Skip to main content
SpringerLink
Log in

Reflection: A Mirror Therapy VR Rehabilitation Prototype

  • Conference paper
  • First Online:
Social Computing and Social Media (HCII 2023)

Part of the book series: Lecture Notes in Computer Science ((LNCS,volume 14026))

Included in the following conference series:

  • 635 Accesses

Abstract

Mirror Therapy VR Rehabilitation (MTVRR) is an innovative form of rehabilitation therapy designed to help post-stroke patients regain motor and cognitive functions. The therapy uses virtual reality (VR) technology to provide a safe, comfortable and immersive environment for patients to practice their motor skills in a meaningful and engaging manner. MTVRR also incorporates elements of serious game design, allowing the patient to progress through levels of difficulty depending on their progress in the rehabilitation program. In this study, we will explore how MTVRR can be used by occupational therapists for post-stroke patients. We will examine how the use of VR technology, serious game design elements and cultural considerations can help occupational therapists tailor an effective rehabilitation program for each patient. We will also discuss potential challenges that may be encountered when using this type of therapy with post-stroke patients. The findings of this use study can provide occupational therapists with valuable insights into how they can incorporate MTVRR into their existing rehabilitation programs in order to provide effective and culturally appropriate treatment for post-stroke patients. By leveraging advances in VR technology and serious game design, occupational therapists can create personalized treatment plans that are tailored to the needs of their clients, helping them make more informed decisions about the best course of action for each individual patient.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    https://www.monumentvalleygame.com/mvpc.

References

  1. Boukhennoufa, I., Zhai, X., Utti, V., Jackson, J., McDonald-Maier, K.D.: Wearable sensors and machine learning in post-stroke rehabilitation assessment: a systematic review. Biomed. Signal Process. Control 71, 103197 (2022)

    Article  Google Scholar 

  2. Edwards, D.F., Hahn, M.G., Baum, C.M., Perlmutter, M.S., Sheedy, C., Dromerick, A.W.: Screening patients with stroke for rehabilitation needs: validation of the post-stroke rehabilitation guidelines. Neurorehabil. Neural Repair 20(1), 42–48 (2006)

    Article  Google Scholar 

  3. Leong, S.C., Tang, Y.M., Toh, F.M., Fong, K.N.: Examining the effectiveness of virtual, augmented, and mixed reality (VAMR) therapy for upper limb recovery and activities of daily living in stroke patients: a systematic review and meta-analysis. J. Neuroeng. Rehabil. 19(1), 1–20 (2022)

    Article  Google Scholar 

  4. Ozen, S., Senlikci, H.B., Guzel, S., Yemisci, O.U.: Computer game assisted task specific exercises in the treatment of motor and cognitive function and quality of life in stroke: a randomized control study. J. Stroke Cerebrovasc. Dis. 30(9), 105991 (2021)

    Article  Google Scholar 

  5. Gandhi, D. B., Sterba, A., Khatter, H., Pandian, J. D.: Mirror therapy in stroke rehabilitation: current perspectives. Ther. Clin. Risk manag. 16, 75–85 (2020)

    Google Scholar 

  6. Voinescu, A., Sui, J., Stanton Fraser, D.: Virtual reality in neurorehabilitation: an umbrella review of meta-analyses. J. Clin. Med. 10(7), 1478 (2021)

    Google Scholar 

  7. Boian, R.F., Deutsch, J.E., Lee, C.S., Burdea, G.C., Lewis, J.: Haptic effects for virtual reality-based post-stroke rehabilitation. In: 11th Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems, 2003. HAPTICS 2003. Proceedings, pp. 247–253. IEEE (2003)

    Google Scholar 

  8. Huber, S.K., Held, J.P., de Bruin, E.D., Knols, R.H.: Personalized motor-cognitive exergame training in chronic stroke patients—a feasibility study. Frontiers Aging Neurosci. 13, 730801 (2021)

