Laurel J. Buxbaum, Mary Ann Palermo, Dina Mastrogiovanni, M. Read, Ellen Rosenberg-Pitonyak, A. A. Rizzo, H. B. Coslett
{"title":"Assessment of Spatial Neglect with a Virtual Wheelchair Navigation Task","authors":"Laurel J. Buxbaum, Mary Ann Palermo, Dina Mastrogiovanni, M. Read, Ellen Rosenberg-Pitonyak, A. A. Rizzo, H. B. Coslett","doi":"10.1109/IWVR.2006.1707534","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707534","url":null,"abstract":"We report data from 9 participants with right hemisphere stroke on a new virtual reality (VR) wheelchair navigation test designed to assess lateralized spatial attention and neglect. The test consists of a virtual winding path along which participants must navigate (or be navigated by an experimenter) as they name objects encountered along the way. There are 4 VR task conditions, obtained by crossing the factors array complexity (simple, complex) and driver (participant, experimenter). Participants performed the VR task, a real-life wheelchair navigation task, and a battery of tests assessing arousal, visual attention under secondary task demands, and neglect. The VR test showed sensitivity to both array complexity and driver, with best performance occurring in the experimenter-navigated, simple array condition. The VR test also showed high correlations with the wheelchair navigation test, and these correlations were in many instances higher than those between traditional clinical neglect tests and the wheelchair navigation task. Moreover, the VR test detected lateralized attention deficits in participants whose performance was within the normal range on other neglect tests. We conclude that the VR task is sensitive to factors likely to affect the severity of neglect in the daily environment, and shows promise as an efficient, easily administered measure of real-life wheelchair navigation","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126366455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Virtual Reality-Integrated Telerehabilitation System: Patient and Technical Performance","authors":"Judith E. Deutsch, Jeffrey A. Lewis, G. Burdea","doi":"10.1109/IWVR.2006.1707542","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707542","url":null,"abstract":"Telerehabilitation is the provision of rehabilitation services at a distance, by a therapist at a remote location. Telerehabilitation, integrated with virtual reality, is a relatively new addition to this field. This paper describes the technical and patient performance of a virtual reality based telerehabilitation system for ankle training. Telerehabilitation was introduced in the fourth week of a lower extremity virtual reality-based training program for individuals post-stroke. Technical performance of the system was assessed based on bandwidth and time lag of message transmission, which were found to be suitable for clinic-to-clinic communication. Patient performance in the transition from the third to the fourth week of training remained the same (for accuracy of ankle movement, exercise duration and training efficiency) or increased (mechanical power of the ankle and number of repetitions). These findings strengthen the case for virtual reality based telerehabilitation","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121451810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does level of motor impairment post stroke influence the user experience of a virtual environment?","authors":"J. Crosbie, S. McDonought, S. Lennon, M. McNeill","doi":"10.1109/IWVR.2006.1707522","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707522","url":null,"abstract":"Virtual reality (VR) provides a three-dimensional computer representation of a real world or imaginary space through which a person can navigate and interact with objects to carry out specific tasks. VR can be used as an assessment and training tool for patients with stroke who have sensory-motor deficits of the limbs. Our research group has built a system, which gives the user the ability to interact with objects by touching, grasping and moving their upper limb. A range of user perspectives has been tested with people following stroke and the relationship between the user experience and their level of impairment has been explored","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126472592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Stewart, S. Yeh, Younbo Jung, H. Yoon, M. Whitford, Shu-Ya Chen, Lei Li, M. McLaughlin, A. Rizzo, C. Winstein
{"title":"Pilot Trial Results from a Virtual Reality System Designed to Enhance Recovery of Skilled Arm and Hand Movements after Stroke","authors":"J. Stewart, S. Yeh, Younbo Jung, H. Yoon, M. Whitford, Shu-Ya Chen, Lei Li, M. McLaughlin, A. Rizzo, C. Winstein","doi":"10.1109/IWVR.2006.1707519","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707519","url":null,"abstract":"Rehabilitation programs designed to develop skill in upper extremity (UE) function after stroke require learner-centered opportunities for active problem solving. Virtual realty (VR) provides a unique environment where the presentation of stimuli can be systematically controlled to enable an optimal level of challenge by progressing task difficulty as performance improves. We describe four VR tasks that were developed and tested to improve skilled arm and hand movements in individuals with hemiparesis. Two participants post-stroke with different levels of motor severity attended 12 training sessions lasting 1 to 2 hours each over a 3-week period. Behavioral measures and questionnaires were administered pre-, mid-, and post-training. The less impaired participant averaged more time on task, practiced a greater number of blocks per session, and progressed at a faster rate over sessions than the more impaired participant. Differences in functional outcomes for these two cases can be explained in part by which tasks were practiced, the level of task difficulty applied during practice, and the amount of repetition included in practice","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120957822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Subramanian, L. A. Knaut, C. Beaudoin, B. McFadyen, A. G. Feldman, M. Levin
