Header

UZH-Logo

Maintenance Infos

Increasing patient engagement during virtual reality-based motor rehabilitation


Zimmerli, Lukas; Jacky, Mario; Lünenburger, Lars; Riener, Robert; Bolliger, Marc (2013). Increasing patient engagement during virtual reality-based motor rehabilitation. Archives of Physical Medicine and Rehabilitation, 94(9):1737-1746.

Abstract

OBJECTIVE: To investigate the influence of different design characteristics of virtual reality exercises on engagement during lower extremity motor rehabilitation. DESIGN: Correlational study. SETTING: Spinal cord injury (SCI) rehabilitation center. PARTICIPANTS: Subjects with SCI (n=12) and control subjects (n=10). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Heart rate and electromyographic activity from both legs at the tibialis anterior, the gastrocnemius medialis, the rectus femoris, and the biceps femoris were recorded. RESULTS: Interactivity (ie, functionally meaningful reactions to motor performance) was crucial for the engagement of subjects. No significant differences in engagement were found between exercises that differed in feedback frequency, explicit task goals, or aspects of competition. CONCLUSIONS: Functional feedback is highly important for the active participation of patients during robotic-assisted rehabilitation. Further investigations on the design characteristics of virtual reality exercises are of great importance. Exercises should thoroughly be analyzed regarding their effectiveness, while user preferences and expectations should be considered when designing virtual reality exercises for everyday clinical motor rehabilitation.

Abstract

OBJECTIVE: To investigate the influence of different design characteristics of virtual reality exercises on engagement during lower extremity motor rehabilitation. DESIGN: Correlational study. SETTING: Spinal cord injury (SCI) rehabilitation center. PARTICIPANTS: Subjects with SCI (n=12) and control subjects (n=10). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Heart rate and electromyographic activity from both legs at the tibialis anterior, the gastrocnemius medialis, the rectus femoris, and the biceps femoris were recorded. RESULTS: Interactivity (ie, functionally meaningful reactions to motor performance) was crucial for the engagement of subjects. No significant differences in engagement were found between exercises that differed in feedback frequency, explicit task goals, or aspects of competition. CONCLUSIONS: Functional feedback is highly important for the active participation of patients during robotic-assisted rehabilitation. Further investigations on the design characteristics of virtual reality exercises are of great importance. Exercises should thoroughly be analyzed regarding their effectiveness, while user preferences and expectations should be considered when designing virtual reality exercises for everyday clinical motor rehabilitation.

Statistics

Citations

Dimensions.ai Metrics
31 citations in Web of Science®
36 citations in Scopus®
61 citations in Microsoft Academic
Google Scholar™

Altmetrics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2013
Deposited On:27 Aug 2013 12:27
Last Modified:16 Feb 2018 17:59
Publisher:Elsevier
ISSN:0003-9993
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.apmr.2013.01.029
PubMed ID:23500181

Download

Full text not available from this repository.
View at publisher

Get full-text in a library