    Google Scholar 

  9. Manser, P., Adcock-Omlin, M., de Bruin, E.D.: Design considerations for an exergame-based training intervention for older adults with mild neurocognitive disorder: qualitative study including focus groups with experts and health care professionals and individual semi structured in-depth patient interviews. JMIR Serious Game. 11, e37616 (2023)

    Article  Google Scholar 

  10. Demain, S., et al.: Assistive technologies after stroke: self-management or fending for yourself? a focus group study. BMC Health Serv. Res. 13, 1–12 (2013)

    Article  Google Scholar 

  11. Choi, Y.H., Ku, J., Lim, H., Kim, Y.H., Paik, N.J.: Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke. Restor. Neurol. Neurosci. 34(3), 455–463 (2016)

    Google Scholar 

  12. Laver, K.E., Lange, B., George, S., Deutsch, J.E., Saposnik, G., Crotty, M.: Virtual reality for stroke rehabilitation. Cochrane Database Syst. Rev. 11, CD008349 (2017)

    Google Scholar 

  13. Choi, H.S., Shin, W.S., Bang, D.H.: Mirror therapy using gesture recognition for upper limb function, neck discomfort, and quality of life after chronic stroke: a single-blind randomized controlled trial. Med. Sci. Monit.: Int. Med. J. Exp. Clin. Res. 25, 3271 (2019)

    Article  Google Scholar 

  14. Bauer, A.C.M., Andringa, G.: The potential of immersive virtual reality for cognitive training in elderly. Gerontology 66(6), 614–623 (2020)

    Article  Google Scholar 

  15. Zhang, Y., et al.: Mirror therapy for unilateral neglect after stroke: a systematic review. Eur. J. Neurol. 29(1), 358–371 (2022)

    Google Scholar 

  16. Jo, S., Kim, H., Song, C.: A novel approach to increase attention during mirror therapy among stroke patients: a video-based behavioral analysis. Brain Sci. 12(3), 297 (2022)

    Article  Google Scholar 

  17. Hartman, K., Altschuler, E.L.: Mirror therapy for hemiparesis following stroke: a review. Curr. Phys. Med. Rehabil. Rep. 4, 237–248 (2016)

    Article  Google Scholar 

  18. Miclaus, R.S., Roman, N., Henter, R., Caloian, S.: Lower extremity rehabilitation in patients with post-stroke sequelae through virtual reality associated with mirror therapy. Int. J. Environ. Res. Public Health 18(5), 2654 (2021)

    Article  Google Scholar 

  19. Hoermann, S., et al.: Computerized mirror therapy with augmented reflection technology for early stroke rehabilitation: clinical feasibility and integration as an adjunct therapy. Disabil. Rehabil. 39(15), 1503–1514 (2017)

    Google Scholar 

  20. In, T., Lee, K., Song, C.: Virtual reality reflection therapy improves balance and gait in patients with chronic stroke: randomized controlled trials. Med. Sci. Monit.: Int. Med. J. Exp. Clin. Res. 22, 4046 (2016)

    Article  Google Scholar 

  21. Jonas, M., Said, S., Yu, D., Aiello, C., Furlo, N., Zytko, D.: Towards a taxonomy of social VR application design. In: Extended Abstracts of the Annual Symposium on Computer-Human Interaction in Play Companion Extended Abstracts, pp. 437–444 (2019)

    Google Scholar 

  22. Matamala-Gomez, M., Maselli, A., Malighetti, C., Realdon, O., Mantovani, F., Riva, G.: Virtual body ownership illusions for mental health: a narrative review. J. Clin. Med. 10(1), 139 (2021)

    Article  Google Scholar 

  23. Wiley, E., Khattab, S., Tang, A.: Examining the effect of virtual reality therapy on cognition post-stroke: a systematic review and meta-analysis. Disabil. Rehabil. Assist. Technol. 17(1), 50–60 (2022)

    Article  Google Scholar 

  24. Hao, J., Yao, Z., Harp, K., Gwon, D. Y., Chen, Z., Siu, K. C.: Effects of virtual reality in the early-stage stroke rehabilitation: a systematic review and meta-analysis of randomized controlled trials. Physiotherapy Theor. Pract. 1–20 (2022)

