Browse > Article
http://dx.doi.org/10.22683/tsnr.2019.8.4.041

Effects of Virtual Reality-Based Activities of Daily Living Training on Activities of Daily Living and Rehabilitative Motivation in Patients With Traumatic Brain Injury: A Pilot Study  

Moon, Jong-Hoon (Dept. of Healthcare and Public Health Research, National Rehabilitation Research Institute, National Rehabilitation Center)
Jeon, Min-Jae (Dept. of Healthcare and Public Health Research, National Rehabilitation Research Institute, National Rehabilitation Center)
Publication Information
Therapeutic Science for Rehabilitation / v.8, no.4, 2019 , pp. 41-51 More about this Journal
Abstract
Objective : The purpose of this study was to investigate the effects of virtual reality-based activities of daily living (ADL) training on ADL and rehabilitative motivation in patients with traumatic brain injury. Methods : This study was performed using a pre-post design with seven traumatically brain injured patients. Subjects were subjected to virtual reality-based ADL training for 30 minutes a day, 2 to 3 times a week for 4 weeks. Evaluation was conducted before and after the intervention using the Korean Modified Barthel Index (K-MBI), Cognitive Functional Independence Measure (C-FIM), and Volitional Questionnaire (VQ). Changes before and after intervention were analyzed by Wilcoxon signed-rank test, and correlations were analyzed using Spearman's coefficient. Results : After intervention, patients with traumatic brain injury showed significant improvements in K-MBI (p<.05). There was no significant change in total C-FIM score and VQ score (p>.05). Total C-FIM score correlated significantly with VQ score (p<.05, r=.755). The social cognition domain of C-FIM had a significant correlation with VQ score (p<.05, r=826). Conclusions : Virtual reality-based ADL training can improve ADL performance, but further research is needed to determine whether improvements in social cognition and rehabilitative motivation are possible.
Keywords
ADL; Cognition; Rehabilitative motivation; Traumatic brain injury; Virtual reality;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Sacco, K., Cauda, F., D'Agata, F., Duca, S., Zettin, M., Virgilio, R., ... Appendino, S. (2011). A combined robotic and cognitive training for locomotor rehabilitation: Evidences of cerebral functional reorganization in two chronic traumatic brain injured patients. Frontiers In Human Neuroscience, 23(5), 146. doi:10.3389/fnhum.2011.00146
2 Scheid, R., Preul, C., Gruber, O., Wiggins, C., & Von Cramon, D. Y. (2003). Diffuse axonal injury associated with chronic traumatic brain injury: Evidence from T2*-weighted gradient-echo imaging at 3T. American Journal of Neuroradiology, 24(6), 1049-1056.
3 Schultheis, M. T., & Rizzo, A. A. (2001). The application of virtual reality technology in rehabilitation. Rehabilitation Psychology, 46(3), 296. doi:10.1037/0090-5550.46.3.296   DOI
4 Shiroma, E. J., Ferguson, P. L., & Pickelsimer, E. E. (2012). Prevalence of traumatic brain injury in an offender population: A meta-analysis. The Journal of Head Trauma Rehabilitation, 27(3), 1-10. doi:10.1097/HTR.0b013e 3182571c14.   DOI
5 Steuer, J. (1992). Defining virtual reality: Dimensions determining telepresence. Journal of Communication, 42(4), 73-93. doi:10.1111/j.1460-2466.1992.tb00812.x   DOI
6 Stineman, M. G., Shea, J. A., Jette, A., Tassoni, C. J., Ottenbacher, K. J., Fiedler, R., & Granger, C. V. (1996). The functional independence measure: Tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories. Archives of Physical Medicine and Rehabilitation, 77(11), 1101-1108. doi:10.1016/S0003-9993(96)90130-6   DOI
7 Thornton, M., Marshall, S., McComas, J., Finestone, H., McCormick, A., & Sveistrup, H. (2005). Benefits of activity and virtual reality based balance exercise programmes for adults with traumatic brain injury: Perceptions of participants and their caregivers. Brain Injury, 19(12), 989-1000. doi:10.1080/02699050500109944   DOI
8 Woo, H. S., Park, W. K., & Cha, T. H. (2012). Correlation between Korean-WMFT functional score and activities of daily living. Korean Journal of Occupational Therapy, 20(3), 95-104.
