Posts Tagged pediatric neurorehabilitation

[Abstract + References] Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

Posted by Kostas Pantremenos in Virtual reality rehabilitation on September 13, 2018

Abstract

Virtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for health care providers to augment the dose of task-oriented exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is typically characterized by the use of gamified exergames which feature task-oriented physiotherapy exercises. At present, evidence for the efficacy of this technology is sparse, with some reviews suggesting it is the same or no better than conventional approaches. The purpose of this article is to provide real-world insights on the adoption of a virtual reality by 3 European clinics in 3 different service delivery models. These include an inpatient setting for Parkinson disease, a kiosk model for pediatric neurorehabilitation, and a home-based telerehabilitation model for neurologic patients. Motivations, settings, requirements for the pathology, outcomes, and challenges encountered during this process are reported with the objective of priming clinicians on what to expect when implementing virtual reality in neurorehabilitation.

References

  1. Laver, K.E., Lange, B., George, S. et al, Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017;11:CD008349.
  2. Barry, G., Galna, B., Rochester, L. The role of exergaming in Parkinson’s disease rehabilitation: A systematic review of the evidence. J Neuroeng Rehabil. 2014;11:33.
  3. Rosly, M.M., Rosly, H.M., Davis, G.M. et al, Exergaming for individuals with neurological disability: A systematic review. Disabil Rehabil. 2016;39:727–735.
  4. Peretti, A., Amenta, F., Tayebati, S.K. et al, Telerehabilitation: Review of the state-of-the-art and areas of application. JMIR Rehabil Assist Technol. 2017;4:e7.
  5. Johnson, D., Deterding, S., Kuhn, K.A. et al, Gamification for health and wellbeing: A systematic review of the literature. Internet Interventions 2016, 89-106. (Available at)
    https://doi.org/10.1016/j.invent.2016.10.002

    .

  6. Dockx, K., Bekkers, E.M., Van den Bergh Vet et al, Virtual reality for rehabilitation in Parkinson‘s disease. Cochrane Database Syst Rev. 2016;21:12.
  7. Massetti, T., Trevizan, I.L., Arab, C. et al, Virtual reality in multiple sclerosis—A systematic review.Mult Scler Relat Disord. 2016;8:107–112.
  8. Ebersbach, G., Ebersbach, A., Edler, D. et al, Comparing exercise in Parkinson’s disease—The Berlin LSVT®BIG study. Mov Disord. 2010;25:1902–1908.
  9. Goetz, C.G., Poewe, W., Rascol, O. et al, Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: Status and recommendations. Mov Disord. 2004;19:1020–1028.
  10. Keus, S.H., Munneke, M., Graziano, M. et al, European Physiotherapy Guideline for Parkinson’s Disease. Information for people with Parkinson’s disease 2014. (Available at)
    https://www.parkinsonnet.nl/media/15336569/addendum_evidence__engelstalig___kngf_richtlijn_ziekte_van_parkinson.pdf

    (Accessed May 20, 2018).

  11. Godi, M., Franchignoni, F., Caligari, M. et al, Comparison of reliability, validity, and responsiveness of the Mini-BESTest and Berg Balance Scale in Patients with Balance Disorders. Phys Ther. 2013;93:158–167.
  12. Palacios-Navarro, G., García-Magariño, I., Ramos-Lorente, P. A Kinect-based system for lower limb rehabilitation in Parkinson’s disease patients: A pilot study. JMed Syst. 2015;39:103.
  13. Yang, W.C., Wang, H.K., Wu, R.M., Lo, C.S., Lin, K.H. Home-based virtual reality balance training and conventional balance training in Parkinson’s disease: A randomized controlled trial. J Formos Med Assoc. 2016;115:734–743.
  14. Ghai, S., Ghai, I., Schmitz, G., Effenberg, A.O. Effect of rhythmic auditory cueing on parkinsonian gait: A systematic review and meta-analysis. Sci Rep. 2018;8:506.
  15. Chen, Y., Chen, H., Fanchiang, D. et al, Effectiveness of virtual reality in children with cerebral palsy: A systematic review and meta-analysis of randomized controlled trials. Phys Ther. 2018;98:63–77.
  16. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1211–1259.
  17. Renzo, A., Da Dalt, R., Giust, R. et al, The DAT project: Smart home environment for people with disabilities. in: International Conference on Computers for Handicapped Persons. Springer, Berlin; 2006.
  18. Magni, E., Binetti, G., Bianchetti, A. et al, Mini-Mental State Examination: a normative study in Italian elderly population. Eur J Neurol. 1996;3:198–202.
  19. Galeoto, G., Lauta, A., Palumbo, A. et al, The Barthel Index: Italian translation, adaptation and validation. Int J Neurol Neurother. 2015;2:1–7.
  20. Berg, K., Wood-Dauphinee, S., Williams, J. et al, Measuring balance in the elderly: Validation of an instrument. Can J Public Health. 1992;83:S7–S11.
  21. Sauro, J. A Practical Guide to the Systems Usability Scale: Background, Benchmarks & Best Practices. Measuring Usability LLC, Denver, CO; 2011.

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