{"title":"Virtual Reality Environments for Rehabilitation of the Upper Limb after Stroke","authors":"S. Subramanian, L. A. Knaut, C. Beaudoin, B. McFadyen, A. G. Feldman, M. Levin","doi":"10.1109/IWVR.2006.1707520","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707520","url":null,"abstract":"We describe an immersive and interactive experimental protocol developed in a virtual reality environment using the CAREN system. The environment allows the user to receive enhanced feedback about the quality and outcome of varied pointing movements made in a virtual elevator. Features of the virtual environment (representation of the user's body movement; collision detection) as well as details about the feedback provided to the user (knowledge of results and knowledge of performance) are outlined. The described training environment will be used in the rehabilitation of the upper limb for patients who have motor disorders due to stroke and other neurological conditions. The advantage of training upper limb pointing movements in this environment is that the task difficulty can be manipulated according to the user's level of motor impairment and the feedback can be manipulated to provide a more motivating and task-relevant training experience","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121867371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Technical Feasibility of Tele-Assessments for Rehabilitation","authors":"W. Durfee, L. Savard, S. Weinstein","doi":"10.1109/IWVR.2006.1707540","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707540","url":null,"abstract":"Technical feasibility was evaluated for conducting standard motor assessment instruments in a remote setting. Remote assessment was compared to co-located assessment for five evaluation instruments. Developing teleassessment methods is important for delivering rehabilitation services to those whose access is limited by distance or the ability to travel to comprehensive rehabilitation clinics. The five clinical measures utilized were joint range of motion (ROM), manual muscle test (MMT), Berg sit-to-stand, Berg forward reach and the timed up and go (TUG). Co-located and remote rooms were in the same building, connected by broadband video and audio. Ten subjects without impairments participated, but were given simulated impairments to mimic the patient population commonly seen in rehabilitation clinics. One therapist performed all co-located testing while another performed all remote assessments. The two therapists were blinded to each others' test results. Measurements followed standard clinical methods. Data were analyzed using repeated measures ANOVA and paired t-tests. Results: No significant differences were found between co-located and remote assessments, but the power to detect small differences was low. Remote ROM tests using snapshots and a virtual goniometer were preferred. A digital dynamometer added no additional information to a visually-based remote MMT assessment. Remote application of several clinical test instruments was shown to be technically feasible and there are advantages to particular methods for conducting remote assessments. A clinical study with patients is needed to determine efficacy, reliability and validity of remote assessment","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122113334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing and Fitting FES and Prosthetic Systems in a Virtual Reality Environment","authors":"M. Hauschild, R. Davoodi, G. Loeb","doi":"10.1109/IWVR.2006.1707547","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707547","url":null,"abstract":"Building and testing novel prosthetic limbs and FES control algorithms is expensive and risky. Here we describe a virtual reality environment (VRE) to facilitate and accelerate the development of novel systems. In the VRE subjects/patients can operate a simulated limb to interact with virtual objects. Realistic models of all relevant musculoskeletal and mechatronic components allow the development of entire prosthetic systems in VR before introducing them to the patient. The system is used both by engineers as a development tool and by clinicians to fit prosthetic devices to patients","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"3 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113962093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Heuser, H. Kourtev, S. Winter, D. Fensterheim, G. Burdea, V. Hentz, P. Forducey
