Interactive visuo-motor therapy system for stroke rehabilitation.
We present a virtual reality (VR)-based motor neurorehabilitation system for stroke patients with upper limb paresis. It is based on two hypotheses: (1) observed actions correlated with self-generated or intended actions engage cortical motor observation, planning and execution areas ("mirror neurons"); (2) activation in damaged parts of motor cortex can be enhanced by viewing mirrored movements of non-paretic limbs. We postulate that our approach, applied during the acute post-stroke phase, facilitates motor re-learning and improves functional recovery. The patient controls a first-person view of virtual arms in tasks varying from simple (hitting objects) to complex (grasping and moving objects). The therapist adjusts weighting factors in the non-paretic limb to move the paretic virtual limb, thereby stimulating the mirror neuron system and optimizing patient motivation through graded task success. We present the system's neuroscientific background, technical details and preliminary results.
Eng
Kynan
K
Institute of Neuroinformatics, University/ETH Zurich, Winterthurerstrasse 190, Zurich 8057, Switzerland. kynan@ini.phys.ethz.ch
Siekierka
Ewa
E
Pyk
Pawel
P
Chevrier
Edith
E
Hauser
Yves
Y
Cameirao
Monica
M
Holper
Lisa
L
Hägni
Karin
K
Zimmerli
Lukas
L
Duff
Armin
A
Schuster
Corina
C
Bassetti
Claudio
C
Verschure
Paul
P
Kiper
Daniel
D
D000293:Adolescent; D000328:Adult; D002648:Child; D006801:Humans; D009048:Motor Skills; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D020127:Recovery of Function; D000071939:Stroke Rehabilitation; D034941:Upper Extremity; D014584:User-Computer Interface; D018910:Video Games; D014796:Visual Perception