Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation.
Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation.
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DOI：
10.1186/1743-0003-7-48
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发表时间：
2010-09-22
影响因子：
5.1
通讯作者：
Verschure PF
中科院分区：
文献类型：
--
作者：
Cameirão MS;Badia SB;Oller ED;Verschure PF
中风是导致成人残疾的常见原因，可导致持久的损伤。然而，考虑到大脑的终身可塑性，人们可以假设利用潜在的神经元重组机制可以促进恢复。目前尚不清楚如何动员这种重组。基于神经康复技术的新技术有望解决这一问题。在这里，我们描述了一个基于虚拟现实（VR）的系统，即康复游戏系统（RGS），该系统基于一些关于恢复的神经元机制、训练结构和个性化作用的假设。我们研究脑卒中患者和健康对照者的RGS的心理测量学。我们描述了RGS的关键组成部分和一种称为球体的康复方案的心理测量学。我们对21名急性/亚急性脑卒中患者和20名健康对照进行了试验，以研究训练参数对任务表现的影响。这使我们能够开发一个个性化培训模块（PTM），用于在线调整任务难度。此外，我们还研究了物理环境和虚拟环境之间的任务转移。最后，我们评估了RGS作为康复工具的可用性和接受度。我们表明，在RGS中实现的PTM允许我们通过捕获手臂运动的特定特征来有效地调整任务的难度和参数。这里报告的结果还显示了物理和虚拟任务之间运动运动学的一致转移。此外，我们的可用性评估表明，RGS作为一种康复工具被中风患者高度接受。我们介绍了一种新的基于VR的神经康复范式，RGS，它将特定的康复原则与心理测量评估相结合，提供个性化和自动化的训练。我们的研究结果表明，RGS有效地适应了用户的个人特征，允许个性化康复协议的无监督部署。
Stroke is a frequent cause of adult disability that can lead to enduring impairments. However, given the life-long plasticity of the brain one could assume that recovery could be facilitated by the harnessing of mechanisms underlying neuronal reorganization. Currently it is not clear how this reorganization can be mobilized. Novel technology based neurorehabilitation techniques hold promise to address this issue. Here we describe a Virtual Reality (VR) based system, the Rehabilitation Gaming System (RGS) that is based on a number of hypotheses on the neuronal mechanisms underlying recovery, the structure of training and the role of individualization. We investigate the psychometrics of the RGS in stroke patients and healthy controls. We describe the key components of the RGS and the psychometrics of one rehabilitation scenario called Spheroids. We performed trials with 21 acute/subacute stroke patients and 20 healthy controls to study the effect of the training parameters on task performance. This allowed us to develop a Personalized Training Module (PTM) for online adjustment of task difficulty. In addition, we studied task transfer between physical and virtual environments. Finally, we assessed the usability and acceptance of the RGS as a rehabilitation tool. We show that the PTM implemented in RGS allows us to effectively adjust the difficulty and the parameters of the task to the user by capturing specific features of the movements of the arms. The results reported here also show a consistent transfer of movement kinematics between physical and virtual tasks. Moreover, our usability assessment shows that the RGS is highly accepted by stroke patients as a rehabilitation tool. We introduce a novel VR based paradigm for neurorehabilitation, RGS, which combines specific rehabilitative principles with a psychometric evaluation to provide a personalized and automated training. Our results show that the RGS effectively adjusts to the individual features of the user, allowing for an unsupervised deployment of individualized rehabilitation protocols.
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影响因子：
4.8
作者：
Krakauer, JW
通讯作者：
Krakauer, JW
影响因子：
5.7
作者：
Ertelt, Denis;Small, Steven;Buccino, Giovanni
通讯作者：
Buccino, Giovanni
DOI：
10.1016/j.apmr.2006.08.326
发表时间：
2006-12-01
影响因子：
4.3
作者：
Butler, Andrew J.;Page, Stephen J.
通讯作者：
Page, Stephen J.
影响因子：
4.2
作者：
Cirstea, A. C.;Levin, M. E.
通讯作者：
Levin, M. E.
DOI：
10.3233/978-1-60750-018-6-65
发表时间：
2009-01-01
期刊：
ADVANCED TECHNOLOGIES IN REHABILITATION: EMPOWERING COGNITIVE, PHYSICAL, SOCIAL AND COMMUNICATIVE SKILLS THROUGH VIRTUAL REALITY, ROBOTS, WEARABLE SYSTEMS AND BRAIN-COMPUTER INTERFACES
影响因子：
--
作者：
Cameirao, Monica S.;Bermudez i Badia, Sergi;Verschure, Paul F. M. J.
通讯作者：
Verschure, Paul F. M. J.