The GestureTek virtual reality system in rehabilitation: a scoping review

Abstract Purpose: To identify, to map out and to appraise research examining GestureTek virtual reality (VR) use for physical and cognitive rehabilitation and to highlight areas for future research. Method: Scoping review methodology was used to systematically and comprehensively search the academic and grey literature for GestureTek-specific research. Consensus was achieved following two reviewers’ independent inclusion screening, data extraction and appraisal. Results: Forty-four studies evaluated the utility and efficacy of the IREX, GX, VMall and Meal Maker software for rehabilitation across a range of populations, with few adverse events reported. Stroke and cerebral palsy research dominated, while geriatrics was largely overlooked. Efficacy research provided support for balance, mobility, upper extremity, cognitive, fitness and daily living skills outcomes for specific populations with effect sizes ranging from 0.19 to 3.34. Nevertheless, few strong quality or high-level studies are available, and no clear guidelines on optimal treatment characteristics exist. Outcomes of primary interest were at ICF body function and activity levels; evaluation of transfer of training across ICF levels is needed. Conclusions: This literature provides preliminary evidence for the technology’s efficacy for rehabilitation. Identified research gaps relate to study quality and design, treatment characteristics, populations and outcomes of interest, including transfer across ICF levels. Implications for Rehabilitation There is limited high-level evidence to support the use of the GestureTek virtual reality system for rehabilitation. Moderate to strong quality evidence exists primarily for the stroke and cerebral palsy populations, and primarily for balance, mobility and upper extremity outcomes. A lack of consistent outcome measures in this body of literature has created “silos” of research that cannot be quantitatively combined using a meta-analytic strategy.

[1]  Patrice L. Weiss,et al.  Adapting an immersive virtual reality system for rehabilitation , 2003, Comput. Animat. Virtual Worlds.

[2]  Tamar Weiss,et al.  The meal-maker: A functional virtual environment for children with cerebral palsy , 2009, 2009 Virtual Rehabilitation International Conference.

[3]  Denise Reid,et al.  The Influence of a Virtual Reality Leisure Intervention Program on the Motivation of Older Adult Stroke Survivors: A Pilot Study , 2004 .

[4]  H. Sveistrup,et al.  Poster 131: An Intensive Virtual Reality Program Impoves Balance and Functional Mobility of Adolescents With Cerebral Palsy , 2010 .

[5]  Heidi Sveistrup,et al.  An Intensive Virtual Reality Program Improves Functional Balance and Mobility of Adolescents With Cerebral Palsy , 2011, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[6]  Heidi Sveistrup,et al.  Feasibility, Motivation, and Selective Motor Control: Virtual Reality Compared to Conventional Home Exercise in Children with Cerebral Palsy , 2006, Cyberpsychology Behav. Soc. Netw..

[7]  Patrice L Tamar Weiss,et al.  Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and developmental disability. , 2010, Research in developmental disabilities.

[8]  P. Weiss,et al.  Training Caregivers to Provide Virtual Reality Intervention for Adults With Severe Intellectual and Developmental Disability , 2011 .

[9]  Mark Hallett,et al.  Cortical reorganization and associated functional motor recovery after virtual reality in patients with chronic stroke: an experimenter-blind preliminary study. , 2005, Archives of physical medicine and rehabilitation.

[10]  Julie Glanville,et al.  How to formulate research recommendations , 2006, BMJ : British Medical Journal.

[11]  G Riva,et al.  Virtual reality in neuroscience: a survey. , 1998, Studies in health technology and informatics.

[12]  Patrice L Tamar Weiss,et al.  Virtual reality as a leisure activity for young adults with physical and intellectual disabilities. , 2008, Research in developmental disabilities.

[13]  Albert Rizzo,et al.  Comparison of Two VR Platforms for Virtual Reality Rehabilitation: Video Capture versus HMD. , 2005 .

[14]  Denise Reid,et al.  Exploring the effects of virtual reality on unilateral neglect caused by stroke: Four case studies , 2007 .

[15]  Denise Reid,et al.  The use of virtual reality to improve upper-extremity efficiency skills in children with cerebral palsy: A pilot study , 2002 .

[16]  Sung Ho Jang,et al.  Use of Virtual Reality to Enhance Balance and Ambulation in Chronic Stroke: A Double-Blind, Randomized Controlled Study , 2009, American journal of physical medicine & rehabilitation.

[17]  Zeynep Erim,et al.  Journal of Neuroengineering and Rehabilitation Open Access Time and Frequency Domain Methods for Quantifying Common Modulation of Motor Unit Firing Patterns , 2004 .

