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Including social interaction in stroke VR-based motor rehabilitation enhances performance: a pilot study

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dc.contributor.authorRubio Ballester, Belém
dc.contributor.authorBermúdez i Badia, Sergi
dc.contributor.authorVerschure, Paul F. M. J.
dc.date.accessioned2019-12-03T12:13:54Z
dc.date.available2019-12-03T12:13:54Z
dc.date.issued2012
dc.description.abstractSocial factors and motivation are key factors for recovery in stroke patients (Glass, Matchar, Belyea, & Feussner, 1993). The goal of this study is to enhance accessibility and evaluate the effects of including social interaction in a virtual reality (VR) -based system for stroke rehabilitation. We hypothesize that a multiplayer competitive context will have a positive effect on the involvement of the patients in the therapy and thus on the rehabilitation process. We test this hypothesis using the Rehabilitation Gaming System (RGS), an ICT virtual reality tool for upper extremities motor rehabilitation. First, we implemented and evaluated a new interface based on a low-cost keyglove. Then, we developed a dedicated RGS scenario where the player has to match pairs of cards from a stack of playing cards. This task trains cognitive (memory) and motor tasks (grasping and reaching). Eight stroke patients participated in two sessions lasting 20 min, one using a single-player VR environment and another using a multiplayer version of the same game. A usability test showed that participants interact with the system much faster when using the new key-glove–based interface (p ¼ .02) in comparison to a mouse and keyboard. In addition, our results showed that upper limb exercises performed by the patients in multiplayer mode reached wider elbow flexion/extension movements than the ones performed during the single-player game session (p ¼ .04). Considering that the presence of spasticity is very common in patients affected by an ictus and that it causes an ongoing level of contraction, these results suggest that the patients affected displayed more effort in reaching if engaged in a social task. Our study shows that accessibility and social engagement in multiplayer environments positively affects the patients’ performance and enjoyment during the task. Although the long-term impact of this enhanced motivation needs to be further assessed, our results do suggest that the inclusion of social factors such as multiplayer capabilities is an important factor for the rehabilitation process in VR-based therapy and might have an impact on both performance and mood of stroke patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRubio Ballester, B., Bermúdez i Badia, S., & Verschure, P. F. (2012). Including Social Interaction in Stroke VR-Based Motor Rehabilitation Enhances Performance: A Pilot Study. PRESENCE: Teleoperators and Virtual Environments, 21(4), 490-501.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/2610
dc.language.isoengpt_PT
dc.publisherMassachusetts Institute of Technology Presspt_PT
dc.subjectRecovery in stroke patientspt_PT
dc.subjectSocial interaction in strokept_PT
dc.subjectMotor rehabilitationpt_PT
dc.subjectVirtual realitypt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleIncluding social interaction in stroke VR-based motor rehabilitation enhances performance: a pilot studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage501pt_PT
oaire.citation.startPage490pt_PT
oaire.citation.titlePresence: Teleoperators and Virtual Environmentspt_PT
oaire.citation.volume21(4)pt_PT
person.familyNameBermúdez i Badia
person.givenNameSergi
person.identifier239789
person.identifier.ciencia-idCA17-5E88-2B37
person.identifier.orcid0000-0003-4452-0414
person.identifier.ridC-8681-2018
person.identifier.scopus-author-id6506360007
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationef8f1e3b-3c09-4817-80d0-d96aa88051a2
relation.isAuthorOfPublication.latestForDiscoveryef8f1e3b-3c09-4817-80d0-d96aa88051a2

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