This doesn't do a damn bit of good unless you write this up as a stroke protocol and distribute it to all 10 million yearly stroke survivors now and into the future.
Cyberrehab: Empowering Hemiparesis Recovery with Affordable Mobile
Virtual Reality Solutions for Upper Limb Strength
Journal of Advanced Zoology
ISSN: 0253-7214
Volume 44 Issue S-7 Year 2023 Page 100:108
__________________________________________________________________________________________________________________
- 100 -
Cyberrehab: Empowering Hemiparesis Recovery with Affordable Mobile
Virtual Reality Solutions for Upper Limb Strength
Anchit Gugnani1*, Nandini Kushwaha2, Danishta3, Richa Uniyal4, Niketa Shobhit5, Neha Vyas6
1*Director & Professor, Amity Institute of Physiotherapy, Amity University Rajasthan, Jaipur
2Assistant Professor, Amity Institute of Physiotherapy, Amity University Rajasthan, Jaipur
3Assistant Professor, Nims College of Physiotherapy, Nims University, Jaipur
4Assistant Professor, Sai Institute of Para medical and allied health sciences, Dehradun.
5Assistant Professor, Mahsi, MGM Medical College, Indore
6Associate Professor, University of Engineering and Management, UEM University Jaipur
*Corresponding Author: Anchit Gugnani
Article History
Received: 06 June 2023
Revised: 05 Sept 2023
Accepted: 13 Dec 2023
CC License
CC-BY-NC-SA 4.0
ISSN: 0253-7214
Volume 44 Issue S-7 Year 2023 Page 100:108
__________________________________________________________________________________________________________________
- 100 -
Cyberrehab: Empowering Hemiparesis Recovery with Affordable Mobile
Virtual Reality Solutions for Upper Limb Strength
Anchit Gugnani1*, Nandini Kushwaha2, Danishta3, Richa Uniyal4, Niketa Shobhit5, Neha Vyas6
1*Director & Professor, Amity Institute of Physiotherapy, Amity University Rajasthan, Jaipur
2Assistant Professor, Amity Institute of Physiotherapy, Amity University Rajasthan, Jaipur
3Assistant Professor, Nims College of Physiotherapy, Nims University, Jaipur
4Assistant Professor, Sai Institute of Para medical and allied health sciences, Dehradun.
5Assistant Professor, Mahsi, MGM Medical College, Indore
6Associate Professor, University of Engineering and Management, UEM University Jaipur
*Corresponding Author: Anchit Gugnani
Article History
Received: 06 June 2023
Revised: 05 Sept 2023
Accepted: 13 Dec 2023
CC License
CC-BY-NC-SA 4.0
Abstract
Background:Hemiparesis is a debilitating condition characterized by
weakened muscle strength in one side of the body, often caused by stroke or
brain injury. Rehabilitation is crucial for improving upper limb muscle strength
and functional recovery in individuals with hemiparesis. Mobile-based Virtual
Reality (VR) programs have emerged as an innovative and cost-effective
approach to augment conventional physiotherapy in rehabilitation. This study
investigates the efficacy of a low-cost mobile VR intervention in enhancing
upper limb muscle strength and motivating individuals with hemiparesis to
actively engage in their recovery.
weakened muscle strength in one side of the body, often caused by stroke or
brain injury. Rehabilitation is crucial for improving upper limb muscle strength
and functional recovery in individuals with hemiparesis. Mobile-based Virtual
Reality (VR) programs have emerged as an innovative and cost-effective
approach to augment conventional physiotherapy in rehabilitation. This study
investigates the efficacy of a low-cost mobile VR intervention in enhancing
upper limb muscle strength and motivating individuals with hemiparesis to
actively engage in their recovery.
Methods:
A quasi-experimental study was conducted with 20 participants, divided into two groups: an experimental group receiving the combined intervention of mobile-based VR programs and
conventional physiotherapy, and a control group receiving only conventional
physiotherapy. The intervention spanned four weeks, with sessions held three
days a week. Pre-test and post-test measurements were taken for various upper
limb muscle groups using Manual Muscle Testing (MMT). Correlation analyses
were conducted to assess the effectiveness of the intervention.
conventional physiotherapy, and a control group receiving only conventional
physiotherapy. The intervention spanned four weeks, with sessions held three
days a week. Pre-test and post-test measurements were taken for various upper
limb muscle groups using Manual Muscle Testing (MMT). Correlation analyses
were conducted to assess the effectiveness of the intervention.
