Mirrorcle: Enhanced Visual Feedback to support Motor Learning in Low Back Pain

About 60 to 90% of the population has experienced low back pain (LBP) once in their life; yearly this is 5% of the population. Non specific chronic low back pain (NSCLBP) is LBP without a specific cause that lasts longer than twelve weeks. Research has shown that exercise therapy is the most effective rehabilitation method; and can be enhanced by technological systems. This knowledge served as a base for the development of Mirrorcle. Mirrorcle is an interactive mirror that provides a set of exercises, designed for persons suffering from NSCLBP. By giving extrinsic feedback during and after the exercises, Mirrorcle enables patients to perform their exercises better and learn more from them. Five physiotherapists rated the credibility for the use of Mirrorcle in rehabilitation as high and the expectancy for good treatment results as moderate. A usability questionnaire and observation was done with one LBP patient. During this test, the usability of Mirrorcle was perceived positive.

[1]  B. Koes,et al.  Exercise therapy for treatment of non-specific low back pain. , 2005, The Cochrane database of systematic reviews.

[2]  Julien Doyon,et al.  Functional cerebral reorganization following motor sequence learning through mental practice with motor imagery , 2003, NeuroImage.

[3]  Miriam Vollenbroek-Hutten,et al.  Chronic pain rehabilitation with a serious game using multimodal input , 2011, 2011 International Conference on Virtual Rehabilitation.

[4]  J. Kool,et al.  Adherence to home exercises in non-specific low back pain. A randomised controlled pilot trial. , 2015, Journal of bodywork and movement therapies.

[5]  Steven C Cramer,et al.  Cortical Plasticity Following Motor Skill Learning During Mental Practice in Stroke , 2009, Neurorehabilitation and neural repair.

[6]  J. Freburger,et al.  The rising prevalence of chronic low back pain. , 2009, Archives of internal medicine.

[7]  R. Magill Motor learning and control : concepts and applications , 2004 .

[8]  B. Koes,et al.  KNGF-richtlijn Lage-rugpijn , 2001 .

[9]  Marcel Rooze,et al.  Patient follow-up using Serious Games. A feasibility study on low back pain patients , 2013, GFHEU.

[10]  J. Caro,et al.  A systematic review of low back pain cost of illness studies in the United States and internationally. , 2008, The spine journal : official journal of the North American Spine Society.

[11]  O. Celik,et al.  Systematic review of Kinect applications in elderly care and stroke rehabilitation , 2014, Journal of NeuroEngineering and Rehabilitation.

[12]  Tilak Dutta,et al.  Evaluation of the Kinect™ sensor for 3-D kinematic measurement in the workplace. , 2012, Applied ergonomics.

[13]  Fred D. Davis Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..

[14]  Leonard O'Sullivan,et al.  What do physiotherapists consider to be the best sitting spinal posture? , 2012, Manual therapy.

[15]  Michel Rossignol,et al.  Management of work-related low back pain: a population-based survey of physical therapists. , 2005, Physical therapy.

[16]  Charles H. Shea,et al.  Contextual interference: Contributions of practice , 1990 .

[17]  Peter Kent,et al.  The effect of changing movement and posture using motion-sensor biofeedback, versus guidelines-based care, on the clinical outcomes of people with sub-acute or chronic low back pain-a multicentre, cluster-randomised, placebo-controlled, pilot trial , 2014, BMC Musculoskeletal Disorders.

[18]  S. Milosavljevic,et al.  Extrinsic feedback and management of low back pain: A critical review of the literature. , 2011, Manual therapy.

[19]  G. Moseley,et al.  Seeing It Helps: Movement-related Back Pain Is Reduced by Visualization of the Back During Movement , 2012, The Clinical journal of pain.

[20]  G. Devilly,et al.  Psychometric properties of the credibility/expectancy questionnaire. , 2000, Journal of behavior therapy and experimental psychiatry.

[21]  Arianne P Verhagen,et al.  Exercise therapy for chronic nonspecific low-back pain. , 2010, Best practice & research. Clinical rheumatology.

[22]  S. Milosavljevic,et al.  A rationale for the provision of extrinsic feedback towards management of low back pain. , 2011, Manual therapy.