Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study

Background: Acquired brain injury (ABI) is a prominent cause of disability globally, with virtual reality (VR) emerging as a promising aid in neurorehabilitation. Nonetheless, the diversity among VR interventions can result in inconsistent outcomes and pose challenges in determining efficacy. Recent...

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Autores: Prats Bisbe, Alba|||0009-0004-0213-9871, López Carballo, Jaume, García Molina, Aberto, Leno Colorado, David, García Rudolph, Alejandro, Opisso Salleras, Eloy, Jané Campos, Raimon|||0000-0002-6541-8729
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/413950
Acceso en línea:https://hdl.handle.net/2117/413950
https://dx.doi.org/10.2196/50538
Access Level:acceso abierto
Palabra clave:Nervous system --Rehabilitation
Acquired brain injury
Virtual reality
Head-mounted display
Neurorehabilitation
Usability
Feasibility
Co-design
Multidisciplinary experiences
Immersive serious games
Sistema nerviós -- Rehabilitació
Àrees temàtiques de la UPC::Enginyeria biomèdica
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spelling Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility studyPrats Bisbe, Alba|||0009-0004-0213-9871López Carballo, JaumeGarcía Molina, AbertoLeno Colorado, DavidGarcía Rudolph, AlejandroOpisso Salleras, EloyJané Campos, Raimon|||0000-0002-6541-8729Nervous system --RehabilitationAcquired brain injuryVirtual realityHead-mounted displayNeurorehabilitationUsabilityFeasibilityCo-designMultidisciplinary experiencesImmersive serious gamesSistema nerviós -- RehabilitacióÀrees temàtiques de la UPC::Enginyeria biomèdicaBackground: Acquired brain injury (ABI) is a prominent cause of disability globally, with virtual reality (VR) emerging as a promising aid in neurorehabilitation. Nonetheless, the diversity among VR interventions can result in inconsistent outcomes and pose challenges in determining efficacy. Recent reviews offer best practice recommendations for designing and implementing therapeutic VR interventions to evaluate the acceptance of fully immersive VR interventions. Objective: This study aims to evaluate the usability and feasibility of a co-designed VR-based neurorehabilitation support tool by conducting multiple proof-of-concept trials in a sample of patients with ABI within a hospital setting. Methods: A single session deploying custom immersive serious games to train cognitive functions using a new-generation head-mounted display was conducted among a sample of inpatients with ABI. Structured questionnaires were administered at the end of the session to evaluate the usability of the system and the intervention, participants’ familiarity with the technology, and any adverse effects related to cybersickness. Additionally, the training duration while wearing the headset and the demographic characteristics of the participants were considered. Results: A total of 20 patients with ABI participated in a 1-hour proof-of-concept trial. The mean usability score was 37 (SD 2.6) out of 40, the technology familiarity level was 9.2 (SD 2.9) out of 12, and the Simulator Sickness Questionnaire total score was 1.3 (SD 2). On average, participants wore the headset for approximately 25.6 (SD 4.7) minutes during the intervention. There were no substantial differences in usability and technology familiarity levels based on patients’ etiology or age, with no notable symptoms of cybersickness reported. Significantly strong correlations were noted between cybersickness symptoms and various usability categories, including exposure, motivation, interactivity, task specificity, and immersion aspects. Further, there was a significant association between the intervention time and the number of tasks performed (P<.001). Furthermore, patients who derived enjoyment from VR sessions expressed a heightened interest in incorporating VR into their daily neurorehabilitation practice (P<.001). Moreover, oculomotor issues were found to be highly sensitive to the onset of disorientation sickness symptoms (P<.001). Conclusions: Through a collaborative approach, this study showcases the usability and feasibility of a VR-based support tool for cognitive rehabilitation among inpatients with ABI. Key components of such interventions encompass a multidisciplinary array of immersive experiences integrating neurorehabilitation principles and serious games techniques.Peer Reviewed20232023-07-0520242024-09-09journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/413950https://dx.doi.org/10.2196/50538reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/4139502026-05-27T15:37:01Z
dc.title.none.fl_str_mv Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
title Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
spellingShingle Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
Prats Bisbe, Alba|||0009-0004-0213-9871
Nervous system --Rehabilitation
Acquired brain injury
Virtual reality
Head-mounted display
Neurorehabilitation
