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The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke

2012Journal article Restricted access
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dc.contributor.authorCameirão, Mónica S.
dc.contributor.authorBermúdez i Badia, Sergi
dc.contributor.authorDuarte, Esther
dc.contributor.authorFrisoli, Antonio
dc.contributor.authorVerschure, Paul F. M. J.
dc.date.accessioned2019-12-03T09:51:42Z
dc.date.available2019-12-03T09:51:42Z
dc.date.issued2012
dc.description.abstractBackground and Purpose—Although there is strong evidence on the beneficial effects of virtual reality (VR)-based rehabilitation, it is not yet well understood how the different aspects of these systems affect recovery. Consequently, we do not exactly know what features of VR neurorehabilitation systems are decisive in conveying their beneficial effects. Methods—To specifically address this issue, we developed 3 different configurations of the same VR-based rehabilitation system, the Rehabilitation Gaming System, using 3 different interface technologies: vision-based tracking, haptics, and a passive exoskeleton. Forty-four patients with chronic stroke were randomly allocated to one of the configurations and used the system for 35 minutes a day for 5 days a week during 4 weeks. Results—Our results revealed significant within-subject improvements at most of the standard clinical evaluation scales for all groups. Specifically we observe that the beneficial effects of VR-based training are modulated by the use/nonuse of compensatory movement strategies and the specific sensorimotor contingencies presented to the user, that is, visual feedback versus combined visual haptic feedback. Conclusions—Our findings suggest that the beneficial effects of VR-based neurorehabilitation systems such as the Rehabilitation Gaming System for the treatment of chronic stroke depend on the specific interface systems used. These results have strong implications for the design of future VR rehabilitation strategies that aim at maximizing functional outcomes and their retention. Clinical Trial Registration—This trial was not registered because it is a small clinical study that evaluates the feasibility of prototype devices.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCameirão, M. S., Bermúdez i Badia, S., Duarte, E., Frisoli, A., & Verschure, P. F. (2012). The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke. Stroke, 43(10), 2720-2728.pt_PT
dc.identifier.doi10.1161/STROKEAHA.112.653196pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/2608
dc.language.isoengpt_PT
dc.publisherAmerican Heart Associationpt_PT
dc.subjectAction execution and observationpt_PT
dc.subjectRehabilitationpt_PT
dc.subjectRehabilitation gaming systempt_PT
dc.subjectVirtual realitypt_PT
dc.subjectChronic strokept_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleThe combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic strokept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2728pt_PT
oaire.citation.startPage2720pt_PT
oaire.citation.titleStrokept_PT
oaire.citation.volume43(10)pt_PT
person.familyNameCameirão
person.familyNameBermúdez i Badia
person.givenNameMónica
person.givenNameSergi
person.identifier239789
person.identifier.ciencia-id0A12-4F21-0CC2
person.identifier.ciencia-idCA17-5E88-2B37
person.identifier.orcid0000-0002-5352-0128
person.identifier.orcid0000-0003-4452-0414
person.identifier.ridC-8675-2018
person.identifier.ridC-8681-2018
person.identifier.scopus-author-id21740694600
person.identifier.scopus-author-id6506360007
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication644f9f6a-81be-4b72-9ded-6eb1b8e251f4
relation.isAuthorOfPublicationef8f1e3b-3c09-4817-80d0-d96aa88051a2
relation.isAuthorOfPublication.latestForDiscovery644f9f6a-81be-4b72-9ded-6eb1b8e251f4

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