Archive for Июль 17th, 2009

Design of a complex virtual reality simulation to train finger motion for persons with hemiparesis: a proof of concept study

Дата: Июль 17th, 2009 Автор:
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  • Тип контента: Научная статья
  • Номер документа: 6351
  • Название документа: Design of a complex virtual reality simulation to train finger motion for persons with hemiparesis: a proof of concept study
  • Номер (DOI, IBSN, Патент): 10.1186/1743-0003-6-28
  • Изобретатель/автор: Sergei V Adamovich, Gerard G Fluet, Abraham Mathai, Qinyin Qiu, Jeffrey Lewis, Alma S Merians
  • Правопреемник/учебное заведение: New Jersey Institute of Technology, University of Medicine and Dentistry of New Jersey
  • Дата публикации документа: 2009-07-17
  • Страна опубликовавшая документ: США
  • Язык документа: Английский
  • Наименование изделия: Не заполнено
  • Источник: Journal of NeuroEngineering and Rehabilitation
  • Вложения: Да
  • Аналитик: Глаголева Елена

Background: Current neuroscience has identified rehabilitation approaches with the potential to stimulate adaptive changes in the brains of persons with hemiparesis. These approaches include, intensive task-oriented training, bimanual activities and balancing proximal and distal upper extremity interventions to reduce competition between these segments for neural territory. Methods: This paper describes the design and feasibility testing of a robotic/virtual environment system designed to train the hand and arm of persons with hemiparesis. The system employs a simulated piano that presents visual, auditory and tactile feedback comparable to an actual piano. Arm tracking allows patients to train both the arm and hand as a coordinated unit, emphasizing the integration of both transport and manipulation phases. The piano trainer includes songs and scales that can be performed with one or both hands. Adaptable haptic assistance is available for more involved subjects. An algorithm adjusts task difficulty in proportion to subject performance. A proof of concept study was performed on four subjects with upper extremity hemiparesis secondary to chronic stroke to establish: a) the safety and feasibility of this system and b) the concurrent validity of robotically measured kinematic and performance measures to behavioral measures of upper extremity function. Results: None of the subjects experienced adverse events or responses during or after training. As a group, the subjects improved in both performance time and key press accuracy. Three of the four subjects demonstrated improvements in fractionation, the ability to move each finger individually. Two subjects improved their aggregate time on the Jebsen Test of Hand Function and three of the four subjects improved in Wolf Motor Function Test aggre-gate time. Conclusion: The system designed in this paper has proven to be safe and feasible for the training of hand function for persons with hemiparesis. It features a flexible design that allows for the use and further study of adjustments in point of view, bilateral and unimanual treatment modes, adaptive training algorithms and haptically rendered collisions in the context of reha-bilitation of the hemiparetic hand.

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