Results:
The results revealed a strong and statistically significant positive correlation
between pre-test and post-test MMT scores in the experimental group,
indicating substantial improvements in upper limb muscle strength. In contrast,
the control group exhibited more modest gains. The integration of mobile-based
VR programs led to increased motivation and engagement among participants,
contributing to better adherence to the rehabilitation routine. Conclusion: The
integration of affordable mobile VR solutions in hemiparesis rehabilitation
presents a promising approach to empower individuals on their journey to
recovery. By improving upper limb muscle strength and motivating active
participation in rehabilitation, mobile VR interventions like "CyberRehab"
have the potential to revolutionize the field of hemiparesis recovery, ultimately
enhancing the quality of life for those affected by this condition.
Keywords: Mobile-based Virtual Reality, Strength Training, functional
Recovery, Technology-assisted rehabilitation, MMT
1. Introduction
Stroke, traumatic brain injury, and other neurological conditions can lead to hemiparesis, a condition
characterized by muscle weakness on one side of the body, particularly in the upper limb. Rehabilitation is
essential for individuals with hemiparesis to regain strength, dexterity, and function in their affected arm and hand.1 Upper limb (UL) dysfunction occurs in 50–80% of people who have had a stroke in the acute phase and 40–50% of those who have had a stroke in the chronic phase, and it has a significant impact on everyday activities.2 Physiotherapy approaches are performed for the purpose of decreasing limb and shoulder pain,
Cyberrehab: Empowering Hemiparesis Recovery with Affordable Mobile Virtual Reality Solutions for Upper Limb Strength
- 101 - Available online at: https://jazindia.com
heaviness, tightness, to increase range of motion, facilitating tissue healing and to avoid chest related
complications. So, physiotherapy treatment is proved to very helpful in improving the quality of life, increase the functional abilities and decrease the psychological distress in the patients.3 Traditional rehabilitation methods are effective but often lack the engagement and motivation needed for long-term adherence to treatment plans. To address this challenge, low-cost mobile-based virtual reality (VR) programs have emerged as a promising solution to improve upper limb muscle strength in hemiparesis.4Hemiparesis affects the daily lives and independence of individuals, making it vital to seek effective rehabilitation strategies. Traditionally, rehabilitation has relied on repetitive and often tedious exercises under the supervision of healthcare professionals. However, adherence to these routines can be challenging, leading to slower recovery and diminished motivation.5In recent years, the field of rehabilitation has witnessed a transformative shift with the integration of virtual reality technologies, offering immersive and engaging experiences that have the potential to enhance upper limb muscle strength in individuals with hemiparesis. Virtual reality presents a novel approach to rehabilitation by providing an interactive and enjoyable platform that fosters active participation.6 Patients are generally thought to experience less UL motor recovery than LL motor recovery; however, this clinical belief is typically based on disability assessments rather than tests of specific motor deficits of the UL and LL. Young patients with stroke experiencing severe motor impairment in the lower extremities may have functional gait (i.e., significant impairment but limited disability).7Low-cost mobile-based virtual reality programs leverage the ubiquity of smartphones and affordable VR hardware, making them an accessible and cost-effective option for a broader range of patients. This approach not only addresses the cost barriers associated with traditional rehabilitation methods but also allows users to perform exercises in the comfort of their own homes, thereby increasing the frequency and consistency of their rehabilitation routines.8This novel approach to rehabilitation combines the benefits of traditional therapy with the allure of immersive and interactive experiences. It offers customizable exercise routines, realtime feedback, and a gamified approach, making rehabilitation not only more effective but also enjoyable for individuals with hemiparesis.
