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Assessment and Rehabilitation Using Virtual Reality after Stroke: A Literature Review

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Abstract

This chapter presents the studies that have used virtual reality as an assessment or rehabilitation tool of cognitive functions following a stroke. To be part of this review, publications must have made a collection of data from individuals who have suffered a stroke and must have been published between 1980 and 2017. A total of 50 publications were selected out of a possible 143 that were identified in the following databases: Academic Search Complete, CINAHL, MEDLINE, PsychINFO, Psychological and Behavioural Sciences Collection. Overall, we find that most of the studies that have used virtual reality with stroke patients focused on attention, spatial neglect, and executive functions/multitasking. Some studies have focused on route representation, episodic memory, and prospective memory. Virtual reality has been used for training of cognitive functions with stroke patients, but also for their assessment. Overall, the studies support the value and relevance of virtual reality as an assessment and rehabilitation tool with people who have suffered a stroke. Virtual reality seems indeed an interesting way to better describe the functioning of the person in everyday life. Virtual reality also sometimes seems to be more sensitive than traditional approaches for detecting deficits in stroke people. However, it is important to pursue work in this emergent field in clinical neuropsychology.

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References

  • Ansuini, C., Pierno, A. C., Lusher, D., & Castiello, U. (2006). Virtual reality applications for the remapping of space in neglect patients. Restorative Neurology and Neuroscience, 24(4–6), 431–441.

    Google Scholar 

  • Baheux, K., Yoshikawa, M., Tanaka, A., Seki, K., & Handa, Y. (2004). Diagnosis and rehabilitation of patients with hemispatial neglect using virtual reality technology. Conference proceedings: Annual international conference of the IEEE engineering in medicine and biology society, 7, 4908–4911.

    Google Scholar 

  • Baheux, K., Yoshizawa, M., Tanaka, A., Seki, K., & Handa, Y. (2005). Diagnosis and rehabilitation of hemispatial neglect patients with virtual reality technology. Technology and health care. Official Journal of the European Society for Engineering and Medicine, 13(4), 245–260.

    Google Scholar 

  • Baheux, K., Yoshizawa, M., Seki, K., & Handa, Y. (2006). Virtual reality pencil and paper test for neglect: A protocol. CyberPsychology & Behaviour, 9(2), 192–195.

    Article  Google Scholar 

  • Broeren, J., Samuelsson, H., Stibrant-Sunnerhagen, K., Blomstrand, C., & Rydmark, M. (2007). Neglect assessment as an application of virtual reality. Acta Neurlogica Scandinavica, 116, 157–163.

    Article  CAS  Google Scholar 

  • Brooks, B. M., Rose, F. D., Potter, J., Jayawardena, S., & Morling, A. (2004). Assessing stroke patients’ prospective memory using virtual reality. Brain Injury, 18(4), 391–401.

    Article  CAS  Google Scholar 

  • Buxbaum, L. J., Palermo, M., Mastrogiovanni, D., Read, M., Rosenberg-Pitonyak, E., Rizzo, A. A., & Coslett, H. (2008). Assessment of spatial attention and neglect with a virtual wheelchair navigation task. Journal of Clinical & Experimental Neuropsychology, 30(6), 650–660.

    Article  Google Scholar 

  • Buxbaum, L. J., Dawson, A. M., & Linsley, D. (2012). Reliability and validity of the virtual reality lateralized attention test in assessing hemispatial neglect in right-hemisphere stroke. Neuropsychology, 26(4), 430–441.

    Article  Google Scholar 

  • Cameirão, M. S., Faria, A. L., Paulino, T., Alves, J., & i Badia, S. B. (2016). The impact of positive, negative and neutral stimuli in a virtual reality cognitive-motor rehabilitation task: a pilot study with stroke patients. Journal of Neuroengineering and Rehabilitation, 13(1), 70.

    Google Scholar 

  • Carelli, L., Rusconi, M. L., Mattioli, F., Stampatori, C., Morganti, F., & Riva, G. (2009). Neuropsychological and virtual reality assessment in topographical disorientation. Annual Review of Cybertherapy and Telemedicine, 7, 230–233.