9 Tulsky, D. S., Kisala, P. A., Victorson, D., Carlozzi, N., Bushnik, T., Sherer, M., ... Englander, J. (2016). TBI-QOL: Development and calibration of item banks to measure patient reported outcomes following traumatic brain injury. The Journal of Head Trauma Rehabilitation, 31(1), 40-51. doi:10.1097/HTR.0000000000000131   DOI
10 Winkens, I., Van Heugten, C. M., Visser-Meily, J. M. A., & Boosman, H. (2014). Impaired selfawareness after acquired brain injury: Clinicians' ratings on its assessment and importance for rehabilitation. Journal of Head Trauma Rehabilitation, 29(2), 153-156. doi:10.1097/HTR.0b013e31827d1500.   DOI
11 Zhang, L., Abreu, B. C., Seale, G. S., Masel, B., Christiansen, C. H., & Ottenbacher, K. J. (2003). A virtual reality environment for evaluation of a daily living skill in brain injury rehabilitation: Reliability and validity. Archives of Physical Medicine and Rehabilitation, 84 (8), 1118-1124. doi:10.1016/S0003-9993(03)00203-X   DOI
12 Finset, A., Dyrnes, S., Krogstad, J. M., & Berstad, J. (1995). Self-reported social networks and interpersonal support 2 years after severe traumatic brain injury. Brain injury, 9(2), 141-150.   DOI
13 Dawson, D. R., Gaya, A., Hunt, A., Levine, B., Lemsky, C., & Polatajko, H. J. (2009). Using the cognitive orientation to occupational performance (CO-OP) with adults with executive dysfunction following traumatic brain injury. Canadian Journal of Occupational Therapy, 76(2), 115-127. doi:10.1177/000841740907600209   DOI
14 Driver, S., & Ede, A. (2009). Impact of physical activity on mood after TBI. Brain Injury, 23(3), 203-212. doi:10.1080/02699050802695574   DOI
15 Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. doi:10.3758/BRM.41.4.1149   DOI
16 Grealy, M. A., Johnson, D. A., & Rushton, S. K. (1999). Improving cognitive function after brain injury: The use of exercise and virtual reality. Archives of Physical Medicine and Rehabilitation, 80(6), 661-667. doi:10.1016/S0003 -9993(99)90169-7   DOI
17 Folmer, R. L., Billings, C. J., Diedesch-Rouse, A. C., Gallun, F. J., & Lew, H. L. (2011). Electrophysiological assessments of cognition and sensory processing in TBI: Applications for diagnosis, prognosis and rehabilitation. International Journal of Psychophysiology, 82(1), 4-15. doi:10.1016/j.ijpsycho.2011.03.005   DOI
18 Granger, C. V., Albrecht, G. L., & Hamilton, B. B. (1979). Outcome of comprehensive medical rehabilitation: Measurement by PULSES profile and the Barthel Index. Archives of Physical Medicine and Rehabilitation, 60(4), 145-154.
19 Granger, C. V., Cotter, A. C., Hamilton, B. B., & Fiedler, R. C. (1993). Functional assessment scales: A study of persons after stroke. Archives of Physical Medicine and Rehabilitation, 74(2), 133-138.
