Psychological benefits of virtual reality for patients in rehabilitation therapy.

CONTEXT Whether virtual rehabilitation is beneficial has not been determined. OBJECTIVE To investigate the psychological benefits of virtual reality in rehabilitation. DESIGN An experimental group underwent therapy with a virtual-reality-based exercise bike, and a control group underwent the therapy without virtual-reality equipment. SETTING Hospital laboratory. PATIENTS 30 patients suffering from spinal-cord injury. INTERVENTION A designed rehabilitation therapy. MAIN OUTCOME MEASURES Endurance, Borg's rating-of-perceived-exertion scale, the Activation-Deactivation Adjective Check List (AD-ACL), and the Simulator Sickness Questionnaire. RESULTS The differences between the experimental and control groups were significant for AD-ACL calmness and tension. CONCLUSION A virtual-reality-based rehabilitation program can ease patients' tension and induce calm.

[1]  G. Borg Psychophysical bases of perceived exertion. , 1982, Medicine and science in sports and exercise.

[2]  Thomas G. Plante,et al.  Might virtual reality promote the mood benefits of exercise? , 2003, Comput. Hum. Behav..

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

[4]  Ramón Alzate sÁEZ DE HEREDIA,et al.  The Effect of Psychological Response on Recovery of Sport Injury , 2004 .

[5]  M. Buck [Integration of patient exercise/physical therapy in the rehabilitation team]. , 1992, Die Rehabilitation.

[6]  R. Thayer Activation-Deactivation Adjective Check List: Current Overview and Structural Analysis , 1986 .

[7]  H. Hoffman,et al.  Effectiveness of Virtual Reality–Based Pain Control With Multiple Treatments , 2001, The Clinical journal of pain.

[8]  R. Thayer,et al.  Measurement of Activation through Self-Report , 1967, Psychological reports.

[9]  Albert J. Petitpas,et al.  Psychological factors, rehabilitation adherence, and rehabilitation outcome after anterior cruciate ligament reconstruction. , 2000 .

[10]  Giuseppe Riva,et al.  Virtual Reality in Psychological Assessment: The Body Image Virtual Reality Scale , 1998, Cyberpsychology Behav. Soc. Netw..

[11]  B. Brewer Psychological Applications in Clinical Sports Medicine: Current Status and Future Directions , 1998, Journal of Clinical Psychology in Medical Settings.

[12]  Chih-Hung Chen,et al.  Virtual Reality Serves as a Support Technology in Cardiopulmonary Exercise Testing , 2003, Presence: Teleoperators & Virtual Environments.

[13]  Robert S. Kennedy,et al.  Simulator Sickness Questionnaire: An enhanced method for quantifying simulator sickness. , 1993 .

[14]  J. Bengel,et al.  [Development of a patient questionnaire for assessment of motivation for rehabilitation(PAREMO)]. , 2001, Die Rehabilitation.

[15]  T. Plante,et al.  Does virtual reality enhance the psychological benefits of exercise , 2003 .

[16]  Wendy Gilleard,et al.  An evaluation of the rearfoot posture in individuals with patellofemoral pain syndrome. , 2004, Journal of sports science & medicine.

[17]  R. Thayer,et al.  Factor Analytic and Reliability Studies on the Activation-Deactivation Adjective Check List , 1978, Psychological reports.

[18]  F. Brooks,et al.  Physiological Reaction as an Objective Measure of Presence in Virtual Environments , 2001 .

[19]  G. Gaesser,et al.  Rating of perceived exertion and blood lactate concentration during submaximal running. , 1994, Medicine and science in sports and exercise.

[20]  V Popescu,et al.  Virtual reality-based orthopedic telerehabilitation. , 2000, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[21]  A. Rizzo,et al.  Basic issues in the use of virtual environments for mental health applications. , 1998, Studies in health technology and informatics.

[22]  C. Foster,et al.  Salivary Cortisol Responses and Perceived Exertion during High Intensity and Low Intensity Bouts of Resistance Exercise. , 2004, Journal of sports science & medicine.

[23]  Giuseppe Riva,et al.  VIRTUAL REALITY IN REHABILITATION OF SPINAL CORD INJURIES: A CASE REPORT , 2000 .

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

[25]  G. Burdea Virtual Rehabilitation - Benefits and Challenges , 2003, Yearbook of Medical Informatics.

[26]  R. Robertson,et al.  Standardized Scaling Procedures for Rating Perceived Exertion During Resistance Exercise , 2001, Journal of strength and conditioning research.

[27]  Albert A. Rizzo,et al.  Virtual reality and cognitive assessment and rehabilitation: the state of the art. , 1997, Studies in health technology and informatics.

[28]  P N Wilson,et al.  Virtual reality, disability and rehabilitation. , 1997, Disability and rehabilitation.