Significance of Virtual Reality-Based Rehabilitation in Acquired Brain Injury

2018 ◽  
pp. 1586-1601
Author(s):  
Artemisa R. Dores ◽  
Liliana Mendes ◽  
Irene P. Carvalho ◽  
Sandra Guerreiro ◽  
Isabel Almeida ◽  
...  

Recent research has shown the potential of Virtual Reality (VR) in the field of rehabilitation, namely neurocognitive rehabilitation. This technology will certainly revolutionize the rehabilitation of the future. Its advantages include greater ecological validity than conventional rehabilitation methods, provision of safe contexts for learning/training, the possibility of programs to be contingent on patient performance, with increasing levels of task difficulty and provision of immediate feedback, and the use of a “game factor” that promotes motivation for participation. These are important aspects in the rehabilitation of patients with acquired brain injury. Patients with this and other types of neurological injuries endure cognitive deficits that cause difficulties in independent functioning and daily-life activities. Their rehabilitation calls for systematic intervention programs that are theoretically grounded and use innovative approaches to their advantage. In this paper we present a review about the advantages of VR in the generalization of acquired skills to real-life contexts, to promote patients' functionality and quality of life, and propose an innovative program of neurocognitive rehabilitation. Research in the field shows positive effects of VR programs, but urges progress in terms of the development of techniques (e.g., facial synthesis and of more research on the impact of these interventions. Future studies should also explore the existence of neuro-anatomical correlates of behavioral changes, contributing to the investigation of the relationship between neural plasticity and behavior and providing evidence for clinical practice.

Author(s):  
Artemisa R. Dores ◽  
Liliana Mendes ◽  
Irene P. Carvalho ◽  
Sandra Guerreiro ◽  
Isabel Almeida ◽  
...  

Recent research has shown the potential of Virtual Reality (VR) in the field of rehabilitation, namely neurocognitive rehabilitation. This technology will certainly revolutionize the rehabilitation of the future. Its advantages include greater ecological validity than conventional rehabilitation methods, provision of safe contexts for learning/training, the possibility of programs to be contingent on patient performance, with increasing levels of task difficulty and provision of immediate feedback, and the use of a “game factor” that promotes motivation for participation. These are important aspects in the rehabilitation of patients with acquired brain injury. Patients with this and other types of neurological injuries endure cognitive deficits that cause difficulties in independent functioning and daily-life activities. Their rehabilitation calls for systematic intervention programs that are theoretically grounded and use innovative approaches to their advantage. In this paper we present a review about the advantages of VR in the generalization of acquired skills to real-life contexts, to promote patients' functionality and quality of life, and propose an innovative program of neurocognitive rehabilitation. Research in the field shows positive effects of VR programs, but urges progress in terms of the development of techniques (e.g., facial synthesis and of more research on the impact of these interventions. Future studies should also explore the existence of neuro-anatomical correlates of behavioral changes, contributing to the investigation of the relationship between neural plasticity and behavior and providing evidence for clinical practice.


2011 ◽  
Vol 33 (17-18) ◽  
pp. 1579-1586 ◽  
Author(s):  
Orit Bart ◽  
Tami Agam ◽  
Patrice L. Weiss ◽  
Rachel Kizony

Author(s):  
Anthony J.-W. Chen ◽  
Fred Loya

In an instant, a brain injury can cause changes that affect a person for a life­time. Although traumatic brain injury (TBI) can result in almost any neurological deficit, the most common and persistent deficits tend to affect neurocognitive functioning. Functional issues may produce a tremendous chronic burden on individuals, families, and healthcare systems (Thurman, Alverson, Dunn, Guerrero, & Sniezek, 1999; Yu et al., 2003). The far-reaching impact of these seemingly “invisible” deficits is often not recognized. Individuals who have suffered a TBI may also be at increased risk for developing cognitive changes later in life (Mauri et al., 2006; Schwartz, 2009; Van Den Heuvel, Thornton, & Vink, 2007). Military veterans report even higher rates of persistent issues, especially in the context of posttraumatic stress (PTS) (Polusny et al., 2011). Despite their importance, chronic neurocognitive dysfunctions are often poorly addressed. A long-term view on care-oriented research and development is needed (Chen & D’Esposito, 2010). Even as we get deeper into the 21st century, there continue to be many gaps in the rehabilitation of neurocognitive functioning after brain injury. There is a need for increased effort to advance rehabilitation care and delivery. There are two major gaps in care that could benefit from neuroscience research and technology-assisted intervention development. First, there remains a major need for theory-driven approaches to cognitive training, accompanied by the development of innovative tools to support learning of useful skills and their generalization to help achieve real-life goals. Second, major gaps in the delivery and coordination of rehabilitation must be addressed in order to provide care to the many people with brain injury who lack access to services due to barriers imposed by distance, financial constraints, and disability. This chapter introduces and illustrates some technology-assisted innovations that may help to advance neurocognitive rehabilitation care. Examples of using technology to reach into the community via tele-rehabilitation, as well as exam­ples of reaching students in a manner aligned with their scholastic goals, are discussed.


2014 ◽  
Vol 31 ◽  
pp. 57-66 ◽  
Author(s):  
P. Grewe ◽  
D. Lahr ◽  
A. Kohsik ◽  
E. Dyck ◽  
H.J. Markowitsch ◽  
...  

2012 ◽  
Vol 17 (6) ◽  
pp. 1117-1126 ◽  
Author(s):  
Javier Gómez ◽  
Germán Montoro ◽  
Pablo A. Haya ◽  
Xavier Alamán ◽  
Susana Alves ◽  
...  

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