Abstract
Stroke is a disease that causes disability in adults due to the abrupt interruption of constant blood flow to the brain. Most people encounter difficulties with movement after a stroke, which prevents them from moving around. However, patients often show a lessened endurance and motivation in participating in these boring exercises. This may lead to an early termination of stroke rehabilitation, which can cause permanent disability in life. The application of virtual reality in stroke rehabilitation provides an immersive environment to increase the engagement of patients in rehabilitation exercises. In this study, a prototype named virtual lower limb stroke rehabilitation (VRLite) was developed and tested with post stroke patients on the accuracy of measurements and its usability and acceptance. The measurements of knee angles using Kinect and goniometer were compared using Bland-Altman plot to assess the system validity. The upper and lower LoA were 7.2° and −7.5° respectively. The result shows that 95% of LoA were within the upper and lower limit. The result shows that there is no significant difference between the measurements of knee angles using Kinect and goniometer. Hence, the developed program can be used interchangeably with the conventional rehabilitation.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Katan, M., Luft, A.: Global burden of stroke. Semin. Neurol. 38(2), 208–211 (2018)
Lo Buono, V., Corallo, F., Bramanti, P., Marino, S.: Coping strategies and health-related quality of life after stroke. J. Health Psychol. 22(1), 16–28 (2016)
Aqueveque, P., Ortega, P., Pino, E., Saavedra, F., Germany, E., Gómez, B.: Physical Disabilities - Therapeutic Implications. InTech, London (2017)
Qiu, Y., et al.: Fun-KneeTM: a novel smart knee sleeve for total-knee-replacement rehabilitation with gamification. In: 2017 IEEE 5th International Conference on Serious Games and Applications for Health, SeGAH, pp. 1–8. IEEE, Heidelberg (2017)
Hadning, I., Ikawati, Z., Andayani, T.M.: Stroke treatment cost analysis for consideration on health cost determination using INA- CBGs at Jogja hospital. Int. J. Public Health Sci. 4(4), 288–293 (2015)
Cornick, J.E., Blascovich, J.: Are virtual environments the new frontier in obesity management? Soc. Pers. Psychol. Compass 8(11), 650–658 (2014)
Porras, D.C., Siemonsma, P., Inzelberg, R., Zeilig, G., Plotnik, M.: Advantages of virtual reality in the rehabilitation of balance and gait: Systematic review. Neurology 90(22), 1017–1025 (2018)
Wiederhold, B., Miller, I., Wiederhold, M.: Using virtual reality to mobilize health care: mobile virtual reality technology for attenuation of anxiety and pain. IEEE Consum. Electron. Mag. 7(1), 106–109 (2018)
Bartnicka, J., Herrera, C., Michnik, R., Pavan, E.E., Vercesi, P., Varela-Donoso, E., Garrido, D.: The role of virtual reality and biomechanical technologies in stroke rehabilitation. In: Nazir, S., Teperi, A.-M., Polak-Sopińska, A. (eds.) AHFE 2018. AISC, vol. 785, pp. 351–361. Springer, Cham (2019). https://doi.org/10.1007/978-3-319-93882-0_34
Pei, W., Xu, G., Li, M., Ding, H., Zhang, S., Luo, A.: A motion rehabilitation self-training and evaluation system using Kinect. In: 2016 13th International Conference on Ubiquitous Robots and Ambient Intelligence, pp. 353–357. IEEE, Xi’an (2016)
Patil, Y.: A multi-interface vr platform for rehabilitation research. In: Proceedings of the 2017 CHI Conference Extended Abstracts on Human Factors in Computing Systems, pp. 154–159. ACM, Denver (2017)
López-Jaquero, V., Montero, F., Teruel, M.A.: Influence awareness: considering motivation in computer-assisted rehabilitation. J. Ambient Intell. Humaniz. Comput. 10(6), 2185–2197 (2019)
Wei Jian, L., Syadiah Nor, W.S.: The design of virtual lower limb rehabilitation for post-stroke patients. Indonesian J. Electr. Eng. Comput. Sci. 16(1), 544–552 (2019)
Bland, J.M., Altman, D.G.: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 327(8476), 307–310 (1986)
Doǧan, N.Ö., et al.: The accuracy of mainstream end-tidal carbon dioxide levels to predict the severity of chronic obstructive pulmonary disease exacerbations presented to the ED. Am. J. Emerg. Med. 32(5), 408–411 (2014)
Horne, M., Thomas, N., Vail, A., Selles, R., McCabe, C., Tyson, S.: Staff’s views on delivering patient-led therapy during inpatient stroke rehabilitation: a focus group study with lessons for trial fidelity. Trials 16(1), 1–8 (2015)
Acknowledgement
This work is financially supported by the eScience Fund awarded by the Ministry of Science, Technology and Innovation, Malaysia.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Jian, L.W., Wan Shamsuddin, S.N. (2019). Virtual Lower Limb Stroke Rehabilitation to Assess Post Stroke Patients. In: Badioze Zaman, H., et al. Advances in Visual Informatics. IVIC 2019. Lecture Notes in Computer Science(), vol 11870. Springer, Cham. https://doi.org/10.1007/978-3-030-34032-2_31
Download citation
DOI: https://doi.org/10.1007/978-3-030-34032-2_31
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-34031-5
Online ISBN: 978-3-030-34032-2
eBook Packages: Computer ScienceComputer Science (R0)