scholarly journals Motor Improvement in Adolescents Affected by Ataxia Secondary to Acquired Brain Injury: A Pilot Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Elisabetta Peri ◽  
Daniele Panzeri ◽  
Elena Beretta ◽  
Gianluigi Reni ◽  
Sandra Strazzer ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Brain Injury ◽  
Three Dimensional ◽  
Acquired Brain Injury ◽  
Study Data ◽  
Immersive Virtual Reality ◽  
Ataxic Gait ◽  
Real Time Analysis ◽  
Before And After ◽  
Motor Improvement

Aim. To assess changes in locomotion and balance in adolescents affected by ataxia secondary to acquired brain injury after a rehabilitation treatment with physiotherapy and the Gait Real-time Analysis Interactive Lab (GRAIL), an immersive virtual reality platform. Methods. 11 ataxic adolescents (16(5) years old, 4.7(6.7) years from injury) underwent 20 45-minute sessions with GRAIL plus 20 45-minute sessions of physiotherapy in one month. Patients were assessed before and after rehabilitation with functional scales and three-dimensional multiple-step gait analysis. Results. Results showed significant improvements in ataxia score assessed by the Scale for the Assessment and Rating of Ataxia, in dimension D and E of Gross Motor Function Measure, in walking endurance and in balance abilities. Moreover, the training fostered significant changes at hip, knee, and ankle joints, and the decrease of gait variability, toward healthy references. Interpretation. In spite of the pilot nature of the study, data suggest that training with immersive virtual reality and physiotherapy is a promising approach for ataxic gait rehabilitation, even in chronic conditions.

Use of Virtual Reality in Rehabilitation

2019 ◽  
pp. 11
Author(s):  
Fazah Akhtar Hanapiah
Keyword(s):  
Virtual Reality ◽  
Brain Injury ◽  
Low Cost ◽  
Acquired Brain Injury ◽  
Rehabilitation Medicine ◽  
Medical Rehabilitation ◽  
Post Intervention ◽  
Use Of Technology ◽  
Before And After ◽  
Severe Impairment

Recovery of severe impairment as a result of acquired brain injury from conditions such as stroke and trauma can be limited. However, with neuroplasticity and re-learning of lost skills, the impairment can be overcome or reduced. The use of technology in rehabilitation has become synonymous in most advanced rehabilitation facilities. The outcome of chronic impairment is dependent on the rehabilitation approaches and new ways to address conventional strategies using technology. Technology in rehabilitation is an exciting avenue for research. The use of 3-Dimensional Virtual Reality (3-D VR) in gaming has escalated in the past few years. However, the therapeutic use of 3-D VR in rehabilitation medicine is still lagging, although small studies have shown some potential on its use. We, at Faculty of Medicine UiTM embarked on a study to create a platform for 3-D VR application, (MRVR: Medical Rehabilitation Virtual Reality) with known neuroplastic strategies for individuals with acquired brain injury during rehabilitation. Outcome measures used will be that of standard and validated parameters before and after the application of MRVR. Specific aspects of rehabilita t ion parameters were addressed during the programme development. A low cost commercial 3-D VR system was chosen (HTC VIVE™) to be used for the MRVR and our team developed a number of therapeutic programmes. Individuals with brain injury undergo a sequence of immersive first person experience with the MRVR programme in a safe virtual environme nt. The MRVR also promote recovery through other theories of rehabilitation such as, enriched environment, imagery, increased engagement and participation, accessibility and gamificat ion. We hypothesize that individuals that uses MRVR will have improved outcome parameters post intervention. These findings will assist in changing the standards for neurorehabilitation, by improving functional outcome, productivity, quality of life and overall longevity of individuals with disability. This study is funded by UiTM Research Grant: 600-IRMI/DANA 5/3 BESTARI (057/2017)International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 11

scholarly journals SURG-03. IMMERSIVE VIRTUAL REALITY APPLICATIONS IN NEUROSURGICAL ONCOLOGY

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii461-iii461
Author(s):  
Andrea Carai ◽  
Angela Mastronuzzi ◽  
Giovanna Stefania Colafati ◽  
Paul Voicu ◽  
Nicola Onorini ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Real Time ◽  
New Technologies ◽  
Young Patients ◽  
Spatial Relationship ◽  
3D Models ◽  
Immersive Virtual Reality ◽  
Global Improvement ◽  
3D Rendering ◽  
Before And After

Abstract Tridimensional (3D) rendering of volumetric neuroimaging is increasingly been used to assist surgical management of brain tumors. New technologies allowing immersive virtual reality (VR) visualization of obtained models offer the opportunity to appreciate neuroanatomical details and spatial relationship between the tumor and normal neuroanatomical structures to a level never seen before. We present our preliminary experience with the Surgical Theatre, a commercially available 3D VR system, in 60 consecutive neurosurgical oncology cases. 3D models were developed from volumetric CT scans and MR standard and advanced sequences. The system allows the loading of 6 different layers at the same time, with the possibility to modulate opacity and threshold in real time. Use of the 3D VR was used during preoperative planning allowing a better definition of surgical strategy. A tailored craniotomy and brain dissection can be simulated in advanced and precisely performed in the OR, connecting the system to intraoperative neuronavigation. Smaller blood vessels are generally not included in the 3D rendering, however, real-time intraoperative threshold modulation of the 3D model assisted in their identification improving surgical confidence and safety during the procedure. VR was also used offline, both before and after surgery, in the setting of case discussion within the neurosurgical team and during MDT discussion. Finally, 3D VR was used during informed consent, improving communication with families and young patients. 3D VR allows to tailor surgical strategies to the single patient, contributing to procedural safety and efficacy and to the global improvement of neurosurgical oncology care.