{"title":"Tele-Rehabilitation using the Rutgers Master II glove following Carpal Tunnel Release surgery","authors":"A. Heuser, H. Kourtev, S. Winter, D. Fensterheim, G. Burdea, V. Hentz, P. Forducey","doi":"10.1109/IWVR.2006.1707533","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707533","url":null,"abstract":"Carpal tunnel syndrome is caused by the compression of the median nerve as it transits the carpal tunnel, with an incidence of about 1% of the population. If surgery is needed, the treatment involves decompression of the median nerve followed sometimes by musculo-skeletal outpatient rehabilitation. This paper presents results of pilot clinical trials in which the Rutgers Masters II haptic glove was tested on five subjects, who were two weeks post hand surgery. Subjects trained for 13 sessions, 30 minutes per session, three sessions per week, and had no conventional outpatient therapy. Computerized measures of performance showed group effects in hand mechanical energy (1,200% for the virtual ball squeezing and Digikey exercises and 600% for the power putty). Improvement in their hand function was also observed (a 38% reduction in virtual pegboard errors, and 70% fewer virtual hand ball errors). Clinical strength measures showed increases in grip (by up to 150%) and key pinch (up to 46%) strength in three of the subjects, while two subjects had decreased strength following the study. However, all five subjects improved in their tip pinch strength of their affected hand (between 20% and 267%). When asked whether they would recommend the VR exercises to others, four subjects very strongly agreed and one strongly agreed that they would","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132785614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Videoconferencing, Virtual Reality and Home-Based CIMT- Opportunities to Improve Access and Compliance through Telerehabilitation","authors":"T. Bowman, J. Speier","doi":"10.1109/IWVR.2006.1707539","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707539","url":null,"abstract":"Telemedicine and its application of telerehabilitation (TR) appear to offer endless possibilities for creative, personalized therapies and interventions beyond the initial applications with videoconferencing. Sister Kenny Rehabilitation Institute (SKRI) has been practicing TR and applying virtual reality (VR) to physical rehabilitation for almost ten years. Our experience has shown that many rural patients lack access to rehabilitation services, which can lead to poor clinical outcomes. Urban patients may have access to services, but poor outcomes still may result due to non-compliance. Bridging of distance, provision of expertise to locales where little exists and the potential of Web based delivery and simulation are areas developed by SKRI. Experience of over 5 years of video teleconferencing (VTC) TR program and expansion of the concept of distance therapy applications to homes of patients will be discussed, along with the barriers to implementation. The application of VR in TR holds much promise in engaging and motivating patients in home-based therapies","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134084903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Josman, E. Hof, E. Klinger, R. Marié, K. Goldenberg, P. Weiss, R. Kizony
{"title":"Performance within a virtual supermarket and its relationship to executive functions in post-stroke patients","authors":"N. Josman, E. Hof, E. Klinger, R. Marié, K. Goldenberg, P. Weiss, R. Kizony","doi":"10.1109/IWVR.2006.1707536","DOIUrl":"https://doi.org/10.1109/IWVR.2006.1707536","url":null,"abstract":"Executive functions are defined as higher-order functions that are needed for performing complex or non-routine tasks. People who have had a stroke often suffer from impairments in executive functions which have implications for their ability to return to full participation in their everyday activities and occupations. During the rehabilitation process clinicians seek opportunities, which will not be time consuming or expensive, to engage patients in complex functional activities, in order to train and improve deficits in executive functions. One solution for this is using functional virtual environments. The objectives of this study were to examine the feasibility of using a virtual supermarket to assess and treat executive function deficits for people who have had a stroke, and to explore the relationships between performance within the virtual supermarket and executive functions. The virtual supermarket used in this study runs on a desktop computer and is easy to operate in typical clinical settings. Twenty-six people, aged 31 to 65 years, who had a stroke participated in the study. Participants were tested with the virtual supermarket where they were asked to buy seven products from a prepared list. Each participant was also tested with the behavioral assessment of the dysexecutive syndrome. The results showed a large variance of performance within the virtual supermarket. In addition, moderate relationships were found between performance within the virtual supermarket and executive functions. The results point to the potential of the virtual supermarket to be used as an assessment and training tool for executive functions of people who have had a stroke","PeriodicalId":140793,"journal":{"name":"2006 International Workshop on Virtual Rehabilitation","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132971907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}