[18]  L. Wiart,et al.  Interrater reliability and convergent validity of the American Academy for Cerebral Palsy and Developmental Medicine methodology for conducting systematic reviews , 2012, Developmental medicine and child neurology.

[19]  Patrice L. Weiss,et al.  Video capture virtual reality: A decade of rehabilitation assessment and intervention , 2009 .

[20]  C. Donnelly,et al.  Models for integrating rehabilitation and primary care: a scoping study. , 2009, Archives of physical medicine and rehabilitation.

[21]  Nenad Kostanjsek,et al.  ICF linking rules: an update based on lessons learned. , 2005, Journal of rehabilitation medicine.

[22]  Maureen K. Holden,et al.  Virtual Environments for Motor Rehabilitation: Review , 2005, Cyberpsychology Behav. Soc. Netw..

[23]  Danielle Levac,et al.  Facilitating clinical decision-making about the use of virtual reality within paediatric motor rehabilitation: Describing and classifying virtual reality systems , 2011, Developmental neurorehabilitation.

[24]  J. Popay,et al.  Guidance on the conduct of narrative synthesis in sytematic reviews , 2006 .

[25]  J. McComas,et al.  Virtual Reality Applications for Prevention, Disability Awareness, and Physical Therapy Rehabilitation in Neurology: Our Recent Work , 2002 .

[26]  D. Rand,et al.  The Sony PlayStation II EyeToy: Low-Cost Virtual Reality for Use in Rehabilitation , 2008, Journal of neurologic physical therapy : JNPT.

[27]  Noomi Katz,et al.  Validation of the Virtual MET as an assessment tool for executive functions , 2009, Neuropsychological rehabilitation.

[28]  J. Galen Buckwalter,et al.  Virtual Reality and Cognitive Rehabilitation: A Brief Review of the Future , 1997 .

[29]  R. Chesnut,et al.  Effect of cognitive rehabilitation on outcomes for persons with traumatic brain injury: A systematic review. , 1999, The Journal of head trauma rehabilitation.

[30]  Shawn Marshall,et al.  Experimental Studies of Virtual Reality-Delivered Compared to Conventional Exercise Programs for Rehabilitation , 2003, Cyberpsychology Behav. Soc. Netw..

[31]  D. Reid,et al.  Virtual Reality in Pediatric Neurorehabilitation: Attention Deficit Hyperactivity Disorder, Autism and Cerebral Palsy , 2010, Neuroepidemiology.

[32]  Heidi Sveistrup,et al.  Virtual reality as adjunctive therapy for upper limb rehabilitation in cerebral palsy , 2009, 2009 Virtual Rehabilitation International Conference.

[33]  M. Hallett,et al.  Virtual Reality–Induced Cortical Reorganization and Associated Locomotor Recovery in Chronic Stroke: An Experimenter-Blind Randomized Study , 2005, Stroke.

[34]  D. Reid,et al.  The Influence of Virtual Reality Play on Children'S Motivation , 2005, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[35]  Patrice L Tamar Weiss,et al.  Video-capture virtual reality system for patients with paraplegic spinal cord injury. , 2005, Journal of rehabilitation research and development.

[36]  Patrice L. Weiss,et al.  Lessons learned towards a best practices model of virtual reality intervention for individuals with intellectual and developmental disability , 2009, 2009 Virtual Rehabilitation International Conference.

[37]  M. Levin,et al.  The effectiveness of task‐oriented intervention and trunk restraint on upper limb movement quality in children with cerebral palsy , 2010, Developmental medicine and child neurology.

[38]  Noomi Katz,et al.  Video capture virtual reality as a flexible and effective rehabilitation tool , 2004, Journal of NeuroEngineering and Rehabilitation.

[39]  P. Weiss,et al.  A Virtual Meal-Making Environment as a Platform to Measure the Effect of Affective Stimuli on Emotional Response and Task Performance in Children with and without Cerebral Palsy , 2011 .

[40]  Mel Slater,et al.  A note on presence terminology , 2003 .

[41]  J. Ioannidis,et al.  The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration , 2009, BMJ : British Medical Journal.

[42]  George D Fulk,et al.  Locomotor training and virtual reality-based balance training for an individual with multiple sclerosis: a case report. , 2005, Journal of neurologic physical therapy : JNPT.

[43]  F. Mikami,et al.  Understanting method of the autistic spectrum using International Classification of Functioning, Disability and Health-Children & Youth Version (ICF-CY) , 2016 .