Immersive virtual reality in patients with moderate and severe traumatic brain injury: a feasibility study

2021 ◽  
Author(s):  
Thiago Mazzoli Moraes ◽  
Ana Luiza Zaninotto ◽  
Iuri Santana Neville ◽  
Cintya Yukie Hayashi ◽  
Wellingson Silva Paiva
Keyword(s):  
Traumatic Brain Injury ◽  
Virtual Reality ◽  
Brain Injury ◽  
Feasibility Study ◽  
Severe Traumatic Brain Injury ◽  
Immersive Virtual Reality

Using video-capture virtual reality for children with acquired brain injury

2011 ◽  
Vol 33 (17-18) ◽  
pp. 1579-1586 ◽  
Author(s):  
Orit Bart ◽  
Tami Agam ◽  
Patrice L. Weiss ◽  
Rachel Kizony
Keyword(s):  
Virtual Reality ◽  
Brain Injury ◽  
Acquired Brain Injury ◽  
Video Capture

Exploration of Immersive Virtual Reality in Teaching Veterinary Orthopedics

2021 ◽  
pp. e20210009
Author(s):  
Katherine McCaw ◽  
Andrew West ◽  
Colleen Duncan ◽  
Danielle Frey ◽  
Felix Duerr
Keyword(s):  
Virtual Reality ◽  
Educational Opportunity ◽  
Immersive Virtual Reality ◽  
Information Retention ◽  
Veterinary Students ◽  
Course Content ◽  
Content Development ◽  
Before And After ◽  
Hands On Learning ◽  
Potential Applications

The COVID-19 pandemic has catalyzed the use of novel teaching modalities to enhance the provision of remote veterinary education. In this study, we describe the use of immersive virtual reality (iVR) as a teaching aid for veterinary medicine students during their orthopedics clinical rotation. Student sentiments were assessed using voluntary electronic surveys taken by veterinary students before and after the rotation. The most noteworthy benefits students reported were improved engagement with the course content, information retention, radiographic interpretation, and clinical reasoning skills. Obstacles encountered during the initial stages of the program included financial and temporal investment in equipment and content development, technical troubleshooting, and motion sickness. Though it is unlikely that iVR will ever fully replace hands-on learning experiences, it presents an educational opportunity to supplement traditional learning methods, motivate students, and fill information gaps. As iVR technology continues to evolve and improve, potential applications in the veterinary curriculum grow, making the modality’s use progressively more advantageous. Although this study describes its application in an orthopedic setting, the versatility of the iVR modality lends the potential for it to be implemented in a number of clinical and didactic settings.

Cognitive rehabilitation using immersive virtual reality at young age: A case report on traumatic brain injury

2019 ◽  
Vol 9 (3) ◽  
pp. 282-287 ◽  
Author(s):  
Rosaria De Luca ◽  
Simona Portaro ◽  
Maria Le Cause ◽  
Carmen De Domenico ◽  
Maria Grazia Maggio ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Virtual Reality ◽  
Case Report ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Young Age ◽  
Immersive Virtual Reality

scholarly journals Kinetic Gait Changes after Robotic Exoskeleton Training in Adolescents and Young Adults with Acquired Brain Injury

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Kiran K. Karunakaran ◽  
Naphtaly Ehrenberg ◽  
JenFu Cheng ◽  
Katherine Bentley ◽  
Karen J. Nolan
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Therapeutic Effect ◽  
Acquired Brain Injury ◽  
Step Length ◽  
Gait Training ◽  
Adolescents And Young Adults ◽  
Motor Deficits ◽  
High Dose ◽  
Before And After

Background. Acquired brain injury (ABI) is one of the leading causes of motor deficits in children and adults and often results in motor control and balance impairments. Motor deficits include abnormal loading and unloading, increased double support time, decreased walking speed, control, and coordination. These deficits lead to diminished functional ambulation and reduced quality of life. Robotic exoskeletons (RE) for motor rehabilitation can provide the user with consistent, symmetrical, goal-directed repetition of movement, as well as balance and stability. Purpose. The goal of this preliminary prospective before and after study is to evaluate the therapeutic effect of RE training on the loading/unloading and spatial-temporal characteristics in adolescents and young adults with chronic ABI. Method. Seven participants diagnosed with ABI between the ages of 14 and 27 years participated in the study. All participants received twelve 45 minute sessions of RE gait training. The bilateral loading (linearity of loading and rate of loading), speed, step length, swing time, stance time, and total time were collected using Zeno™ walkway (ProtoKinetics, Havertown, PA, USA) before and after RE training. Results. Results from the study showed improved step length, speed, and an overall progression towards healthy bilateral loading, with linearity of loading showing a significant therapeutic effect ( p < 0.05 ). Conclusion. These preliminary results suggest that high dose, repetitive, consistent gait training using RE has the potential to induce recovery of function in adolescents and young adults diagnosed with ABI.

Sign in / Sign up

Export Citation Format

Share Document