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Title: Upper-limb virtual rehabilitation for traumatic brain injury: a preliminary within-group evaluation of the Elements System.
Epworth Authors: Williams, Gavin
Other Authors: Mumford, N
Duckworth, J
Thomas, P
Shum, D
Wilson, P
Keywords: Rehabilitation
Recovery of Function
Disability Evaluation
Brain Injuries
Injuries, Brain
Trauma, Brain
Traumatic Brain Injury
Upper Limb
Upper Extremity
Extremity, Upper
Virtual Reality Therapy
Physiotherapy Department, Epworth Healthcare, Melbourne, Australia
Issue Date: Feb-2012
Publisher: Informa Healthcare
Citation: Brain Injury 2012;26(2):166-76.
Abstract: AIM: The aim of this study was to assess the efficacy of the Elements virtual reality (VR) system for rehabilitation of upper-limb function in patients with traumatic brain injury (TBI). METHODS: Using a within-group design, patients were tested three times, each 4 weeks apart: Pre-intervention 1 and 2 and Post-intervention. During intervention, participants received 12 1-hour training sessions over 4 weeks in addition to their usual care. Five males and four females aged 18-48 years with severe TBI were recruited. The Elements system consisted of a 100-cm tabletop LCD, camera tracking system, tangible user interfaces (i.e. graspable objects of basic shape) and software. The system provided two modes of interaction with augmented feedback: goal-directed and exploratory. Upper-limb performance was assessed using system-rated measures (movement speed, accuracy and efficiency) and standardized tests. RESULTS: Planned comparisons revealed little change in performance over the pre-test period apart from an increase in movement speed. There were significant training effects, with large effect sizes on all measures except the nuts-and-bolts task. CONCLUSIONS: These preliminary findings support the results of an early case study of the Elements system, further demonstrating that VR training is a viable adjunct to conventional physical therapy in facilitating motor learning in patients with TBI.
DOI: 10.3109/02699052.2011.648706.
PubMed URL:
ISSN: 0269-9052
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: Discipline of Psychology, RMIT University, Melbourne, Australia
School of Media and Communication, RMIT University, Melbourne, Australia
School of Education and Professional Studies, Griffith Health Institute, Griffith University, Brisbane, Australia
Behavioural Basis of Health Program, Griffith Health Institute, Griffith University, Brisbane, Australia
School of Psychology, Griffith Health Institute, Griffith University, Brisbane, Australia
School of Psychology, Australian Catholic University, Melbourne, Australia
Type of Clinical Study or Trial: Prospective Cohort Study
Appears in Collections:Neurosciences

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