    Google Scholar 

  • Carelli, L., Rusconi, M. L., Scarabelli, C., Stampatori, C., Mattioli, F., & Riva, G. (2011). The transfer from survey (map-like) to route representations into virtual reality Mazes: effect of age and cerebral lesion. Journal Of Neuroengineering And Rehabilitation, 2011 Jan 31; Vol 8, pp 6 Electronic Publication.

    Google Scholar 

  • Castiello, U., Lusher, D., Burton, C., Glover, S., & Disler, P. (2004). Improving left hemispatial neglect using virtual reality. Neurology, 62, 1958–1962.

    Article  CAS  Google Scholar 

  • Cherniack, E. P. (2011). Not just fun and games: Applications of virtual reality in the identification and rehabilitation of cognitive disorders of the elderly. Disability and Rehabilitation: Assistive Technology, 6(4), 283–289. https://doi.org/10.3109/17483107.2010.542570.

    Article  Google Scholar 

  • Crosbie, J. H., Lennon, S., Basford, J. R., & McDonough, S. M. (2007). Virtual reality in stroke rehabilitation: Still more virtual than real. Disability and Rehabilitation, 29(14), 1139–1146.

    Article  CAS  Google Scholar 

  • Dawson, A. M., Buxbaum, L. J., & Rizzo, A. A. (2008). The virtual reality lateralized attention test: Sensitivity and validity of a new clinical tool for assessing hemispatial neglect. Virtual Rehabilitation, 77–82. https://doi.org/10.1109/ICVR.2008.4625140.

  • Dvorkin, A. Y., Rymer, W. Z., Harvey, R. L., Bogey, R. A., & Patton, J. L. (2008). Assessment and monitoring of recovery of spatial neglect within a virtual environment. Proceedings of the IEEE Virtual Rehabilitation, 88–92.

    Google Scholar 

  • Dvorkin, A. Y., Bogey, R. A., Harvey, R. L., & Patton, J. L. (2012). Mapping the neglected space: Gradients of detection revealed by virtual reality. Neurorehabilitation and Neural Repair, 26(2), 120–131. https://doi.org/10.1177/1545968311410068.

    Article  Google Scholar 

  • Edmans, J., Gladman, J., Walker, M., Sunderland, A., Porter, A., & Fraser, D. S. (2004). Mixed reality environments in stroke rehabilitation: Development as rehabilitation tools. International Journal on Disability and Human Development, 6(1), 39–45.

    Google Scholar 

  • Faria, A. L., Andrade, A., Soares, L., & i Badia, S. B. (2016). Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: A randomized controlled trial with stroke patients. Journal of Neuroengineering and Rehabilitation, 13(1), 96.

    Article  Google Scholar 

  • Fordell, H., Bodin, K., Bucht, G., & Malm, J. (2011). A virtual reality test battery for assessment and screening of spatial neglect. Acta Neurologica Scandinavica, 123, 167–174. https://doi.org/10.1111/j.1600-0404.2010.01390.x.

    Article  CAS  Google Scholar 

  • Gamito, P., Oliveira, J., Coelho, C., Morais, D., Lopes, P., Pacheco, J., & Barata, A. F. (2017). Cognitive training on stroke patients via virtual reality-based serious games. Disability and Rehabilitation, 39(4), 385–388.

    Article  Google Scholar 

  • Glover, S., & Castiello, U. (2006). Recovering space in unilateral neglect: A neurological dissociation revealed by virtual reality. Journal of Cognitive Neuroscience, 18(5), 833–843.

    Article  Google Scholar 

  • Guilbert, A., Clément, S., Martin, Y., Feuillet, A., & Moroni, C. (2016). Exogenous orienting of attention in hearing: A virtual reality paradigm to assess auditory attention in neglect patients. Experimental Brain Research, 234(10), 2893–2903.

