Abstract
We describe a pilot clinical trial with a flexible telerehabilitation platform that allows a therapist to remotely monitor the exercise regimen and progress of a patient who previously suffered from a stroke. We developed virtual game environments which were host to a progressive set of training tasks from precise fine motor movements to reaching movements that involve full arm and shoulder activity. Concurrently, the therapist monitored the progress of the patient through a video channel. Assessment of psychosocial variables show that negative feelings (confusion, t(13)=2.54, p<.05, depression t(13)=2.58, p<.05, and tension, t(13)=2, p<.1) were significantly lessened after the game play. Patients’ overall satisfaction with the telerehabilitation system was positively correlated with the feeling of co-presence of the therapist, r(8)=.770, p<.005. Patients felt less efficacious in continuing therapy after participating in the telerehabilitation game compared to their reported perseverance self-efficacy before the game, t(5)=2.71, p<.05 and showed decreased willingness to persist in therapy regardless of fatigue after the game play, t(5)=2.67, p<.05. However, when patients’ pretest mood scores were taken into account, this trend was reversed. Patients’ active mood before the game was positively correlated with their willingness to persist in the therapy after the game, r(14)=.699, p<.005. Telerehabilitation significantly enhanced stroke patients’ psychological states.
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Jung, Y., Yeh, S., McLaughlin, M., Rizzo, A., Winstein, C.: Three-dimensional game environments for recovery from stroke. In: Ritterfeld, U., Cody, M., Vorderer, P. (eds.) Serious Games: Mechanisms and Effects, Routledge.Natl ons (2009)
McLaughlin, M.L.: Simulating the sense of touch in virtual environments: Applications in the health sciences. In: Messaris, P., Humphreys, L. (eds.) Digital Media: Transformations in Human Communication. Peter Lang Publishers (2005)
Yeh, S.-C., Stewart, J., McLaughlin, M., Parsons, T.D., Winstein, C.J., Rizzo, A.A.: Evaluation approach for post-stroke rehabilitation via virtual reality aided motor training. In: Dainoff, M.J. (ed.) HCII 2007 and EHAWC 2007. LNCS, vol. 4566, pp. 378–387. Springer, Heidelberg (2007)
Stewart, J.C., Yeh, S., Jung, Y., Yoon, H., Whitford, M., Chen, S., Li, L., McLaughlin, M., Rizzo, A., Winstein, C.: Intervention to enhance skilled arm and hand movements after stroke: A feasibility study using a new virtual reality system. Journal of NeuroEngineering and Rehabilitation 4, 21 (2007), doi:10.1186/1743-0003-4-21
Holden, M.K., Dyar, T.A., Dayan-Cimadoro, L.: Telerehabilitation using a virtual environment improves upper extremity function in patients with stroke. Transactions on Neural Systems and Rehabilitation Engineering 15(1), 36–42 (2007)
Berg, A., Lonnqvist, J., Palomaki, H., Kaste, M.: Assessment of depression after stroke: a comparison of different screening instruments. Stroke 40(2), 523 (2009)
Spencer, K.A., Tompkins, C.A., Schulz, R.: Assessment of depression in patients with brain pathology: the case of stroke. Psychological Bulletin 122, 132–152 (1997)
Lewis, J.A., Boian, R., Burdea, G., Deutsch, J.E.: Remote console for virtual telerehabilitation. In: Proc. MMVR 2005, Long Beach, CA, January 2005, pp. 294–300 (2005)
Biocca, F., Burgoon, J., Harms, C., Stoner, M.: Criteria and scope conditions for a theory and measure of social presence. Media Interface and Network, E. Lansing (2001)
Miller, W.R., Rollnick, S.: Motivational Interviewing: Preparing People for Change, 2nd edn. Guilford Press, New York (2002)
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Yeh, SC. et al. (2011). Emotions and Telerebabilitation: Pilot Clinical Trials for Virtual Telerebabilitation Application Using Haptic Device and Its Impact on Post Stroke Patients’ Mood and Motivation. In: Shumaker, R. (eds) Virtual and Mixed Reality - Systems and Applications. VMR 2011. Lecture Notes in Computer Science, vol 6774. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22024-1_14
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DOI: https://doi.org/10.1007/978-3-642-22024-1_14
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