I. Maryenko, M. Mozheiko, S. Likhachev, Mikhail Yurchanka, Mikita Susha, Eugene Ivanitskiy, Artem Kachanovsky
{"title":"Assessment of the condition of balance under the influence of training in a virtual environment: the analysis of own observations","authors":"I. Maryenko, M. Mozheiko, S. Likhachev, Mikhail Yurchanka, Mikita Susha, Eugene Ivanitskiy, Artem Kachanovsky","doi":"10.1109/icvr46560.2019.8994594","DOIUrl":"https://doi.org/10.1109/icvr46560.2019.8994594","url":null,"abstract":"Rehabilitation and training of the balance function is one of the most important areas of neurorehabilitation of patients with coordination disorders in diseases of the Central nervous system. The results of balance assessment in the group of healthy subjects demonstrated the ability to assess the functional state of balance using the virtual reality gaming system, and allows to build and record quantitative indicators of the balance of the subject. Evaluation of the balance function by the method of stabilography (Stabilan 01-2, Russia) demonstrated the positive effect of trainings in virtual reality on the balance of healthy subjects with a significant improvement in balance function quality after training.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130374993","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":"Objective but not subjective effect of height in a virtual slack-rope balance task","authors":"O. Elion, Sharon Amster, Ayelet Werthimer","doi":"10.1109/ICVR46560.2019.8994494","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994494","url":null,"abstract":"Ten young adults performed a balance task in a virtual environment projected via a head referenced head mounted display. The task constituted of crossing a canyon along a slack-rope, positioned at three different heights (2,50 & 100 meters above a river) and in three velocities (slow, medium & fast). Time (s) of crossing of the canyon was measured as the outcome measure. The results show that the time was directly dependent upon the height of the rope above the river, i.e., the higher the rope, the slower the time, in the fast (F(2,18)=5.24, p=0.016) and in the slow (F(2,18)=8.469, p=0.003) velocities. However, subjectively, all participants reported they felt no difference in their own performance in the different heights. Thus, this gap between the objective performance and the subjective perception of performance may indicate a height-time trade-off in performing a virtual balance task.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120847920","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}
T. Krasovsky, Yasmin Felberbaum, J. Lanir, R. Kizony
{"title":"Technology on-the-go: understanding the risks of mobile phone use during walking","authors":"T. Krasovsky, Yasmin Felberbaum, J. Lanir, R. Kizony","doi":"10.1109/ICVR46560.2019.8994427","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994427","url":null,"abstract":"Technology increasingly forces individuals to attend to multiple concurrent stimuli including virtual stimuli such as from the smartphone. The current work compared dual-task costs (DTCs) of concurrent reading/writing during walking among N=30 healthy individuals. Task performance was correlated with visual scanning and executive function. Results demonstrated that writing while walking is associated with increased gait variability and larger gait DTCs compared with reading. Similar costs to reading/writing speed were identified, but text comprehension was more impaired by writing than by reading and was related with attention and executive function. These results emphasize that greater interference in dual-task mobile phone use occurs when concurrent tasks share resources. This should be taken into consideration when developing mobile applications.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124166081","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}
D. A. Mora, S. Bermúdez i Badia, Yuri Almeida, Carolina Jorge Vieira
{"title":"Inter- and Intra-Hemispheric EEG Connectivity in Healthy Subjects and Chronic Stroke Survivors","authors":"D. A. Mora, S. Bermúdez i Badia, Yuri Almeida, Carolina Jorge Vieira","doi":"10.1109/ICVR46560.2019.8994755","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994755","url":null,"abstract":"Brain connectivity has been assessed by phase indexes and other measures that rely or are based on Cross Power Spectral Density, normalizing it or taking only its imaginary part, leaving aside some interesting features that magnitude can describe differences for two kinds of populations. This paper shows the first results during resting state for a study that aims at describing the Interconnectivity between brain areas in stroke survivors through EEG while they played a game involving bimanual coordination. Resting state EEG recordings were collected from a control population of 13 people (8 Males, 5 Females; Age 29.15±5.57 y) and 10 stroke survivors (6 Males, 4 Females; Age 61,8±7,45 y), and analyzed with Power Spectral Density (PSD) and Cross Power Spectral Density (CPSD) from the EEGs. Results show that PSD and CPSD in Beta Band are promissory features able to differentiate between Controls and Stroke Survivors, being possible to describe these aspects for a brain with| motor challenges, even in the analysis of Inter- and Intra-hemispheric connectivity.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132292064","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}