    Article  Google Scholar 

  • Gupta, V., Knott, B. A., Kodgi, S., & Lathan, C. E. (2000). Using the “vreye” system for the assessment of unilateral visual neglect: Two case reports. Presence: Teleoperators & Virtual Environments, 9(3), 268–286.

    Article  Google Scholar 

  • Jannink, M. J. A., Aznar, M., de Kort, A. C., van de Vis, W., Veltink, P., & van der Kooij, H. (2009). Assessment of visuospatial neglect in stroke patients using virtual reality: A pilot study. International Journal of Rehabilitation Research, 32(4), 280–286.

    Article  Google Scholar 

  • Jovanovski, D., Zakzanis, K., Ruttan, L., Campbell, Z., Erb, S., & Nussbaum, D. (2012). Ecologically valid assessment of executive dysfunction using a novel virtual reality task in patients with acquired brain injury. Applied Neuropsychology, 19, 207–220. https://doi.org/10.1080/09084282.2011.643956.

    Article  Google Scholar 

  • Kang, Y. J., Ku, J., Han, K., Kim, S. I., Yu, T. W., Lee, J. H., & Park, C. I. (2008). Development and clinical trial of virtual reality-based cognitive assessment in people with stroke: Preleminary study. CyberPsychology & Behaviour, 11(3), 329–339.

    Article  Google Scholar 

  • Katz, N., Ring, H., Naveh, Y., Kizony, R., Feintuch, U., & Weiss, P. L. (2005). Interactive virtual environment training for safe street crossing of right hemisphere stroke patients with unilateral spatial neglect. Disability and Rehabilitation, 27(20), 1235–1243.

    Article  CAS  Google Scholar 

  • Kim, K., Kim, J., Ku, J., Kim, D. Y., Chang, W. H., Shin, D. I., Lee, J. H., Kim, I. Y., & Kim, S. I. (2004). A virtual reality assessment and training system for unilateral neglect. CyberPsychology & Behaviour, 7, 742–749.

    Article  Google Scholar 

  • Kim, J., Kim, K., Kim, D. Y., Chang, W. H., Park, C.-I., Ohn, S. H., Han, K., Ku, J., Nam, S. W., Kim, I. Y., & Kim, S. I. (2007). Virtual environment training system for rehabilitation of stroke patients with unilateral neglect: Crossing the virtual street. CyberPsychology & Behaviour, 10(1), 7–15.

    Article  Google Scholar 

  • Kim, D. Y., Ku, J., Chang, W. H., Park, T. H., Lim, J. Y., Han, K., Kim, I. Y., & Kim, S. I. (2010). Assessment of post-stroke extrapersonal neglect using a three-dimensional immersive virtual street crossing program. Acta Neurologica Scandinavica, 121, 171–177. https://doi.org/10.1111/j.1600-0404.2009.01194.x.

    Article  CAS  Google Scholar 

  • Kim, B. R., Chun, M. H., Kim, L. S., & Park, J. Y. (2011b). Effect of virtual reality on cognition in stroke patients. Annals of Rehabilitation Medicine, 35(3), 450–459.

    Article  Google Scholar 

  • Kim, Y. M., Chun, M. H., Yun, G. J., Song, Y. J., & Young, H. E. (2011a). The effect of virtual reality training on unilateral spatial neglect in stroke patients. Annals of Rehabilitation Medicine, 35(3), 309–315.

    Article  Google Scholar 

  • Knight, C., Alderman, N., & Burgess, P. W. (2002). Development of a simplified version of the multiple errands test for use in hospital settings. Neuropsychological Rehabilitation, 12(3), 231–255.

    Article  Google Scholar 

  • Lee, J. H., Ku, J., Cho, W., Hahn, W. Y., Kim, I. Y., Lee, S.-M., Kang, Y., Kim, D. Y., Yu, T., Wiederhold, B. K., Wiederhold, M., & Kim, S. I. (2003). A virtual reality system for the assessment and rehabilitation of the activities of daily living. CyberPsychology & Behaviour, 6(4), 383–388.

