G. Fluet, J. Patel, A. Merians, Q. Qiu, Matthew Yarossi, S. Adamovich, E. Tunik, S. Massood
{"title":"Clinical and neurophysiologic responses to recovery-oriented virtual rehabilitation of hand function in a person with subacute stroke: A case study","authors":"G. Fluet, J. Patel, A. Merians, Q. Qiu, Matthew Yarossi, S. Adamovich, E. Tunik, S. Massood","doi":"10.1109/ICVR.2015.7358570","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358570","url":null,"abstract":"The need to quickly discharge patients following stroke from acute rehabilitation facilities to the home has resulted in an intense focus on restoring safe and independent, if not normal, motor function. Rehabilitation of hand function in patients with upper limb impairment is often de-prioritized to allow for an emphasis on practicing activities necessary for a safe discharge to the home, such as walking and bed mobility. This case study describes a patient with slow recovering hand motor function (hand sub-section of Fugl-Meyer examination score = 2 on post-stroke day 37) following a stroke. The patient received an intensive eight-session intervention that focused on the recovery of finger extension, finger individuation and pinch-grasp force modulation as well as the recovery of proximal upper extremity movement. Over the eight sessions, the patient demonstrated a dramatic increase in hand function and a corresponding expansion of the cortical motor map area representing several key muscles of the paretic hand. Recovery of hand function and motor map expansion continued after discharge through the three-month retention testing. Gains in motor control transferred to clinically meaningful hand function measured at the activity level.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"123 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123903514","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. Patel, G. Fluet, A. Merians, Q. Qiu, Matthew Yarossi, S. Adamovich, E. Tunik, S. Massood
{"title":"Virtual reality-augmented rehabilitation in the acute phase post-stroke for individuals with flaccid upper extremities: A feasibility study","authors":"J. Patel, G. Fluet, A. Merians, Q. Qiu, Matthew Yarossi, S. Adamovich, E. Tunik, S. Massood","doi":"10.1109/ICVR.2015.7358583","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358583","url":null,"abstract":"Rehabilitation of individuals with flaccid or severely affected upper extremities is challenging due to their limited motor ability and few options for therapeutic training. This initial study tested the feasibility of training individuals with severe hemiparesis using virtual reality (VR) based mirrored feedback and pinch force modulation tasks. The results demonstrated that the simulations were well tolerated early after stroke. Priming effects of the mirror tasks were suggested by increased maximal pinch force immediately after training. Furthermore, despite having no clinically observable movement distally, the subjects were able to consciously activate their muscles as shown by force traces and EMG recorded during the pinch trace task. Motor learning was also suggested by the decrease in Root Mean Square Error (RMSE) during this task. Lastly the benefits of using objective, technology based measurement tools was demonstrated by the ability of the force sensor to detect small changes in force production that could not be measured with a clinical scale of impairment.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127384022","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. Petracca, M. Carrieri, D. Avola, S. Basso Moro, S. Brigadoi, S. Lancia, M. Spezialetti, M. Ferrari, V. Quaresima, G. Placidi
{"title":"A virtual ball task driven by forearm movements for neuro-rehabilitation","authors":"A. Petracca, M. Carrieri, D. Avola, S. Basso Moro, S. Brigadoi, S. Lancia, M. Spezialetti, M. Ferrari, V. Quaresima, G. Placidi","doi":"10.1109/ICVR.2015.7358600","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358600","url":null,"abstract":"The present study was aimed at describing a semi-immersive virtual reality environment, driven by a 3D hand sensing device (LEAP Motion Controller), to define a virtual task based on a virtual ball moving on a virtual path. The prefrontal cortex haemodynamic responses during the execution of this demanding task were evaluated by a 16-channel functional near-infrared spectroscopy (fNIRS) system. A bilateral ventrolateral prefrontal cortex activation was found during the virtual task. Although the proposed task has not been yet applied in the neuro-rehabilitation field, it has the potential to be adopted in the upper limb functional assessment and rehabilitation treatment.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133295179","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}
Adrián Borrego, J. Latorre, R. Lloréns, E. Noé, E. Keshner
{"title":"Low-cost, room-size, and highly immersive virtual reality system for virtual and mixed reality applications","authors":"Adrián Borrego, J. Latorre, R. Lloréns, E. Noé, E. Keshner","doi":"10.1109/ICVR.2015.7358587","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358587","url":null,"abstract":"Providing realistic stimuli has traditionally posed a challenge for virtual reality researchers. Most efforts have been done with visual information. Different technical solutions, such as head mounted displays and cave systems, have been presented through the years improving the state-of-the-art instrumentation. In recent years, an increasing interest in virtual reality for rehabilitation has given rise to low-cost devices with impressive performance. We created a room-size immersive setting with low-cost technology that can be used to simulate large virtual worlds and explored by walking in the physical world.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132807612","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}
Korman Maria, Yifat Shorr, D. Gopher, Alessandro Filippeschi, E. Ruffaldi
