Development and Validation of Virtual Reality Combined With Shoulder Wheel Device for Active Rehabilitation Training Publisher



Mr Hosaini Mohammad REZA ; H Khabiri H ; H Sharini HAMID ; V Dehlaghi VAHAB ; A Safarpoor ALI
Source: International Journal of Biomedical Engineering and Technology Published:2024

Abstract

In light of prevalent shoulder impairments among stroke survivors, this study aimed to evaluate the impact of a virtual reality-based rehabilitation system on enhancing active rehabilitation time during shoulder exercises. Thirty stroke patients were divided into two groups: one received conventional shoulder wheel therapy combined with virtual reality, while control group received only shoulder wheel therapy. Clinical assessments, including action research arm test and Fugl-Meyer Assessment, along with functional testing (torque) were conducted three times over a 15-day interval, with a reaction rate test administered at the end of rehabilitation. Results demonstrated that virtual reality-based rehabilitation significantly improved torque, reaction rate, and time, amplify motor function, and enhance overall outcomes for stroke patients grappling with shoulder and elbow joint impairments. Future endeavours should consider the incorporation of additional stimuli within VR games to heighten immersion, encompassing elements such as ambient and effect sounds, controller vibrations, or other interactive responses. It is recommended that the development of targeted VR games tailored for in-home rehabilitation could be explored, allowing remote control by a physiotherapist based on the severity of the complication. Home-based rehabilitation therapy employed serves as a template for integrating conventional rehabilitation devices targeting diverse anatomical regions, including hands, feet, and neck, with VR in forthcoming investigations. © 2024 Elsevier B.V., All rights reserved.