20 Bailey, C. M., Echemendia, R. J., & Arnett, P. A. (2006). The impact of motivation on neuropsychological performance in sports-related mild traumatic brain injury. Journal of the International Neuropsychological Society, 12(4), 475-484. doi:10.1017/S1355617706060619   DOI
21 Bak, I. H. (2019). Effect of virtual reality training focus on ADL on upper extremity function and activities of daily living in stroke patients. Journal of the Korea Entertainment Industry Association, 13(4), 321-329. doi:10.21184/jkeia.2019.6.13.4.321
22 Bay, E., Hagerty, B. M., Williams, R. A., Kirsch, N., & Gillespie, B. (2002). Chronic stress, sense of belonging, and depression among survivors of traumatic brain injury. Journal of Nursing Scholarship, 34(3), 221-226. doi:10.1111/j.1547-5069.2002.00221.x   DOI
23 Chern, J. S., Kielhofner, G., de las Heras, C. G., & Magalhaes, L. C. (1996). The volitional questionnaire: Psychometric development and practical use. American Journal of Occupational Therapy, 50(7), 516-525. doi:10.5014/ajot.50.7.516   DOI
24 Hoofien, D., Gilboa, A., Vakil, E., & Donovick, P. J. (2001). Traumatic brain injury (TBI) 10-20 years later: A comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning. Brain Injury, 15(3), 189-209. doi:10.1080/026990501300005659   DOI
25 Huang, M. E., Cifu, D. X., & Keyser-Marcus, L. (2000). Functional outcomes in patients with brain tumor after inpatient rehabilitation: Comparison with traumatic brain injury. American Journal of Physical Medicine & Rehabilitation, 79(4), 327-335.   DOI
26 Jung, H. Y., Park, B. K., Shin, H. S., Kang, Y. K., Pyun, S. B., Paik, N. J., ... Han, T. R. (2007). Development of the Korean version of Modified Barthel Index (K-MBI): Multi-center study for subjects with stroke. Journal of the Korean Academy of Rehabilitation Medicine, 31(3), 283-297.
27 Brett, C. E., Sykes, C., & Pires-Yfantouda, R. (2017). Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review. Neuropsychological Rehabilitation, 27(6), 959-982. doi:10.1080/09602011.2015.1090459   DOI
28 Chen, S. H. A., Thomas, J. D., Glueckauf, R. L., & Bracy, O. L. (1997). The effectiveness of computer-assisted cognitive rehabilitation for persons with traumatic brain injury. Brain Injury, 11(3), 197-210.   DOI
29 Dawson, D. R., Binns, M. A., Hunt, A., Lemsky, C., & Polatajko, H. J. (2013). Occupation-based strategy training for adults with traumatic brain injury: A pilot study. Archives of Physical Medicine and Rehabilitation, 94(10), 1959-1963. doi:10.1016/j.apmr.2013.05.021   DOI
30 Marin, R. S., & Wilkosz, P. A. (2005). Disorders of diminished motivation. Journal of Head Trauma Rehabilitation, 20(4), 377-388.   DOI
31 Moon, J. H., & Won, Y. S. (2016). Effects of cognitive treatment programs using smart device applications on attention, working memory, and treatment preference in patients with stroke. Journal of cognitive Enhancement and Intervention, 7(3), 1-16.
32 Moon, J. H., Park, K. Y., Kim, H. J., & Na, C. H. (2018). The effects of task-oriented circuit training using rehabilitation tools on the upper-extremity functions and daily activities of patients with acute stroke: A randomized controlled pilot trial. Osong Public Health and Research Perspectives, 9(5), 225-230. doi:10.24171/j.phrp.2018.9.5.03   DOI
33 Nayak, S., Wheeler, B. L., Shiflett, S. C., & Agostinelli, S. (2000). Effect of music therapy on mood and social interaction among individuals with acute traumatic brain injury and stroke. Rehabilitation Psychology, 45(3), 274-283. doi:10.1037//0090-5550.45.3.274   DOI
34 Rose, F. D., Brooks, B. M., & Rizzo, A. A. (2005). Virtual reality in brain damage rehabilitation. Cyberpsychology & Behavior, 8(3), 241-262. doi:10.1089/cpb.2005.8.241   DOI
35 Ng, E. M., Polatajko, H. J., Marziali, E., Hunt, A., & Dawson, D. R. (2013). Telerehabilitation for addressing executive dysfunction after traumatic brain injury. Brain Injury, 27(5), 548-564. doi:10.3109/02699052.2013.766927   DOI
36 Pearce, J. M. S. (2004). Positive and negative cerebral symptoms: The roles of russell reynolds and hughlings jackson. Journal of Neurology, Neurosurgery & Psychiatry, 75(8), 1148-1148. doi:10.1136/jnnp.2004.038422   DOI