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Virtual Reality for Sensorimotor Rehabilitation Post Stroke: Design Principles and Evidence

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Neurorehabilitation Technology

Abstract

In the recent years, the use of virtual reality (VR) to enhance motor skills of persons with activity and participation restriction due to disease or injury has been become an important area of research. In this chapter, we describe the design of such VR systems and their underlying principles, such as experience-dependent neuroplasticity and motor learning. Further, psychological constructs related to motivation including salience, goal setting, and rewards are commonly utilized in VR to optimize motivation during rehabilitation activities. Hence, virtually simulated activities are considered to be ideal for (1) the delivery of specific feedback, (2) the ability to perform large volumes of training, and (3) the presentation of precisely calibrated difficulty levels, which maintain a high level of challenge throughout long training sessions. These underlying principles are contrasted with a growing body of research comparing the efficacy of VR with traditionally presented rehabilitation activities in persons with stroke that demonstrate comparable or better outcomes for VR. In addition, a small body of literature has utilized direct assays of neuroplasticity to evaluate the effects of virtual rehabilitation interventions in persons with stroke. Promising developments and findings also arise from the use of off-the-shelf video game systems for virtual rehabilitation purposes and the integration of VR with robots and brain-computer interfaces. Several challenges limiting the translation of virtual rehabilitation into routine rehabilitation practice need to be addressed but the field continues to hold promise to answer key issues faced by modern healthcare.

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Authors and Affiliations

  1. Madeira Interactive Technologies Institute and Centro de Competências das Ciências Exatas e da Engenharia, Universidade da Madeira, Funchal, Portugal

    Sergi Bermúdez i Badia Eng, PhD

  2. Department of Rehabilitation and Movement Sciences, Rutgers – The State University of New Jersey, 65 Bergen Street, Newark, NJ, 07101, USA

    Gerard G. Fluet DPT, PhD

  3. Instituto de Investigación e Innovación en Bioingeniería, Universitat Politècnica de València, Camino de Vera s/n, Valencia, Valencia, 46022, Spain

    Roberto Llorens PhD

  4. Rivers Lab: Department of Rehabilitation and Movement Sciences, Rutgers – The State University of New Jersey, 65 Bergen Street, Newark, NJ, 07101, USA

    Judith E. Deutsch PT, PhD

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  1. Sergi Bermúdez i Badia Eng, PhD
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  2. Gerard G. Fluet DPT, PhD
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  3. Roberto Llorens PhD
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  4. Judith E. Deutsch PT, PhD
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Correspondence to Sergi Bermúdez i Badia Eng, PhD .

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  1. Department of Mechanical and Aerospace Engineering, Department of Anatomy and Neurobiology, Department of Biomedical Engineering, Department of Physical Medicine and Rehabilitation, University of California at Irvine, Irvine, California, USA

    David J. Reinkensmeyer

  2. Spinal Cord Injury Center, University Hospital Balgrist, Zürich, Switzerland

    Volker Dietz

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Bermúdez i Badia, S., Fluet, G.G., Llorens, R., Deutsch, J.E. (2016). Virtual Reality for Sensorimotor Rehabilitation Post Stroke: Design Principles and Evidence. In: Reinkensmeyer, D., Dietz, V. (eds) Neurorehabilitation Technology. Springer, Cham. https://doi.org/10.1007/978-3-319-28603-7_28

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