Usability
Feasibility
Co-design
Multidisciplinary experiences
Immersive serious games
Sistema nerviós -- Rehabilitació
Àrees temàtiques de la UPC::Enginyeria biomèdica
title_short Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
title_full Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
title_fullStr Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
title_full_unstemmed Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
title_sort Virtual reality–based neurorehabilitation support tool for people with cognitive impairments resulting from an acquired brain injury: usability and feasibility study
dc.creator.none.fl_str_mv Prats Bisbe, Alba|||0009-0004-0213-9871
López Carballo, Jaume
García Molina, Aberto
Leno Colorado, David
García Rudolph, Alejandro
Opisso Salleras, Eloy
Jané Campos, Raimon|||0000-0002-6541-8729
author Prats Bisbe, Alba|||0009-0004-0213-9871
author_facet Prats Bisbe, Alba|||0009-0004-0213-9871
López Carballo, Jaume
García Molina, Aberto
Leno Colorado, David
García Rudolph, Alejandro
Opisso Salleras, Eloy
Jané Campos, Raimon|||0000-0002-6541-8729
author_role author
author2 López Carballo, Jaume
García Molina, Aberto
Leno Colorado, David
García Rudolph, Alejandro
Opisso Salleras, Eloy
Jané Campos, Raimon|||0000-0002-6541-8729
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Nervous system --Rehabilitation
Acquired brain injury
Virtual reality
Head-mounted display
Neurorehabilitation
Usability
Feasibility
Co-design
Multidisciplinary experiences
Immersive serious games
Sistema nerviós -- Rehabilitació
Àrees temàtiques de la UPC::Enginyeria biomèdica
topic Nervous system --Rehabilitation
Acquired brain injury
Virtual reality
Head-mounted display
Neurorehabilitation
Usability
Feasibility
Co-design
Multidisciplinary experiences
Immersive serious games
Sistema nerviós -- Rehabilitació
Àrees temàtiques de la UPC::Enginyeria biomèdica
description Background: Acquired brain injury (ABI) is a prominent cause of disability globally, with virtual reality (VR) emerging as a promising aid in neurorehabilitation. Nonetheless, the diversity among VR interventions can result in inconsistent outcomes and pose challenges in determining efficacy. Recent reviews offer best practice recommendations for designing and implementing therapeutic VR interventions to evaluate the acceptance of fully immersive VR interventions. Objective: This study aims to evaluate the usability and feasibility of a co-designed VR-based neurorehabilitation support tool by conducting multiple proof-of-concept trials in a sample of patients with ABI within a hospital setting. Methods: A single session deploying custom immersive serious games to train cognitive functions using a new-generation head-mounted display was conducted among a sample of inpatients with ABI. Structured questionnaires were administered at the end of the session to evaluate the usability of the system and the intervention, participants’ familiarity with the technology, and any adverse effects related to cybersickness. Additionally, the training duration while wearing the headset and the demographic characteristics of the participants were considered. Results: A total of 20 patients with ABI participated in a 1-hour proof-of-concept trial. The mean usability score was 37 (SD 2.6) out of 40, the technology familiarity level was 9.2 (SD 2.9) out of 12, and the Simulator Sickness Questionnaire total score was 1.3 (SD 2). On average, participants wore the headset for approximately 25.6 (SD 4.7) minutes during the intervention. There were no substantial differences in usability and technology familiarity levels based on patients’ etiology or age, with no notable symptoms of cybersickness reported. Significantly strong correlations were noted between cybersickness symptoms and various usability categories, including exposure, motivation, interactivity, task specificity, and immersion aspects. Further, there was a significant association between the intervention time and the number of tasks performed (P<.001). Furthermore, patients who derived enjoyment from VR sessions expressed a heightened interest in incorporating VR into their daily neurorehabilitation practice (P<.001). Moreover, oculomotor issues were found to be highly sensitive to the onset of disorientation sickness symptoms (P<.001). Conclusions: Through a collaborative approach, this study showcases the usability and feasibility of a VR-based support tool for cognitive rehabilitation among inpatients with ABI. Key components of such interventions encompass a multidisciplinary array of immersive experiences integrating neurorehabilitation principles and serious games techniques.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-07-05
2024
2024-09-09
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/413950
https://dx.doi.org/10.2196/50538
url https://hdl.handle.net/2117/413950
https://dx.doi.org/10.2196/50538
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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