By providing engaging exercises and tracking progress, these programs can significantly improve motivation and compliance, ultimately leading to enhanced upper limb muscle strength and functional recovery.9This study will explore the potential of low-cost mobile-based virtual reality programs as a means to address the challenges of hemiparesis rehabilitation. We will discuss program design, customization, accessibility, and user engagement, as well as the integration of such programs with traditional clinical care. Through a review of relevant literature and insights from ongoing research, we aim to shed light on the promising future of mobile VR in hemiparesis rehabilitation, offering an innovative and accessible solution to improve upper limb muscle strength and overall quality of life for those affected by this condition.
between pre-test and post-test MMT scores in the experimental group,
indicating substantial improvements in upper limb muscle strength. In contrast,
the control group exhibited more modest gains. The integration of mobile-based
VR programs led to increased motivation and engagement among participants,
contributing to better adherence to the rehabilitation routine. Conclusion: The
integration of affordable mobile VR solutions in hemiparesis rehabilitation
presents a promising approach to empower individuals on their journey to
recovery. By improving upper limb muscle strength and motivating active
participation in rehabilitation, mobile VR interventions like "CyberRehab"
have the potential to revolutionize the field of hemiparesis recovery, ultimately
enhancing the quality of life for those affected by this condition.
Keywords: Mobile-based Virtual Reality, Strength Training, functional
Recovery, Technology-assisted rehabilitation, MMT
1. Introduction
Stroke, traumatic brain injury, and other neurological conditions can lead to hemiparesis, a condition
characterized by muscle weakness on one side of the body, particularly in the upper limb. Rehabilitation is
essential for individuals with hemiparesis to regain strength, dexterity, and function in their affected arm and hand.1 Upper limb (UL) dysfunction occurs in 50–80% of people who have had a stroke in the acute phase and 40–50% of those who have had a stroke in the chronic phase, and it has a significant impact on everyday activities.2 Physiotherapy approaches are performed for the purpose of decreasing limb and shoulder pain,
Cyberrehab: Empowering Hemiparesis Recovery with Affordable Mobile Virtual Reality Solutions for Upper Limb Strength
- 101 - Available online at: https://jazindia.com
heaviness, tightness, to increase range of motion, facilitating tissue healing and to avoid chest related
complications. So, physiotherapy treatment is proved to very helpful in improving the quality of life, increase the functional abilities and decrease the psychological distress in the patients.3 Traditional rehabilitation methods are effective but often lack the engagement and motivation needed for long-term adherence to treatment plans. To address this challenge, low-cost mobile-based virtual reality (VR) programs have emerged as a promising solution to improve upper limb muscle strength in hemiparesis.4Hemiparesis affects the daily lives and independence of individuals, making it vital to seek effective rehabilitation strategies. Traditionally, rehabilitation has relied on repetitive and often tedious exercises under the supervision of healthcare professionals. However, adherence to these routines can be challenging, leading to slower recovery and diminished motivation.5In recent years, the field of rehabilitation has witnessed a transformative shift with the integration of virtual reality technologies, offering immersive and engaging experiences that have the potential to enhance upper limb muscle strength in individuals with hemiparesis. Virtual reality presents a novel approach to rehabilitation by providing an interactive and enjoyable platform that fosters active participation.6 Patients are generally thought to experience less UL motor recovery than LL motor recovery; however, this clinical belief is typically based on disability assessments rather than tests of specific motor deficits of the UL and LL. Young patients with stroke experiencing severe motor impairment in the lower extremities may have functional gait (i.e., significant impairment but limited disability).7Low-cost mobile-based virtual reality programs leverage the ubiquity of smartphones and affordable VR hardware, making them an accessible and cost-effective option for a broader range of patients. This approach not only addresses the cost barriers associated with traditional rehabilitation methods but also allows users to perform exercises in the comfort of their own homes, thereby increasing the frequency and consistency of their rehabilitation routines.8This novel approach to rehabilitation combines the benefits of traditional therapy with the allure of immersive and interactive experiences. It offers customizable exercise routines, realtime feedback, and a gamified approach, making rehabilitation not only more effective but also enjoyable for individuals with hemiparesis.
By providing engaging exercises and tracking progress, these programs can significantly improve motivation and compliance, ultimately leading to enhanced upper limb muscle strength and functional recovery.9This study will explore the potential of low-cost mobile-based virtual reality programs as a means to address the challenges of hemiparesis rehabilitation. We will discuss program design, customization, accessibility, and user engagement, as well as the integration of such programs with traditional clinical care. Through a review of relevant literature and insights from ongoing research, we aim to shed light on the promising future of mobile VR in hemiparesis rehabilitation, offering an innovative and accessible solution to improve upper limb muscle strength and overall quality of life for those affected by this condition.
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