{"title":"Evaluation of multimodal feedback effects on the time-course of motor learning in multimodal VR platform for rowing training","authors":"Korman Maria, Yifat Shorr, D. Gopher, Alessandro Filippeschi, E. Ruffaldi","doi":"10.1109/ICVR.2015.7358628","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358628","url":null,"abstract":"This study focused on the benefits of feedback augmentation for multi-session training of a complex motor-cognitive skill of indoor rowing in virtual environment. Specifically, we compared the effectiveness of augmented information feedback provided per training trial either visually, haptically or visual-haptically to the non-augmented condition, where no on-line feedback on task performance was afforded during training sessions. Surprisingly, the non-augmented training group was in general as successful in the long-term learning of a rowing skill as the augmented groups and according to some measures even superior to them. Our results also highlight important differences in the course of learning and skill representation upon different feedback conditions provided during training and may provide useful insights to the optimization for both sport and rehabilitation training protocols in VR.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115766889","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":"Formative evaluation and preliminary validation of kinect open source stepping game","authors":"R. Gosine, H. Damodaran, J. Deutsch","doi":"10.1109/ICVR.2015.7358593","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358593","url":null,"abstract":"Clinical adoption of Virtual Reality (VR) rehabilitation faces several hurdles [1]. Two of these are equipment costs and the VR interface. In order to address these hurdles, a stepping game was developed from the ground-up using simple source code - C# and WPF and the Microsoft Windows 7 (WinT) Operating System (OS). Using a managed-open-source perspective [2] and sharing the source code enables the rehabilitation community to customized their game for deployment on a desktop or laptop running the Win7 system while limiting costs. The game is built in the native Win7 environment and is coded for development by a beginner programmer. It also allows for the wider open-source developer community to take the programming and application further than would otherwise be possible. Game development, formative evaluation of the game interface, and validation of the kinematics are reported here.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116619535","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}
G. Sorrento, P. Archambault, J. Fung, Crir Feil-Oberfeld
{"title":"The effects of haptic forces on locomotion and posture in post-stroke and elderly adults","authors":"G. Sorrento, P. Archambault, J. Fung, Crir Feil-Oberfeld","doi":"10.1109/ICVR.2015.7358622","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358622","url":null,"abstract":"We developed a system combining haptic tensile forces in the direction of locomotion in a virtual environment to investigate its effects on steady-state walking in elderly post-stroke and age-matched controls. Chronic stroke participants (n=6) and healthy age-matched controls (n=6) increased walking velocity by as much as 22% in the stroke group and 18.5% in the control group. This was accompanied by similar changes in stride length, which increased as much as 15% when walking with the haptic force in the stroke group. While double and single limb support times showed some signs of reduction relative to the pre-force baseline, further investigation is needed to determine whether there are proportional changes in double limb support durations relative to the paretic or non-paretic limb.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"289 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116176102","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 efficiency of cognitive therapy using virtual reality on upper limb mobility in stroke patients","authors":"Lucie Szmekova, J. Havelkova, Tereza Katolická","doi":"10.1109/ICVR.2015.7358599","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358599","url":null,"abstract":"The importance of virtual reality hasrecently grown, thanks to a significant benefit - feedback - which stimulates brain centers due to CNS plasticity. Such growth was allowed by inducing the need of patient - environment interaction and efforts to achieve goals. Possibility to carry out the therapy at much higher and more accurate doses, instead of manual therapy, represents another benefit to the research. We can achieve more frequent and more intense therapies without consequences of fatigue, only by adjusting to individual patients needs, with help of robotic devices. Although robotic research continues to grow despite of increasing number of patients per one physical therapist, it still saves time. Use of virtual reality as a new kind of neurorehabilitation promises to improve the traditional health care. Nevertheless, best results are achieved in combination with robotic and traditional therapy. The aim of our study is to analyse effect of cognitive therapy by using virtual reality on upper limp mobility in postacute stroke patients.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123606517","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 technology for the clinician","authors":"G. Burdea","doi":"10.1109/ICVR.2015.7358629","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358629","url":null,"abstract":"Summary form only given. Virtual reality technology has progressed substantially in recent years, with system costs diminishing. Adoption has been mixed, and sometimes without a strong body of research, which certainly poses safety risks for the patient and professional challenges for the clinician. While building a strong body of data that would lead to “best practices” will take time, this Workshop can assist by giving a broad and unbiased coverage of the technology and predicting trends for the future. Practical issues with adoption will also be discussed, as well as cost considerations.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124997449","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":"Automated grading of facial paralysis using the Kinect v2: A proof of concept study","authors":"A. Gaber, M. Faher, Manal Abdel Waned","doi":"10.1109/ICVR.2015.7358577","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358577","url":null,"abstract":"Grading of facial paralysis has been the subject of numerous works in the past half century and is thus essential in order to quantify the extent of the condition and to evaluate the effect of treatment. However there is still a need for an accurate quantitative grading system that is easy to use, inexpensive and has low inter-observer variability. This work presents such a grading system based on the newly released Kinect for Windows v2 and accompanying SDK 2.0. This new system automatically detects facial landmarks and is designed to compute and grade resting facial symmetry and the extent of facial paralysis for several voluntary movements. The system also offers the option to report grading according to three widely used traditional grading systems. The system developed so far shows promising results and is a work in progress. More facial landmarks and more voluntary movements are being added to have a comprehensive quantitative grading tool which can be widely used by clinicians. With further work, it can be extended to become a virtual rehabilitation tool for facial paralysis.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128624279","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}