sciences class II 004 Public Primary School Cendirejo Pasir Penyu District Indragiri Hulu.Keywords: model picture and picture, learning outcomes of Natural Sciences.


2019 ◽  
Vol 3 (4) ◽  
pp. 807
Author(s):  
Helpiyotwitra Helpiyotwitra

This research is motivated by low student social studies learning outcomes. This study aims to improve social studies learning outcomes by using video media in class VI SDN 004 Teratak Buluh. This research is a classroom action research that includes activities with stages of planning, action, observation and reflection. The results showed that the increase in social studies learning outcomes of class VI students, the average classical completeness before class action research was 75% in the first cycle of 82.14% and in the second cycle it was 92.85%. Scientific performance learning outcomes before class action research is 65.36%, and scientific performance learning outcomes after class action research cycle I is 72.76% increased by 7.4%, and scientific performance learning outcomes after class II cycle action research is 73.17% also increased by 0.41% from cycle I. The occurrence of increased learning outcomes of scientific performance also affects student learning outcomes. Based on the results of classroom action research, it can be concluded that using video media can improve social studies learning outcomes. Grade VI students of SDN 004 Teratak Buluh.


2011 ◽  
Vol 29 (supplement) ◽  
pp. 352-377 ◽  
Author(s):  
Seon Hee Jang ◽  
Frank E Pollick

The study of dance has been helpful to advance our understanding of how human brain networks of action observation are influenced by experience. However previous studies have not examined the effect of extensive visual experience alone: for example, an art critic or dance fan who has a rich experience of watching dance but negligible experience performing dance. To explore the effect of pure visual experience we performed a single experiment using functional Magnetic Resonance Imaging (fMRI) to compare the neural processing of dance actions in 3 groups: a) 14 ballet dancers, b) 10 experienced viewers, c) 12 novices without any extensive dance or viewing experience. Each of the 36 participants viewed short 2-second displays of ballet derived from motion capture of a professional ballerina. These displays represented the ballerina as only points of light at the major joints. We wished to study the action observation network broadly and thus included two different types of display and two different tasks for participants to perform. The two different displays were: a) brief movies of a ballet action and b) frames from the ballet movies with the points of lights connected by lines to show a ballet posture. The two different tasks were: a) passively observe the display and b) imagine performing the action depicted in the display. The two levels of display and task were combined factorially to produce four experimental conditions (observe movie, observe posture, motor imagery of movie, motor imagery of posture). The set of stimuli used in the experiment are available for download after this paper. A random effects ANOVA was performed on brain activity and an effect of experience was obtained in seven different brain areas including: right Temporoparietal Junction (TPJ), left Retrosplenial Cortex (RSC), right Primary Somatosensory Cortex (S1), bilateral Primary Motor Cortex (M1), right Orbitofrontal Cortex (OFC), right Temporal Pole (TP). The patterns of activation were plotted in each of these areas (TPJ, RSC, S1, M1, OFC, TP) to investigate more closely how the effect of experience changed across these areas. For this analysis, novices were treated as baseline and the relative effect of experience examined in the dancer and experienced viewer groups. Interpretation of these results suggests that both visual and motor experience appear equivalent in producing more extensive early processing of dance actions in early stages of representation (TPJ and RSC) and we hypothesise that this could be due to the involvement of autobiographical memory processes. The pattern of results found for dancers in S1 and M1 suggest that their perception of dance actions are enhanced by embodied processes. For example, the S1 results are consistent with claims that this brain area shows mirror properties. The pattern of results found for the experienced viewers in OFC and TP suggests that their perception of dance actions are enhanced by cognitive processes. For example, involving aspects of social cognition and hedonic processing – the experienced viewers find the motor imagery task more pleasant and have richer connections of dance to social memory. While aspects of our interpretation are speculative the core results clearly show common and distinct aspects of how viewing experience and physical experience shape brain responses to watching dance.


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