Journal article
Assessing perceptions to a virtual reality intervention to improve trunk control in Parkinson's disease: a preliminary study
Virtual reality : the journal of the Virtual Reality Society, v 27(1), pp 465-479
01 Mar 2023
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Trunk control and postural instability remain critical markers of functional status in Parkinson's Disease (PD). As pharmacological and invasive neuro-stimulation interventions provide only limited benefits for trunk and postural control, exercise-based interventions may provide the only effective path to improving functional outcomes for balance in PD. We describe the framework for a virtual reality (VR) graded exercise-based intervention focused on improving trunk mobility and control, including preliminary outcomes on perceptions and motion capabilities of individuals with PD. The study collected whole-body motion capture from 11 PD participants (8M, 3F; H&Y Stage I-III) as they performed tasks within a custom-designed set of VR therapies. Therapies involved static interactions (e.g., matching a cube sequence set to anthropometrically relevant locations to elicit specific trunk motions-Matchality), and more dynamic tasks (e.g., intercepting virtual fish jumping from a lake-Fishality, or a virtual session of dodgeball-Dodgeality). Participants were able to safely complete all tasks while performing trunk excursions requiring functionally relevant ranges of motion, and which altered across VR environment (F-(1,F-10) = 8.319, p = 0.016). Overall, satisfaction with the MoVR therapy suite was high with 96% of responses showing agreement to questions relating to 'immersion,' 'fun,' and elements of player engagement. These results provide early safety, usability, and feasibility outcomes for VR interventions that require specific trunk excursions. Future work should confirm the effectiveness of VR interventions longitudinally on PD-specific trunk outcomes (e.g., trunk rigidity) and global balance/mobility measures associated with improved functional status.
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Details
- Title
- Assessing perceptions to a virtual reality intervention to improve trunk control in Parkinson's disease: a preliminary study
- Creators
- Alexander Stamenkovic - Virginia Commonwealth UniversityMatthew Underation - Virginia Commonwealth UniversityLeslie J. Cloud - Virginia Commonwealth UniversityPeter E. Pidcoe - Virginia Commonwealth UniversityMark S. Baron - Virginia Commonwealth UniversityRobert Hand - Virginia Commonwealth UniversityChristopher R. France - Ohio UniversitySusanne M. van der Veen - Virginia Commonwealth UniversityJames S. Thomas - Virginia Commonwealth University
- Publication Details
- Virtual reality : the journal of the Virtual Reality Society, v 27(1), pp 465-479
- Publisher
- Springer Nature
- Number of pages
- 15
- Grant note
- VCU Parkinson's and Movement Disorders Center Pilot Grant R01HD088417; R01AT006978 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA UL1TR002649 / National Center for Research Resources; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000840271200001
- Scopus ID
- 2-s2.0-85135872333
- Other Identifier
- 991021866822104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Computer Science, Interdisciplinary Applications
- Computer Science, Software Engineering
- Imaging Science & Photographic Technology