Immersive Virtual Reality Games for Rehabilitation of Phantom Limb Pain

Serious games mostly associated with rehabilitation systems with state-of-the-art virtual reality hardware and software products. This approach benefits from gamification that improves the participant's engagement and makes cyber-therapy sessions fun and interactive. This paper describes four different serious games for the rehabilitation of phantom limb pain (PLP) syndrome. Each immersive virtual reality game is designed to overcome the negative effects of PLP for different amputation regions including below-elbow, above-elbow, below-knee and above knee. We aimed to propose a low-cost, effective rehabilitation system that can be used at home instead of hospital-oriented physiotherapy routine. We used the Kinect sensor, a wearable surface electromyography (sEMG) sensor, and the Oculus Rift virtual reality headset to provide a longer therapeutic interaction between the patient and the cyber-therapy environment. Alpha test results of a pilot study with unimpaired healthy participants reveal the proposed system works practically in the home environment.

[1]  J Paysant,et al.  The effects of mirror therapy on pain and motor control of phantom limb in amputees: A systematic review. , 2016, Annals of physical and rehabilitation medicine.

[2]  Sarah Humbert,et al.  Immersive Virtual Reality Therapy with Myoelectric Control for Treatment-resistant Phantom Limb Pain: Case Report. , 2017, Innovations in clinical neuroscience.

[3]  Toby Howard,et al.  The treatment of phantom limb pain using immersive virtual reality: Three case studies , 2007, Disability and rehabilitation.

[4]  Catherine Mercier,et al.  Training With Virtual Visual Feedback to Alleviate Phantom Limb Pain , 2009, Neurorehabilitation and neural repair.

[5]  Richard A. Sherman,et al.  Chronic phantom and stump pain among american veterans: results of a survey , 1984, Pain.

[6]  Susy Braun,et al.  Traditional and augmented reality mirror therapy for patients with chronic phantom limb pain (PACT study): results of a three-group, multicentre single-blind randomized controlled trial , 2018, Clinical rehabilitation.

[7]  Akhan Akbulut,et al.  A Wearable Device for Virtual Cyber Therapy of Phantom Limb Pain , 2018, 2018 International Conference on Artificial Intelligence and Data Processing (IDAP).

[8]  Ana-Maria Zanfir,et al.  Immersive VR in Phantom Limb Pain Therapy of Amputee Patients Due to Critical Limb Ischemia , 2017 .

[9]  Heidi Johansen-Berg,et al.  Reaffirming the link between chronic phantom limb pain and maintained missing hand representation , 2018, Cortex.

[10]  S. Kim,et al.  Mirror Therapy for Phantom Limb Pain , 2012, The Korean journal of pain.

[11]  Grigore C. Burdea,et al.  Manipulation Practice for Upper-Limb Amputees Using Virtual Reality , 2005, Presence: Teleoperators & Virtual Environments.

[12]  Herta Flor,et al.  Phantom-limb pain: characteristics, causes, and treatment , 2002, The Lancet Neurology.

[13]  T. Jensen,et al.  Phantom limb pain. , 2001, British journal of anaesthesia.

[14]  Katherine J. Kuchenbecker,et al.  Immersive Low-Cost Virtual Reality Treatment for Phantom Limb Pain: Evidence from Two Cases , 2018, Front. Neurol..

[15]  Toby Howard,et al.  Can immersive virtual reality reduce phantom limb pain? , 2006, Studies in health technology and informatics.

[16]  Simon Crowle,et al.  Exploratory findings with virtual reality for phantom limb pain; from stump motion to agency and analgesia , 2009, Disability and rehabilitation.

[17]  Jack W. Tsao,et al.  Phantom Limb Pain: Theories and Therapies , 2010, The neurologist.

[18]  A. Emami Zeydi,et al.  Mirror Therapy as an Alternative Treatment for Phantom Limb Pain: A Short Literature Review , 2013, The Korean journal of pain.

[19]  S. Miyauchi,et al.  Mirror visual feedback alleviates deafferentation pain, depending on qualitative aspects of the pain: a preliminary report. , 2008, Rheumatology.