    Article  Google Scholar 

  • Lisa, L. P., Jughters, A., & Kerckhofs, E. (2013). The effectiveness of different treatment modalities for the rehabilitation of unilateral neglect in stroke patients: A systematic review. NeuroRehabilitation, 33, 611–620. https://doi.org/10.3233/NRE-130986.

    Article  Google Scholar 

  • Maier, M., Bañuelos, N. L., Ballester, B. R., Duarte, E., & Verschure, P. F. (2017, July). Conjunctive rehabilitation of multiple cognitive domains for chronic stroke patients in virtual reality. In Rehabilitation Robotics (ICORR), 2017 international conference on (pp. 947–952). IEEE.

    Google Scholar 

  • Morganti, F. (2004). Virtual interaction in cognitive neuropsychology. Studies in Health, Technologies and Informatics, 99, 55–70.

    Google Scholar 

  • Myers, R. L., & Bierig, T. (2003). Virtual reality and left hemineglect: A technology for assessment and therapy. CyberPsychology & Behaviour, 3, 465–468.

    Article  Google Scholar 

  • Navarro, M_. D., Llorens, R., Noé, E., Ferri, J., & Alcaniz, M. (2013). Validation of a low-cost virtual reality system for training street-crossing. A comparative study in healthy, neglected and non-neglected stroke individuals. Neuropsychological Rehabilitation, 23(4), 597–618. https://doi.org/10.1080/09602011.2013.806269.

    Article  Google Scholar 

  • Nir-Hadad, S. Y., Weiss, P. L., Waizman, A., Schwartz, N., & Kizony, R. (2017). A virtual shopping task for the assessment of executive functions: Validity for people with stroke. Neuropsychological Rehabilitation, 27(5), 808–833.

    Article  Google Scholar 

  • Pridmore, T., Cobb, S., Hilton, D., Green, J., & Eastgate, R. (2007). Mixed reality environments in stroke rehabilitation: Interfaces across the real-virtual divide. International Journal of Disability and Human Development, 6(1), 87–95.

    Article  Google Scholar 

  • Rand, D., Katz, N., Kizony, R., & Weiss, P. L. (2005). The virtual mall: a functional virtual environment for stroke rehabilitation. Annual Review of CyberTherapy and Telemedicine, 3, 193–198.

    Google Scholar 

  • Rand, D., Katz, N., & Weiss, P. L. (2007). Evaluation of virtual shopping in the VMall: Comparison of post-stroke participants to healthy control groups. Disability and Rehabilitation, 29, 1710–1719.

    Article  Google Scholar 

  • Rand, D., Basha-Abu Rukan, S., Weiss, P. L., & Katz, N. (2009a). Validation of the virtual MET as an assessment tool for executive functions. Neuropsychological Rehabilitation, 19, 583–602.

    Article  Google Scholar 

  • Rand, D., Weiss, P. L., & Katz, N. (2009b). Training multitasking in virtual supermarket: A novel intervention after stroke. The American Journal of Occupational Therapy, 63(5), 535–542.

    Article  Google Scholar 

  • Raspelli, S., Carelli, L., Morganti, F., Poletti, B., Corra, B., Silani, V., & Riva, G. (2010). Implementation of the multiple errands test in NeuroVR supermarket: A possible approach. Studies in Health Technology and Informatics, 154, 115–119.

    Google Scholar 

  • Raspelli, S., Pallavicini, F., Carelli, L., Morganti, F., Poletti, B., Corra, B., Silani, V., & Riva, G. (2011). Validation of a neuro virtual reality-based version of the multiple errands test for the assessment of executive functions. Annual Review of CyberTheraphy and Telemedicine, 9, 72–80.

    Google Scholar 

  • Riva, G., Carelli, L., Gaggioli, A., Gorini, A., Vigna, C., Corsi, R., Faletti, G., & Vezzadini, L. (2009). NeuroVR 1.5 – a free virtual reality platform for the assessment and treatment in clinical psychology and neuroscience. Milan: Applied Technology for Neuro-Psychology Laboratory, Instituto Auxologico Italiano.

