J. Martínez-Moreno, J. Solana, Patricia Sánchez-González, E. Gomez, R. Sanchez-Carrion, J. Lopez, T. Roig, J. Tormos
{"title":"Assessing a cognitive rehabilitation environment based on interactive video and eye-tracking technologies","authors":"J. Martínez-Moreno, J. Solana, Patricia Sánchez-González, E. Gomez, R. Sanchez-Carrion, J. Lopez, T. Roig, J. Tormos","doi":"10.1109/ICVR.2015.7358608","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358608","url":null,"abstract":"This paper presents an study design to assess the effectiveness of a new cognitive rehabilitation environment based on interactive video and advanced monitoring technologies.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"319 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":"116249498","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":"Keynote lecture 6: Rethinking motor rehabilitation after stroke","authors":"J. Krakauer","doi":"10.1109/ICVR.2015.7358567","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358567","url":null,"abstract":"Dr. John Krakauer is Director of the Brain, Learning, Animation, and Movement Lab (BLAM-lab) at The Johns Hopkins University School of Medicine. His areas of research interest are: (1) Experimental and computational studies of motor control and motor learning in humans (2) Tracking long-term motor skill learning and its relation to higher cognitive processes such as decision making. (3) Prediction of motor recovery after stroke (4) Mechanisms of spontaneous motor recovery after stroke in humans and in mouse models (5) New neuro-rehabilitation approaches for patients in the first 3 months after stroke. He has also co-founded a video gaming group called KATA, which is based on the idea that animal movement based on real physics is highly pleasurable and that this pleasure is hugely heightened when the animal movement is under the control of our own movements. This synchronized mapping between a virtual animal's complex movements and our own simpler movements is a cognitive interface of huge potential as it harnesses mechanisms of embodiment, playful motor exploration, and captures the hierarchical organization of the motor system itself. We would also argue that it is an experimental prototype of what lies at the heart of playing and observing sports and dance. The simulated dolphin has now been interfaced with an FDA-approved 3D exoskeletal robot in BLAM-lab in preparation for an upcoming trial.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"35 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":"121990371","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. Gallagher, William G. Werner, H. Damodaran, J. Deutsch
{"title":"Influence of cueing, feedback and directed attention on cycling in a virtual environment: Preliminary findings in healthy adults and persons with Parkinson's disease","authors":"R. Gallagher, William G. Werner, H. Damodaran, J. Deutsch","doi":"10.1109/ICVR.2015.7358596","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358596","url":null,"abstract":"Evidence based virtual environments that incorporate motor learning and compensatory strategies such as feedback and cueing may change motor behavior while also being engaging and motivating. Although virtual environments have been used for exercise promotion in healthy people and persons with stroke, its use for fitness in persons with PD has not been investigated. Further a specific understanding of embedding cueing and feedback in a virtual environment is absent. METHOD: We tested two groups of participants, older adults (n=4) and people with Parkinson's disease (n=4) as they cycled on a stationary bicycle while interacting with a virtual environment. Participants cycled under 4 conditions; auditory cueing, visual cueing, feedback, and directed attention. Data between groups were analyzed using a 2 × 2 factorial RM ANOVA and within groups using a RMANOVA with post-hoc t-tests corrected for multiple comparisons. RESULTS: There were no between group differences, however, within groups healthy older adults increased their cycling speed in the auditory cueing (F 21.59, p=0.000) and directed attention conditions (F 6.04, p=0.030). For people with PD pedaling rate increased in the auditory cueing (F 4.78, p=0.029, visual cueing (F 26.48, p<;0.000), feedback (F 18.77, p<;0.000), and directed attention conditions (F 27.65, p<;0.000). These data serve as preliminary validation of embedding cues, feedback to alter cycling speed in a VE. Further, the role of directing attention to the cues enhances cycling performance.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"70 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":"124116012","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. Hoermann, H. Schmidt, L. Ferreira dos Santos, L. Hale, N. Morkisch, J. Krüger, K. Jettkowski, H. Regenbrecht, M. Sillis, C. Dohle, N. Cutfield
{"title":"Computerized mirror therapy with augmented reflection technology for stroke rehabilitation: A feasibility study in a rehabilitation center","authors":"S. Hoermann, H. Schmidt, L. Ferreira dos Santos, L. Hale, N. Morkisch, J. Krüger, K. Jettkowski, H. Regenbrecht, M. Sillis, C. Dohle, N. Cutfield","doi":"10.1109/ICVR.2015.7358575","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358575","url":null,"abstract":"New rehabilitation strategies for post-stroke upper limb rehabilitation employing visual stimulation show promising results. Cost-efficient ways to provide these techniques are still a challenge. Virtual and Augmented Reality Technologies could be suitable for this endeavor. Recent technological advances often are not translated into therapeutic practice and improved outcomes for patients because of a lack of research on their practical usage, coupled with the inexistence of appropriate guidelines and protocols. Here we present a novel and affordable augmented reality system that was developed and evaluated in combination with a validated mirror therapy protocol for upper limb rehabilitation after stroke. We evaluated the components of the therapeutic intervention from both the patients' and the therapists' points of view. In particular, we provide evidence that the combination and application of the Berlin Protocol for Mirror Therapy together with Augmented Reflection Technology is feasible for clinical use. This paves the way to a broader use of technically-supported mirror therapy with the possibility of higher therapy frequencies and enhanced recovery for patients.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"50 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":"121656412","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. House, G. Burdea, K. Polistico, D. Roll, J. Kim, F. Damiani, S. Keeler, J. Hundal, S. Pollack
