Feasibility and usability of a virtual-reality-based sensorimotor activation apparatus for carpal tunnel syndrome patients.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
19
04
2023
accepted:
15
09
2023
medline:
1
11
2023
pubmed:
11
10
2023
entrez:
11
10
2023
Statut:
epublish
Résumé
This study aimed to assess the usability of a virtual reality-assisted sensorimotor activation (VRSMA) apparatus for individual digit rehabilitation. The study had two main objectives: Firstly, to collect preliminary data on the expectations and preferences of patients with carpal tunnel syndrome (CTS) regarding virtual reality (VR) and an apparatus-assisted therapy for their affected digits. Secondly, to evaluate the usability of the VRSMA apparatus that was developed. The VRSMA system consists of an apparatus that provides sensory and motor stimulation via a vibratory motor and pressure sensor attached to a button, and a virtual reality-based visual cue provided by texts overlaid on top of a 3D model of a hand. The study involved 10 CTS patients who completed five blocks of VRSMA with their affected hand, with each block corresponding to the five digits. The patients were asked to complete a user expectations questionnaire before experiencing the VRSMA, and a user evaluation questionnaire after completing the VRSMA. Expectations for VRSMA were obtained from the questionnaire results using a House of Quality (HoQ) analysis. In the survey for expectations, participants rated certain attributes as important for a rehabilitation device for CTS, with mean ratings above 4 for attributes such as ease of use, ease of understanding, motivation, and improvement of hand function based on clinical evidence. The level of immersion and an interesting rehabilitation regime received lower ratings, with mean ratings above 3.5. The survey evaluating VRSMA showed that the current prototype was overall satisfactory with a mean rating of 3.9 out of 5. Based on the HoQ matrix, the highest priority for development of the VRSMA was to enhance device comfort and usage time. This was followed by the need to perform more clinical studies to provide evidence of the efficacy of the VRSMA. Other technical characteristics, such as VRSMA content and device reliability, had lower priority scores. The current study presents a potential for an individual digit sensorimotor rehabilitation device that is well-liked by CTS patients.
Identifiants
pubmed: 37819927
doi: 10.1371/journal.pone.0292494
pii: PONE-D-23-09552
pmc: PMC10566719
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0292494Informations de copyright
Copyright: © 2023 Lakshminarayanan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Neurorehabil Neural Repair. 2009 Jan;23(1):67-77
pubmed: 18645190
PLoS One. 2014 Mar 14;9(3):e92063
pubmed: 24632925
Mov Disord. 2018 Jan;33(1):179-180
pubmed: 29150859
Electroencephalogr Clin Neurophysiol. 1992 Feb;85(1):1-8
pubmed: 1371738
Ann Neurol. 1995 Jul;38(1):15-20
pubmed: 7611718
Arch Phys Med Rehabil. 2009 Dec;90(12):2108-11
pubmed: 19969176
J Rehabil Res Dev. 2016;53(3):321-34
pubmed: 27271199
Neuroimage Clin. 2013;2:313-319
pubmed: 23799199
Disabil Rehabil Assist Technol. 2017 Feb;12(2):175-183
pubmed: 26735630
Brain Sci. 2023 Feb 14;13(2):
pubmed: 36831864
Neurosci Lett. 1998 Jun 26;250(1):5-8
pubmed: 9696052
Neurol Res. 2008 Dec;30(10):1084-5
pubmed: 18768107
Hum Brain Mapp. 2002 Sep;17(1):28-36
pubmed: 12203686
J Neurosci. 1998 Feb 1;18(3):1115-23
pubmed: 9437031
Neuroimage. 2006 Jun;31(2):520-30
pubmed: 16460960
Ergonomics. 1999 Apr;42(4):550-64
pubmed: 10204420
Brain. 2014 Jun;137(Pt 6):1741-52
pubmed: 24740988
Motor Control. 2023 Feb 17;27(3):559-572
pubmed: 36801814
Int J Neurosci. 2016 Nov;126(11):1007-12
pubmed: 26473535
Eur J Neurosci. 2013 May;37(9):1441-7
pubmed: 23414211
Clin Orthop Relat Res. 2014 Aug;472(8):2526-33
pubmed: 24777728
Eur J Phys Rehabil Med. 2014 Apr;50(2):231-42
pubmed: 24842220
Clin Neurophysiol. 2015 Jan;126(1):194-201
pubmed: 24877682
J Neuroeng Rehabil. 2017 May 2;14(1):36
pubmed: 28464891
Prog Brain Res. 2013;207:379-401
pubmed: 24309263
Clin Rehabil. 2015 Aug;29(8):771-82
pubmed: 25381344
Arthritis Care Res (Hoboken). 2013 Dec;65(12):2041-5
pubmed: 23925936
Clin Neurophysiol. 2004 Jun;115(6):1264-75
pubmed: 15134693
J Neurosci. 2012 Jan 25;32(4):1293-300
pubmed: 22279214
J Hand Ther. 1993 Apr-Jun;6(2):89-104
pubmed: 8393727
Front Neurosci. 2023 Jun 13;17:1201865
pubmed: 37383098
J Hand Surg Am. 2008 Sep;33(7):1069-75
pubmed: 18762099
Stroke. 2000 Jun;31(6):1210-6
pubmed: 10835434