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 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.

Evaluating the feasibility and efficacy of the Amsterdam memory and attention training for children (Amat-c) following acquired brain injury (ABI): protocol for a pilot study with online clinician support

2021 ◽  
pp. 1-12
Author(s):  
Cathy Catroppa ◽  
Edith Botchway ◽  
Nicholas P. Ryan ◽  
Vicki Anderson ◽  
Elle Morrison ◽  
...  
Keyword(s):  
Brain Injury ◽  
Repeated Measures ◽  
Clinical Care ◽  
Acquired Brain Injury ◽  
Attention Training ◽  
Control Group ◽  
Attention And Memory ◽  
Post Intervention ◽  
Memory And Attention ◽  
Clinician Support

Abstract Background: Attention and memory deficits are common following paediatric acquired brain injury (ABI). However, there are few evidence-based interventions to improve these domains and benefit the everyday life of children post-injury. The Amsterdam Memory and Attention Training for children (Amat-c) has been translated from Dutch to English and shown to improve attention and memory skills in children following ABI. This protocol describes a study to expand accessibility of the program by using online, clinician-supported delivery with children post-ABI. Method/design: The study is a randomized controlled trial. Participants will be 40 children aged 8–16 a minimum of one-year post-ABI. Participants in the treatment group will complete 18 weekly sessions of the Amat-c program with weekly online clinician support. Participants in the active-control group will be administered ABI psychoeducation via a booklet for parents, with weekly online clinician contact. Attention and memory will be assessed at three time points up to six months post-intervention. Results: Analysis will be repeated measures multivariate planned comparisons; using the Statistical Package for the Social Sciences (IBM SPSS Statistics) General Linear Model procedure will compare pre- and post-intervention and six-month follow-up outcomes. Discussion: If shown efficacious in improving attention and memory, our team will then take a key role in implementing Amat-c into clinical care.

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

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.

scholarly journals Mood, Activity Participation, and Leisure Engagement Satisfaction (MAPLES): a randomised controlled pilot feasibility trial for low mood in acquired brain injury

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Andrea Kusec ◽  
Fionnuala C. Murphy ◽  
Polly V. Peers ◽  
Cara Lawrence ◽  
Emma Cameron ◽  
...  
Keyword(s):  
Brain Injury ◽  
Positive Reinforcement ◽  
Acquired Brain Injury ◽  
Self Report ◽  
Feasibility Trial ◽  
Future Research ◽  
Post Intervention ◽  
Activity Engagement ◽  
Low Mood ◽  
Activity Planning

Abstract Background Acquired brain injury (ABI) affects approximately 79.3 million individuals annually and is linked with elevated rates of depression and low mood. Existing methods for treating depression in ABI have shown mixed efficacy. Behavioural activation (BA) is a potentially promising intervention. Its premise is that individuals with low mood avoid planning and engaging in activities due to low expectations of a positive outcome. Consequently, their exposure to positive reinforcement is reduced, exacerbating low mood. BA aims to break this cycle by encouraging activity planning and engagement. It is unknown whether cognitive demands of traditional BA may undermine efficacy in ABI. Here, we assess the feasibility and acceptability of two groups designed to increase activity engagement. In the activity planning group (traditional BA), the importance of meaningful and positive activity will be discussed and participants encouraged to plan/engage in activities in everyday life. The activity engagement group (experiential BA) instead focuses on engagement in positive experiences (crafts, games, discussion) within the group. The primary aims are to evaluate the feasibility and acceptability of the two groups in ABI. A secondary aim is to explore relative efficacy of the groups compared to an equivalent period of waitlist controls. Method This study outlines a parallel-arm pilot feasibility trial for individuals with low mood and ABI that compares a traditional vs experiential BA group vs waitlist controls. Adults (≥ 18 years) will be recruited from local ABI services and randomised to condition. Feasibility and acceptability will be assessed via recruitment, retention, attendance and participant feedback. Groups will be compared (pre- and post-intervention and 1 month follow-up) by assessing self-reported activity engagement. Secondary outcomes include self-report measures of depression, anxiety, post-traumatic distress related to the ABI, motivation, participation and sense of control over one’s life. Ethics and dissemination The trial has been approved by the Health Research Authority of the NHS in the UK (East of England—Cambridge Central, REF 18/EE/0305). Results will inform future research on interventions for mood in ABI and be disseminated broadly via peer-reviewed journals, conference presentations and social media. Trial registration ClinicalTrials.gov, NCT03874650 pre-results. Protocol version 2.1, March 5, 2019

Evaluation of the Evidence for Rehabilitation Following Acquired Brain Injury

2005 ◽  
Vol 6 (3) ◽  
pp. 161-168
Author(s):  
Lynne Turner-Stokes
Keyword(s):  
Brain Injury ◽  
Research Evidence ◽  
Acquired Brain Injury ◽  
Rehabilitation Medicine ◽  
Keynote Address ◽  
Current Evidence ◽  
World Congress

AbstractThis article represents a summary of the George Burniston Oration of the Australian Faculty of Rehabilitation Medicine, which was given as a keynote address at the 6th World Congress on Brain Injury, Melbourne, May 2005. The paper concerns evaluation of the evidence for effectiveness of rehabilitation following acquired brain injury (ABI). It explores the current evidence available, and discusses a number of different review strategies which may be used to overcome the challenges of assimilating research evidence in this context.

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