IEEE Trans Neural Syst Rehabil Eng. 2018 Jul;26(7):1469-1478. doi: 10.1109/TNSRE.2018.2846814.
The past decade has seen the emergence of rehabilitation treatments using virtual reality (VR) environments although translation into clinical practice has been limited so far. In this paper, an immersive VR rehabilitation training system endowed with wearable haptics is proposed for children with neuromotor impairments: it aims to enhance involvement and engagement of patients, to provide congruent multi-sensory afferent feedback during motor exercises and to benefit from the flexibility of VR in adapting exercises to the patient's need. An experimental rehabilitation session conducted with children with cerebral palsy (CP) and developmental dyspraxia (DD) has been performed to evaluate the usability of the system and proof of concept trial of the proposed approach. We compared CP/DD performance with both typically developing children and adult control group. Results show the system was compliant with different levels of motor skills and allowed patients to complete the experimental rehabilitation session, with performance varying according to the expected motor abilities of different groups. Moreover, a kinematic assessmentbased on the presented system has been designed. Obtained results reflected different motor abilities of patients and participants, suggesting suitability of the proposed kinematic assessment as a motor function outcome.
过去十年见证了使用虚拟现实（VR）环境的康复治疗方法的出现，尽管迄今为止，这种方法在向临床实践的转化方面仍受到限制。在本文中，我们提出了一种具有可穿戴触觉功能的沉浸式 VR 康复训练系统，用于患有神经运动障碍的儿童：其旨在增强患者的参与度和投入度，在运动训练期间提供一致的多感觉传入反馈，并受益于 VR 的灵活性，使其能够根据患者的需求调整训练内容。已经对脑瘫（CP）和发育性运动障碍（DD）儿童进行了康复实验，以评估该系统的可用性和所提出方法的概念验证试验。我们将 CP/DD 的表现与正常发育儿童和成人对照组进行了比较。结果表明，该系统符合不同运动技能水平的要求，并且允许患者完成实验性康复训练，其性能因不同组预期的运动能力而有所不同。此外，还设计了基于所提出系统的运动学评估。获得的结果反映了患者和参与者的不同运动能力，表明所提出的运动学评估作为一种运动功能结果是合适的。
