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Automate Virtual Reality Rehabilitation Evaluation for Chronic Imbalance and Vestibular Dysfunction Patients

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Advanced Technologies, Embedded and Multimedia for Human-centric Computing

Abstract

Dizziness is a major consequence of chronic imbalance and vestibular dysfunction, which prevents people performing their routine tasks and affects their quality of life. It may lead to severe injuries caused by unexpected falling. Medicine treatment can alleviate the syndrome of dizziness and past research shows that dizziness can be further reduced if appropriate vestibular function rehabilitation exercises are practiced regularly. Nevertheless, these exercises are usually time-consuming and tedious because of repetitive motions. Most of patients ceases practicing accordingly and reduce the effectiveness of rehabilitation. In order to encourage patients to be involved in the rehabilitation process, interactive rehabilitative gaming systems are introduced in the recent research. Virtual reality technology is used to enhance the gaming experiences and vision sensors are served as gaming inputs. This paper proposes a series of novel virtual reality games adapted by Cawthorne-Cooksey exercises, which are extensively used in clinical for chronic imbalance and vestibular dysfunction rehabilitation. 32 patients participate in the rehabilitation processes within two months period and their gaming parameters and quantified balance indices are analyzed by the supported vector machine (SVM) classifier. It shows that ~81 % patients improve their game parameters and balance indices after undertaking the dizziness rehabilitation training compared to the measurement they had. Our clinical observations also reveal that our patients have higher willing and motivation to regularly perform rehabilitation with the proposed system.

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References

  1. Monsell EM (1995) New and revised reporting guidelines from the Committee on hearing and equilibrium. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngology Head Neck Surgery 1995, vol 113, pp 176–178

    Google Scholar 

  2. Gauchard GC, Jeandel C, Perrin PP (2001) Physical and sporting activities improve vestibular afferent usage and balance in elderly human subjects. Gerontology 47:263–270

    Article  Google Scholar 

  3. Greenspan SL, Myers ER, Maitland LA, Resnick NM, Hayes WC (1994) Fall severity and bone mineral density as risk factors for hip fracture in ambulatory elderly. JAMA 271:128–133

    Article  Google Scholar 

  4. Luukinen H, Herala M, Koski K, Honkanen R, Laippala P, Kivelä SL (2000) Fracture risk associated with a fall according to type of fall among the elderly. Osteoporos Int 11:631–634

    Article  Google Scholar 

  5. Schubert MC, Whitney SL (2010) From Cawthorne-Cooksey to biotechnology: where we have been and where we are headed in vestibular rehabilitation? J Neurol Phys Ther 34:62–63

    Article  Google Scholar 

  6. Corna S, Nardone A, Prestinari A, Galante M, Grasso M, Schieppati M (2003) Comparison of Cawthorne-Cooksey exercises and sinusoidal support surface translations to improve balance in patients with unilateral vestibular deficit. Arch Phys Med Rehabil 84:1173–1184

    Article  Google Scholar 

  7. Adamovich SV, Fluet GG, Merians AS, Mathai A, Qiu Q (2009) Incorporating haptic effects into three-dimensional virtual environments to train the hemiparetic upper extremity. IEEE Trans Neural Syst Rehabil Eng 17:512–520

    Article  Google Scholar 

  8. Holden MK (2005) Virtual environments for motor rehabilitation: review. Cyberpsychol Behav 8:187–211

    Article  Google Scholar 

  9. Lahiri U, Warren Z, Sarkar N (2011) Design of a gaze-sensitive virtual social interactive system for children with autism. IEEE Trans Neural Syst Rehabil Eng 19:443–452

    Article  Google Scholar 

  10. Weiss PL, Katz N (2004) The potential of virtual reality for rehabilitation. J Rehabil Res Dev 41:vii–x

    Google Scholar 

  11. Hunag MC, Chen E, Xu W, Sarrafzadeh M (2012) Gaming for upper extremities rehabilitation. Proceeding of conference on wireless health 2012, vol 27

    Google Scholar 

  12. Huang MC, Xu W, Su Y, Lange B, Chang CY, Sarrafzadhe M (2012) Smart Glove for upper extremities rehabilitation gaming assessment. Proceeding of conference on pervasive technologies related to assistive environment 2012, vol 20

    Google Scholar 

  13. Takagi A, Fujimura E, Suehiro S (1985) A new method of statokinesigram area measurement. Application of a statistically calculated ellipse. In: Igarashi M, Black FO (eds) Vestibular and visual control on posture and locomotor equilibrium, Karger, Basel, pp 74–79

    Google Scholar 

  14. Paillard T, Costes-Salon C, Lafont C, Dupui P (2002) Are there differences in postural regulation according to the level of competition in judoists? Br J Sports Med 36:304–305

    Article  Google Scholar 

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Correspondence to Ming-Chun Huang .

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Huang, MC. et al. (2014). Automate Virtual Reality Rehabilitation Evaluation for Chronic Imbalance and Vestibular Dysfunction Patients. In: Huang, YM., Chao, HC., Deng, DJ., Park, J. (eds) Advanced Technologies, Embedded and Multimedia for Human-centric Computing. Lecture Notes in Electrical Engineering, vol 260. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7262-5_125

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  • DOI: https://doi.org/10.1007/978-94-007-7262-5_125

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7261-8

  • Online ISBN: 978-94-007-7262-5

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