R. F. Polak, Ariel Bistritsky, Yair Gozlan, S. Levy-Tzedek
{"title":"Novel gamified system for post-stroke upper-limb rehabilitation using a social robot: focus groups of expert clinicians","authors":"R. F. Polak, Ariel Bistritsky, Yair Gozlan, S. Levy-Tzedek","doi":"10.1109/ICVR46560.2019.8994657","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994657","url":null,"abstract":"We developed a novel gamified system for stroke upper limb rehabilitation using the humanoid robot Pepper (SoftBank, Aldebaran). In this paper, we present the results of a qualitative study with expert clinicians (n=12) on the compatibility of this system with the needs of post-stroke patients. We conducted three focus groups (3–6 participants in each group) in three rehabilitation centers. The clinicians in the focus groups found both the robot and the gamified system engaging and motivating for stroke patients’ rehabilitation, and gave specific recommendations that may be applicable to a wide range of technologies for post-stroke rehabilitation.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129255677","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}
Lily Sror, Michal Vered, I. Treger, S. Levy-Tzedek, M. Levin, S. Berman
{"title":"A virtual reality-based training system for error-augmented treatment in patients with stroke","authors":"Lily Sror, Michal Vered, I. Treger, S. Levy-Tzedek, M. Levin, S. Berman","doi":"10.1109/ICVR46560.2019.8994483","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994483","url":null,"abstract":"Stroke is a leading cause of long-term sensorimotor deficits in upper limb function and current upper limb interventions have limited effectiveness. Joint-level augmentation treatment, grounded in referent control theory, prescribes insertion of error at the joint level for inducing a dynamic re-mapping of muscle-leve control mechanisms. We hypothesize that this will lead to an increase in the control range of the joint and consequently to improved performance of voluntary motion. In the current presentation we describe a system harnessing virtual reality developed for upper-limb training based on joint level error augmentation. The system comprises three components, a passive arm rest supporting the arm against gravity, a Kinect motion tracking system, and a virtual-reality training environment. The visualization of the entire arm is a critical system component which should invoke a high degree of presence. For the method to be effective, the participant should accept the visualized arm position as representing his/her actual arm location, despite conflicting input from his/her proprioception. A pilot test is currently under way for assessing the method’s effectiveness.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122960685","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":"Memory Evaluation Through 360° Technologies: Preliminary Study with Spanish Population","authors":"Sara Ventura, E. Brivio, G. Riva, R. Baños","doi":"10.1109/ICVR46560.2019.8994665","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994665","url":null,"abstract":"Episodic memory is essential to effectively perform numerous everyday life activities. The current work is focus to investigate the potentiality of 360° technologies in memory evaluation. A preliminary study was developed to investigate if immersive 360° environment could facilitate encoding and recognition memory in comparison to no-immersive 360° one. Results showed that immersive condition could be a potential mechanism to strengthen memory ability.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116135394","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}
Anat V. Lubetzky, J. Kelly, Zhu Wang, Makan TaghaviDilamani, M. Gospodarek, Gene Fu, Erin Kuchlewski, Bryan D. Hujsak
{"title":"Head Mounted Display Application for Contextual Sensory Integration Training: Design, Implementation, Challenges and Patient Outcomes","authors":"Anat V. Lubetzky, J. Kelly, Zhu Wang, Makan TaghaviDilamani, M. Gospodarek, Gene Fu, Erin Kuchlewski, Bryan D. Hujsak","doi":"10.1109/ICVR46560.2019.8994437","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994437","url":null,"abstract":"Patients with vestibular disorders display difficulty with multisensory integration and complain of dizziness and imbalance in busy and complex visual environments. Patients who experience symptoms or a fall within a certain environment are likely to develop fear of that situation. It has been suggested that multisensory integration should be addressed in conditions as close as possible to real-life situations, but these are often challenging to replicate in the clinical setting. Virtual reality (VR) can provide a non-threatening method for patients to practice multisensory integration in a functional context. Advances in technology make Head Mounted Displays (HMDs) accessible and affordable in the clinic. We developed a VR HMD application that allows patients to practice contextual sensory integration (C.S.I) while sitting, standing, turning