[44]  T. E. Levere,et al.  Recovery of Function , 1988 .

[45]  E. Bisson,et al.  Outcomes of intervention programs using flatscreen virtual reality , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[46]  Albert A. Rizzo,et al.  Comparison of Two VR Platforms for Rehabilitation: Video Capture versus HMD , 2005, Presence: Teleoperators & Virtual Environments.

[47]  Denise Reid,et al.  The Use of Virtual Reality with Children with Cerebral Palsy: A Pilot Randomized Trial , 2006 .

[48]  Danielle Levac,et al.  Defining the active ingredients of interactive computer play interventions for children with neuromotor impairments: a scoping review. , 2011, Research in developmental disabilities.

[49]  P. Weiss,et al.  Effectiveness of executive functions training within a virtual supermarket for adults with Traumatic Brain Injury , 2011, 2011 International Conference on Virtual Rehabilitation.

[50]  Mark Hallett,et al.  Cortical reorganization induced by virtual reality therapy in a child with hemiparetic cerebral palsy , 2005, Developmental medicine and child neurology.

[51]  Heidi Sveistrup,et al.  Motor rehabilitation using virtual reality , 2004, Journal of NeuroEngineering and Rehabilitation.

[52]  J. McComas,et al.  Benefits of activity and virtual reality based balance exercise programmes for adults with traumatic brain injury: Perceptions of participants and their caregivers , 2005, Brain injury.

[53]  Moira B. Flanagan,et al.  Motion Sickness, Console Video Games, and Head-Mounted Displays , 2007, Hum. Factors.

[54]  E. Tacconelli.  Systematic reviews: CRD's guidance for undertaking reviews in health care , 2010 .

[55]  Patrice L. Weiss,et al.  Virtual Reality Provides Leisure Time Opportunities for Young Adults with Physical and Intellectual Disabilities , 2003, Cyberpsychology Behav. Soc. Netw..

[56]  Patrice L. Weiss,et al.  Meal-Maker: a virtual meal preparation environment for children with cerebral palsy , 2011 .

[57]  D. Levac,et al.  Scoping studies: advancing the methodology , 2010, Implementation science : IS.

[58]  J J Lussier,et al.  University of Ottawa. , 1961, Canadian Medical Association journal.

[59]  Denise Reid,et al.  Correlation of the Pediatric Volitional Questionnaire with the Test of Playfulness in a virtual environment: the power of engagement , 2005 .

[60]  Patrice L. (Tamar) Weiss,et al.  Evaluation of virtual shopping in the VMall: Comparison of post-stroke participants to healthy control groups , 2007, Disability and rehabilitation.

[61]  Patrice L. Weiss,et al.  Virtual reality based intervention in rehabilitation: relationship between motor and cognitive abilities and performance within virtual environments for patients with stroke , 2004 .

[62]  Denise Reid,et al.  The influence of virtual reality on playfulness in children with cerebral palsy: a pilot study. , 2004, Occupational therapy international.

[63]  H. Arksey,et al.  Scoping studies: towards a methodological framework , 2005 .

[64]  Denise Reid,et al.  A Model of Playfulness and Flow in Virtual Reality Interactions , 2004, Presence: Teleoperators & Virtual Environments.

[65]  P. Weiss,et al.  Intervention using the VMall for improving motor and functional ability of the upper extremity in post stroke participants. , 2009, European journal of physical and rehabilitation medicine.

[66]  Patrice L Tamar Weiss,et al.  Training multitasking in a virtual supermarket: a novel intervention after stroke. , 2009, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[67]  Christopher L F Chan,et al.  Effect of the adapted virtual reality cognitive training program among Chinese older adults with chronic schizophrenia: a pilot study , 2009, International journal of geriatric psychiatry.

[68]  Min Ho Chun,et al.  The Effect of Virtual Reality Training on Unilateral Spatial Neglect in Stroke Patients , 2011, Annals of rehabilitation medicine.

[69]  Rachel Kizony,et al.  Using video-capture virtual reality for children with acquired brain injury , 2011, Disability and rehabilitation.

[70]  C. Gómez,et al.  Technology Applied to Pediatric Rehabilitation , 2009, 2009 Pan American Health Care Exchanges.

[71]  D Cunningham,et al.  Virtual reality: a wholistic approach to rehabilitation. , 1999, Studies in health technology and informatics.

[72]  D. Reid.  Benefits of a virtual play rehabilitation environment for children with cerebral palsy on perceptions of self-efficacy: a pilot study , 2002, Pediatric rehabilitation.