    Google Scholar 

  25. Lee, J.I., et.al. Effects of the home-based exercise program with an augmented reality system on balance in patients with stroke: a randomized controlled trial. Disabil. Rehabil. 45, 1–8 (2022)

    Google Scholar 

  26. Dias, M.P.F., et al.: Is there a relation between brain and muscle activity after virtual reality training in individuals with stroke? A cross-sectional study. Int. J. Environ. Res. Public Health 19(19), 12705 (2022)

    Article  Google Scholar 

  27. Hilton, D., Cobb, S., Pridmore, T., Gladman, J., Edmans, J.: Development and evaluation of a mixed reality system for stroke rehabilitation : advanced Computational Intelligence Paradigms in Healthcare 6. Virtual Reality in Psychotherapy, Rehabilitation, and Assessment, pp. 193–228 (2011)

    Google Scholar 

  28. Aguilar Acevedo, F., Pacheco Bautista, D., Acevedo Gómez, M., Toledo Toledo, G., Nieva García, O.S.: User-centered virtual environment for poststroke motor rehabilitation. J. Med. Devices 16(2), 021014 (2022)

    Article  Google Scholar 

  29. Alkadhi, B., Al-Wabil, A.: Behavioral archetypes for stroke rehabilitation technologies. In: Stephanidis, C. (ed.) HCI International 2018 – Posters’ Extended Abstracts. Communications in Computer and Information Science, vol. 851, pp. 10–16. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-92279-9_2

    Chapter  Google Scholar 

  30. Pyae, A.: Investigating the usability, user experiences, and usefulness of digital game-based exercises for elderly people: a case study of Finland. In: Proceedings of the 2018 Annual Symposium on Computer-Human Interaction in Play Companion Extended Abstracts, pp. 71–76 (2018)

    Google Scholar 

  31. Møller, J., Johansen, N.F., Khalid, M.S.: Trends within human-computer interaction on design for physical movement. In: The 14th European Conference on Game Based Learning, ECGBL 2020, pp. 305–313. Dechema eV (2020)

    Google Scholar 

  32. Monument Valley [Android]. Ustwo studio Ltd. (2022)

    Google Scholar 

Download references

Acknowledgments

The authors acknowledge the support of Alfaisal’s Solve program in 2023 which is conducted in collaboration with MIT. The Reflection VR application was the recipient of the grand award at the Gamers 8 Game Jam in 2022 (Gameathon), and the authors acknowledge the support provided by the Saudi eSport Federation and Alfaisal University’s Dimensions accelerator for the development phases of the MTVRR game. The authors also extend their appreciation for the physical therapists and occupational therapists who contributed towards the co-design phases of the application.

Author information

Authors and Affiliations

  1. Qindeel Studio, Riyadh, Saudi Arabia

    Hanan Makki Zakari, Atheer Alharbi & Omar Khashoggi

  2. Game Innovation Lab, Alfaisal University, Riyadh, Saudi Arabia

    Hanan Makki Zakari

  3. Human-Computer Interaction (HCI) Lab, Alfaisal University, Riyadh, Saudi Arabia

    Leena Alotaibi & Zain Aljandali

Authors
  1. Hanan Makki Zakari
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Atheer Alharbi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Omar Khashoggi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Leena Alotaibi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Zain Aljandali
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hanan Makki Zakari .

Editor information

Editors and Affiliations

  1. University of Bucharest, Bucharest, Romania

    Adela Coman

  2. University of Tsukuba, Tsukuba, Japan

    Simona Vasilache

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Makki Zakari, H., Alharbi, A., Khashoggi, O., Alotaibi, L., Aljandali, Z. (2023). Reflection: A Mirror Therapy VR Rehabilitation Prototype. In: Coman, A., Vasilache, S. (eds) Social Computing and Social Media. HCII 2023. Lecture Notes in Computer Science, vol 14026. Springer, Cham. https://doi.org/10.1007/978-3-031-35927-9_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-35927-9_17

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-35926-2

  • Online ISBN: 978-3-031-35927-9

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Search

Navigation