{"title":"BrightArm duo integrative rehabilitation for post-stroke maintenance in skilled nursing facilities","authors":"G. House, G. Burdea, K. Polistico, D. Roll, J. Kim, F. Damiani, S. Keeler, J. Hundal, S. Pollack","doi":"10.1109/ICVR.2015.7358594","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358594","url":null,"abstract":"Purpose: To determine clinical benefits of the BrightArm Duo bimanual upper extremity (UE) rehabilitation system for maintenance of older hemiplegic residents of Skilled Nursing Facilities (SNFs). Methods: The system underwent a longitudinal controlled study in two SNFs. Seven chronic post-stroke participants trained for 8 weeks of increasingly intensive sessions followed by a 2 week booster period starting 10 weeks later. The sessions involved computer games designed to improve UE motor deficits, function, cognition and emotive state. BrightArm Duo recorded arm reach, arm active movement repetitions, hand grasps, and game performance. The control group (N=3) continued with normal maintenance programs offered in their SNF. Participants' motor function was evaluated pre-therapy, post-therapy, and pre-booster and post-booster using standard clinical measures. Participants' cognition was evaluated pre- and post- initial intervention and post-booster. Outcomes: The experimental group significantly improved in shoulder strength, grasp strength, active range of movement, supported arm reach and depression. The motor function and emotive levels post-booster were much higher than post- initial training. The experimental group motor, emotive, and cognitive outcomes were much better than for the control group. Conclusions: Initial results are promising for the integration of the BrightArm Duo in maintenance programs of SNF residents.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"15 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":"114888610","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}
Sandeep K Subramanian, G. Chilingaryan, M. Levin, H. Sveistrup
{"title":"Influence of training environment and cognitive deficits on use of feedback for motor learning in chronic stroke","authors":"Sandeep K Subramanian, G. Chilingaryan, M. Levin, H. Sveistrup","doi":"10.1109/ICVR.2015.7358582","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358582","url":null,"abstract":"Feedback provision is an essential component of motor learning for improving upper limb recovery in people with stroke. Along with sensorimotor impairments, many individuals post-stroke have cognitive deficits that can influence arm motor recovery. However, few studies have identified whether the training environment and presence of cognitive deficits influences the ability to use feedback in individuals post-stroke. We evaluated the influence of the training environment and cognitive impairments on the ability to use feedback to enhance arm motor recovery. Twenty-four subjects with chronic post-stroke upper limb hemiparesis were randomized to practice pointing movements in a 3D virtual environment (VE) or a similarly designed physical environment (PE; n=12/group) for 12 sessions (72 trials/session, 3 days/week). All participants were provided with feedback about movement speed (Knowledge of Results) and trunk displacement (Knowledge of Performance). Neurocognitive functioning was assessed only before task practice (PRE), while kinematic assessments were carried out at PRE, immediately after (POST) and 3 months (RET) after task practice. Repeated measures ANOVAs with mixed models assessed the changes in kinematic outcomes. Neurocognitive function was correlated with kinematic outcomes. Those training in the VE had greater endpoint speed and ranges of shoulder horizontal adduction, shoulder flexion and elbow extension. They also tended to use less trunk displacement. Kinematic deficits influenced the ability to use feedback in people with chronic stroke for upper limb motor learning and recovery. Information about the presence of these deficits can help in the selection of the most appropriate interventions for maximizing arm motor recovery and motor learning in chronic stroke.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"9 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":"121909067","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}
Zhihan Lv, C. Esteve, J. Chirivella, Pablo Gagliardo
{"title":"Serious game based dysphonic rehabilitation tool","authors":"Zhihan Lv, C. Esteve, J. Chirivella, Pablo Gagliardo","doi":"10.1109/ICVR.2015.7358619","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358619","url":null,"abstract":"The purpose of this work is designing and implementing a rehabilitation software for dysphonic patients. Constant training is a key factor for this type of therapy. The patient can play the game as well as conduct the voice training simultaneously guided by therapists at clinic or exercise independently at home. The voice information can be recorded and extracted for evaluating the long-time rehabilitation progress.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124608550","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":"Imagining in-air interaction for hemiplegia sufferer","authors":"Zhihan Lv, Haibo Li","doi":"10.1109/ICVR.2015.7358623","DOIUrl":"https://doi.org/10.1109/ICVR.2015.7358623","url":null,"abstract":"In this paper, we described the imagination scenarios of a touch-less interaction technology for hemiplegia, which can support either hand or foot interaction with the smartphone or head mounted device (HMD). The computer vision interaction technology is implemented in our previous work, which provides a core support for gesture interaction by accurately detecting and tracking the hand or foot gesture. The patients interact with the application using hand/foot gesture motion in the camera view.","PeriodicalId":194703,"journal":{"name":"2015 International Conference on Virtual Rehabilitation (ICVR)","volume":"287 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115891344","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}