Immersion without encumbrance: adapting a virtual reality system for the rehabilitation of individuals with stroke and spinal cord injury

The purpose of this paper is to present results describing the use of a projected, video-based VR system in neurological rehabilitation. The first part describes the adaptation of several of the VividGroup’s Gesture Xtreme projected VR scenarios (control of the type, speed, location and direction of all stimuli) and documentation of all subjects’ performance. The second part of paper presents initial results in which the system is being used in a clinical study with stroke patients who display symptoms of left unilateral neglect and other cognitive deficits, with those who require balance training as a result of complete or incomplete spinal cord injuries, and young, non-speaking adults who have cerebral palsy and moderate mental retardation.

[1]  Woodrow Barfield,et al.  A Review of Presence and Performance in Virtual Environments , 2000, Int. J. Hum. Comput. Interact..

[2]  H. Ring,et al.  Functional disability and rehabilitation outcome in right hemisphere damaged patients with and without unilateral spatial neglect. , 1999, Archives of physical medicine and rehabilitation.

[3]  Noomi Katz,et al.  The effect of interactive virtual environment training on independent safe street crossing of right CVA patients with unilateral spatial neglect , 2000 .

[4]  Albert A. Rizzo,et al.  The Virtual Classroom: A Virtual Reality Environment for the Assessment and Rehabilitation of Attention Deficits , 2000, Cyberpsychology Behav. Soc. Netw..

[5]  K. Ottenbacher,et al.  Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury. , 1998, Archives of physical medicine and rehabilitation.

[6]  D. Brown.  The development of the virtual city: a user centred approach , 1998 .

[7]  Donna Cunningham,et al.  Virtual Reality Promotes Visual and Cognitive Function in Rehabilitation , 1999, Cyberpsychology Behav. Soc. Netw..

[8]  E. A. Attree,et al.  Virtual Environments in the Diagnosis, Prevention, and Intervention of Age-Related Diseases: A Review of VR Scenarios Proposed in the EC VETERAN Project , 1999, Cyberpsychology Behav. Soc. Netw..

[9]  H. Ring,et al.  Relationships of Cognitive Performance and Daily Function of Clients following Right Hemisphere Stroke: Predictive and Ecological Validity of the LOTCA Battery , 2000 .

[10]  P. Weiss,et al.  Design and testing of a virtual environment to train stroke patients with unilateral spatial neglect to cross a street safely. , 2003, Occupational therapy international.

[11]  S. Paolucci,et al.  Predicting stroke inpatient rehabilitation outcome: the prominent role of neuropsychological disorders. , 1996, European neurology.

[12]  Li-zhu,et al.  Association of Stroke With Dementia, Cognitive Impairment, and Functional Disability in the Very Old , 1998 .

[13]  M. Viitanen,et al.  Impairments of Perceptual and Motor Functions: Their Influence on Self-Care Ability 4 to 6 Years after a Stroke , 1989 .

[14]  E. A. Attree,et al.  A preliminary investigation into the use of virtual environments in memory retraining after vascular brain injury: indications for future strategy? , 1999, Disability and rehabilitation.

[15]  Pat Mirenda,et al.  Augmentative and alternative communication applications for persons with severe congenital communication disorders: an introduction , 1989 .

[16]  C. A. Trombly,et al.  Occupational Therapy for Physical Dysfunction , 1989 .

[17]  J. Mcdonald,et al.  Spinal-cord injury , 2002, The Lancet.

[18]  G M Davis,et al.  Postural control during stance in paraplegia: effects of medially linked versus unlinked knee-ankle-foot orthoses. , 1999, Archives of physical medicine and rehabilitation.

[19]  K. Heilman,et al.  Neglect and Related Disorders , 1984, Seminars in neurology.

[20]  M. Lezak.  Neuropsychological assessment, 3rd ed. , 1995 .

[21]  G.C. Burdea,et al.  Virtual reality-enhanced stroke rehabilitation , 2001, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[22]  S K Rushton,et al.  Improving cognitive function after brain injury: the use of exercise and virtual reality. , 1999, Archives of physical medicine and rehabilitation.

[23]  A. Rizzo,et al.  The application of virtual reality technology in rehabilitation. , 2001 .

[24]  L. Kalra,et al.  The influence of visual neglect on stroke rehabilitation. , 1997, Stroke.

[25]  Margaret G. Stineman,et al.  Epidemiology of Stroke-Related Disability and Rehabilitation Outcome , 1991 .

[26]  J. Ruderman,et al.  Cognitive and functional assessments of stroke patients: an analysis of their relation. , 1997, Archives of physical medicine and rehabilitation.

[27]  S A Raskin,et al.  The rehabilitation of attention in individuals with mild traumatic brain injury, using the APT-II programme. , 2000, Brain injury.