    Google Scholar 

  • Rose, F. D., Brooks, B. M., Attree, E. A., Parslow, D. M., Leadbetter, A. G., McNeil, J. E., Jayawardenas, S., Greenwood, R., & Potter, J. (1999). A preliminary investigation into the use of virtual environments in memory retraining after vascular brain injury: Indications for future strategy? Disability and Rehabilitation, 21(12), 548–554.

    Article  CAS  Google Scholar 

  • Rose, F. D., Brooks, B. M., & Rizzo, A. A. (2005). Virtual reality in brain damage rehabilitation: Review. CyberPsychology & Behaviour, 8(3), 241–262.

    Article  Google Scholar 

  • Rushton, S. K., Coles, K. L., & Wann, J. P. (1996). Virtual reality technology in the assessment and rehabilitation of unilateral visual neglect. 1st European Conference on Disability, Virtual Reality, and Associated Technologies. Maidenhead.

    Google Scholar 

  • Salva, A. M., Wiederhold, B. K., Alban, A. J., Hughes, C., Smith, E., Fidopiastis, C., & Wiederhold, M. D. (2009). Cognitive therapy using mixed reality for those impaired by cerebrovascular accident (CVA). Annual Review of Cybertherapy and Telemedicine, 7, 253–256.

    Google Scholar 

  • Shallice, T., & Burgess, P. W. (1991). Deficits in strategy application following frontal lobe damage in man. Brain, 114, 727–741.

    Article  Google Scholar 

  • Smith, J., Hebert, D., & Reid, D. (2007). Exploring the effects of virtual reality on unilateral neglect caused by stroke: Four case studies. Technology & Disability, 19, 29–40.

    Article  Google Scholar 

  • Tanaka, T., Sugihara, S., Nara, H., Ino, S., & Ifukube, T. (2005). A preliminary study of clinical assessment of the left unilateral spatial neglect using a head-mounted display system (HMD) in rehabilitation engineering technology. Journal of Neuroengineering & Rehabilitation, 2, 31–40.

    Article  Google Scholar 

  • Tanaka, T., Ifukube, T., Sugihara, S., & Izumi, T. (2010). A case study of new assessment and training of unilateral spatial neglect in stroke patients: Effect of visual image transformation and visual stimulation by using a head-mounted display system (HMD). Journal of Neuroengineering and Rehabilitation, 7(20), 1–8.

    Google Scholar 

  • Tsirlin, I., Dupierrix, E., Chokron, S., Coquillart, S., & Ohlmann, T. (2009). Uses of virtual reality for diagnosis, rehabilitation and study of unilateral spatial neglect: Review and analysis. CyberPsychology & Behaviour, 12(2), 175–181.

    Article  Google Scholar 

  • Weiss, P. L., Naveh, Y., & Katz, N. (2003). Design and testing of virtual environment to train stroke patients with unilateral spatial neglect to cross a street safely. Occupational Therapy International, 10(1), 39–55.

    Article  Google Scholar 

  • Williams, G. R., Jiang, J. G., Matchar, D. B., & Samsa, G. O. (1999). Incidence and occurrence of total (first-ever and recurrent) stroke. Stroke, 30, 2523–2528.

    Article  CAS  Google Scholar 

  • Yasuda, K., Muroi, D., Ohira, M., & Iwata, H. (2017). Validation of an immersive virtual reality system for training near and far space neglect in individuals with stroke: A pilot study. Topics in Stroke Rehabilitation, 24(7), 533–538.

    Article  Google Scholar 

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Nolin, P., Besnard, J., Allain, P., Banville, F. (2019). Assessment and Rehabilitation Using Virtual Reality after Stroke: A Literature Review. In: Rizzo, A.“., Bouchard, S. (eds) Virtual Reality for Psychological and Neurocognitive Interventions. Virtual Reality Technologies for Health and Clinical Applications. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9482-3_14

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