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Effect of a mixed reality-based intervention on arm, hand, and finger function on chronic stroke
dc.contributor.author | Colomer, Carolina | |
dc.contributor.author | Llorens, Roberto | |
dc.contributor.author | Noé, Enrique | |
dc.contributor.author | Alcañiz, Mariano | |
dc.date.accessioned | 2017-06-26T17:42:36Z | |
dc.date.available | 2017-06-26T17:42:36Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Colomer, C., Llorens, R., Noé, E., & Alcañiz, M. (2016). Effect of a mixed reality-based intervention on arm, hand, and finger function on chronic stroke. Journal of neuroengineering and rehabilitation, 13(1), 45 | ca_CA |
dc.identifier.issn | 1743-0003 | |
dc.identifier.uri | http://hdl.handle.net/10234/168100 | |
dc.description.abstract | Background Virtual and mixed reality systems have been suggested to promote motor recovery after stroke. Basing on the existing evidence on motor learning, we have developed a portable and low-cost mixed reality tabletop system that transforms a conventional table in a virtual environment for upper limb rehabilitation. The system allows intensive and customized training of a wide range of arm, hand, and finger movements and enables interaction with tangible objects, while providing audiovisual feedback of the participants’ performance in gamified tasks. This study evaluates the clinical effectiveness and the acceptance of an experimental intervention with the system in chronic stroke survivors. Methods Thirty individuals with stroke were included in a reversal (A-B-A) study. Phase A consisted of 30 sessions of conventional physical therapy. Phase B consisted of 30 training sessions with the experimental system. Both interventions involved flexion and extension of the elbow, wrist, and fingers, and grasping of different objects. Sessions were 45-min long and were administered three to five days a week. The body structures (Modified Ashworth Scale), functions (Motricity Index, Fugl-Meyer Assessment Scale), activities (Manual Function Test, Wolf Motor Function Test, Box and Blocks Test, Nine Hole Peg Test), and participation (Motor Activity Log) were assessed before and after each phase. Acceptance of the system was also assessed after phase B (System Usability Scale, Intrinsic Motivation Inventory). Results Significant improvement was detected after the intervention with the system in the activity, both in arm function measured by the Wolf Motor Function Test (p < 0.01) and finger dexterity measured by the Box and Blocks Test (p < 0.01) and the Nine Hole Peg Test (p < 0.01); and participation (p < 0.01), which was maintained to the end of the study. The experimental system was reported as highly usable, enjoyable, and motivating. Conclusions Our results support the clinical effectiveness of mixed reality interventions that satisfy the motor learning principles for upper limb rehabilitation in chronic stroke survivors. This characteristic, together with the low cost of the system, its portability, and its acceptance could promote the integration of these systems in the clinical practice as an alternative to more expensive systems, such as robotic instruments. | ca_CA |
dc.description.sponsorShip | This study was funded in part by the Project TEREHA (IDI-20110844) and Project NeuroVR (TIN2013-44741-R) of the Ministerio de Economía y Competitividad of Spain, the Project Consolider-C (SEJ2006-14301/PSIC) of the Ministerio de Edu- cación y Ciencia of Spain, the “CIBER of Physiopathology of Obesity and Nutrition, an initiative of ISCIII ” , and the Excellence Research Program PROME- TEO of the Conselleria de Educación of Generalitat Valenciana (2008 – 157). | ca_CA |
dc.format.extent | 11 p. | ca_CA |
dc.format.mimetype | application/pdf | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | BioMed Central | ca_CA |
dc.relation.isPartOf | Journal of neuroengineering and rehabilitation, 2016, vol. 13, núm. 1 | ca_CA |
dc.rights | © 2016 Colomer et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | ca_CA |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-sa/4.0/ | * |
dc.subject | Stroke | ca_CA |
dc.subject | Upper limb | ca_CA |
dc.subject | Hemiparesis | ca_CA |
dc.subject | Physical therapy | ca_CA |
dc.subject | Virtual reality | ca_CA |
dc.subject | Augmented reality | ca_CA |
dc.subject | Tabletop systemss | ca_CA |
dc.title | Effect of a mixed reality-based intervention on arm, hand, and finger function on chronic stroke | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | https://doi.org/10.1186/s12984-016-0153-6 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca_CA |
dc.relation.publisherVersion | https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-016-0153-6 | ca_CA |
dc.type.version | info:eu-repo/semantics/publishedVersion | ca_CA |
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Open Access
This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.