or stepping within diverse scenes. This application can become an integral part of vestibular rehabilitation. For successful implementation, usability is critical. In this pilot, usability and preliminary outcomes were tested in a mixed-methods descriptive study. Six physical therapists in a Vestibular Rehabilitation Clinic treated 12 patients with peripheral or central vestibular disorders. Therapists viewed the system as a bridge for a functional carry over from the clinic to the outside world. While they reported challenges in operating the technology within the clinical time constraints, they liked the ability to gradually introduce a challenging sensory stimulus and bring reality to the clinic. Several patients dropped out prior to completing training. Nine out of 12 patients who completed training thus far improved their disability score, 9 improved their visual vertigo and 10 improved their balance confidence following training with the app. Recommendation for future research and clinical implementation are discussed.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130195474","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":"The Effects of a Virtual Environment and Robot-Generated Haptic Forces on the Coordination of the Lower Limb During Gait in Chronic Stroke Using Planar and 3D Phase Diagrams","authors":"G. Sorrento, P. Archambault, J. Fung","doi":"10.1109/ICVR46560.2019.8994383","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994383","url":null,"abstract":"Previous studies have combined robot-controlled haptic tensile forces with virtual reality (VR) to produce gait adaptation and post-adaptation effects in spatiotemporal gait and postural outcomes in healthy young, elderly, and chronic stroke individuals. The present study focuses on kinematic and dynamic adaptation and post-adaptation effects of lower limb segment coordination, during and after a 15 N tensile force exposure by presenting two representations of 3D coordination - planar and phase diagrams. One chronic stroke subject (73 y.o., 8 months post-stroke, RH) and one age-matched control subject (71 y.o, RH) walked on a self-paced treadmill in a virtual environment holding a robot-controlled haptic leash. The paradigm consisted of a 30 s pre-force baseline epoch, followed by a 60 s tensile force and a 60 s post-force epoch. Both the chronic stroke and control subject showed evidence of changes in bilateral intersegmental coordination of the lower limb to accompany gait speed increases during force and post-force epochs. In particular, both subjects increased dorsiflexion of the non-dominant leg during and after the 15 N force exposure. Changes in limb segment coordination also corresponded to bilateral increases in 3D intersegmental trajectory areas. While there was no evidence of increased symmetry based on left and right leg plane comparisons, slight increases in angular velocity were noted just prior to and during the swing phase of the paretic leg during force and post-force epochs. These findings were further substantiated by Sobolev norms which increased bilaterally and proportionally for force and post-force epochs. Adaptation and post-adaptation effects seen in bilateral lower limb coordination when haptic forces were present and released suggest proportional increases in the kinematic and dynamic outcomes. Further investigation involving a wider range of chronic stroke functional levels should be conducted.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127932612","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}
D. R. Allegue, D. Kairy, J. Higgins, P. Archambault, F. Michaud, W. Miller, S. Sweet, M. Tousignant
{"title":"Remote rehabilitation training using the combination of an exergame and telerehabilitation application: A case report of an elderly chronic stroke survivor","authors":"D. R. Allegue, D. Kairy, J. Higgins, P. Archambault, F. Michaud, W. Miller, S. Sweet, M. Tousignant","doi":"10.1109/ICVR46560.2019.8994565","DOIUrl":"https://doi.org/10.1109/ICVR46560.2019.8994565","url":null,"abstract":"Access to remote rehabilitation services is now possible thanks to advanced technology solutions such as exergames and telerehabilitation-applications. This pretest/posttest single case study, conducted with one participant with a chronic stroke (3 years) aimed at collecting preliminary evidence regarding feasibility and efficacy of using a telerehabilitation application combined with an exergame on upper limb function, motivation and quality of life after stroke. Forty-two exergame training sessions (including 8 videoconferencing sessions) took place over a two-month period. The results showed significant improvement of upper limb motor function and an increase of the affected upper limb amount of use in activities of daily life. However, no significant change was recorded regarding the impact on quality of life and motivation. These preliminary results allow us to have a first glimpse of the potential of this program and better inform a larger scale study.","PeriodicalId":179905,"journal":{"name":"2019 International Conference on Virtual Rehabilitation (ICVR)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127621136","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}