Comparison of brain activation and functional outcomes between physical and virtual reality box and block test: a case study.

Immersive Virtual Reality (VR) systems allow for highly repetitive tasks to be performed within a virtual environment that increases practice in home environments. VR can increase access to rehabilitation by reducing access barriers. However, rehabilitation outcomes between immersive VR systems and...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 19; no. 2; pp. 273 - 281
Autores principales: Parker, Sheridan M., Andreasen, Sydney C., Ricks, Brian, Kaipust, Mark S., Zuniga, Jorge, Knarr, Brian A.
Formato: case study equations & formulas pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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      pub: Taylor & Francis Ltd
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        atl: Comparison of brain activation and functional outcomes between physical and virtual reality box and block test: a case study.
      aug:
        au:
          Parker, Sheridan M.
          Andreasen, Sydney C.
          Ricks, Brian
          Kaipust, Mark S.
          Zuniga, Jorge
          Knarr, Brian A.
        affil: Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE, USA
      sug:
        subj:
          Virtual Reality Utilization
          Functional Assessment
          Task Performance and Analysis
          Hand Physiology
          Agility Evaluation
          Cerebral Cortex Physiology
          Chronic Disease Rehabilitation
          Stroke Rehabilitation
          Human
          Funding Source
          Spectroscopy, Near-Infrared
          Home Environment
          Middle Age
          Health Services Accessibility
          Treatment Outcomes
          Nebraska
          Descriptive Statistics
          Data Analysis Software
          Dominance, Cerebral Evaluation
          Wilcoxon Signed Rank Test
          Paired T-Tests
          Post Hoc Analysis
          Scales
          Neuropsychological Tests
          Middle Aged: 45-64 years
      ab: Immersive Virtual Reality (VR) systems allow for highly repetitive tasks to be performed within a virtual environment that increases practice in home environments. VR can increase access to rehabilitation by reducing access barriers. However, rehabilitation outcomes between immersive VR systems and conventional physical rehabilitation are not well understood. The purpose of this case study was to assess the use of a custom clinically based VR simulation for testing gross hand dexterity with an individual with chronic stroke. The participant performed the box and blocks test (BBT) in an immersive VR environment and a physical environment. Three trials of the BBT were performed with their less-affected and affected hands each in both environments while measuring cortical activity using fNIRS. Rests were given between trials and environment conditions. Our results show that there was no statistical difference in the number of blocks moved between the physical and VR BBT for both the affected and less-affected hands. Furthermore, our results also indicate no statistically significant difference between the physical BBT and VR BBT conditions on contralateral motor cortex activation, suggesting that cortical involvement is comparable between physical and VR conditions. These results suggest that an immersive VR system may be able to elicit functional and motor cortex activations that are comparable to the conventional physical BBT. Importantly, these findings highlights the potential benefits of VR therapy as a remote therapy intervention and/or to increase the effectiveness and practicality of current in-person rehabilitation programs. These findings highlight the potential benefits of immersive virtual reality as a remote therapy intervention. Immersive virtual reality use has potential benefits to increase the effectiveness and practicality of current in-person rehabilitation programs.
      pubtype: Academic Journal
      doctype:
        case study
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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