A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment

Abstract Hand motor impairments are one of the main causes of disabilities worldwide. Rehabilitation procedures like mirror therapy are given crucial importance. In the traditional setup, the patient moves the healthy hand in front of a mirror; the view of the mirrored motion tricks the brain into t...

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Main Authors: Gabriele Abbate, Alessandro Giusti, Luca Randazzo, Antonio Paolillo
Format: Article
Language:English
Published: Nature Portfolio 2023-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-49571-7
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author Gabriele Abbate
Alessandro Giusti
Luca Randazzo
Antonio Paolillo
author_facet Gabriele Abbate
Alessandro Giusti
Luca Randazzo
Antonio Paolillo
author_sort Gabriele Abbate
collection DOAJ
description Abstract Hand motor impairments are one of the main causes of disabilities worldwide. Rehabilitation procedures like mirror therapy are given crucial importance. In the traditional setup, the patient moves the healthy hand in front of a mirror; the view of the mirrored motion tricks the brain into thinking that the impaired hand is moving as well, stimulating the recovery of the lost hand functionalities. We propose an innovative mirror therapy system that leverages and couples cutting-edge technologies. Virtual reality recreates an immersive and effective mirroring effect; a soft hand exoskeleton accompanies the virtual visual perception by physically inducing the mirrored motion to the real hand. Three working modes of our system have been tested with 21 healthy users. The system is ranked as acceptable by the system usability scale; it does not provoke adverse events or sickness in the users, according to the simulator sickness questionnaire; the three execution modes are also compared w.r.t. the sense of embodiment, evaluated through another customized questionnaire. The achieved results show the potential of our system as a clinical tool and reveal its social and economic impact.
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spelling doaj.art-7bea6676bee246d3b488580416967d072023-12-24T12:19:14ZengNature PortfolioScientific Reports2045-23222023-12-011311810.1038/s41598-023-49571-7A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodimentGabriele Abbate0Alessandro Giusti1Luca Randazzo2Antonio Paolillo3Dalle Molle Institute for Artificial Intelligence (IDSIA), USI-SUPSIDalle Molle Institute for Artificial Intelligence (IDSIA), USI-SUPSIEmovo Care, EPFL Innovation ParkDalle Molle Institute for Artificial Intelligence (IDSIA), USI-SUPSIAbstract Hand motor impairments are one of the main causes of disabilities worldwide. Rehabilitation procedures like mirror therapy are given crucial importance. In the traditional setup, the patient moves the healthy hand in front of a mirror; the view of the mirrored motion tricks the brain into thinking that the impaired hand is moving as well, stimulating the recovery of the lost hand functionalities. We propose an innovative mirror therapy system that leverages and couples cutting-edge technologies. Virtual reality recreates an immersive and effective mirroring effect; a soft hand exoskeleton accompanies the virtual visual perception by physically inducing the mirrored motion to the real hand. Three working modes of our system have been tested with 21 healthy users. The system is ranked as acceptable by the system usability scale; it does not provoke adverse events or sickness in the users, according to the simulator sickness questionnaire; the three execution modes are also compared w.r.t. the sense of embodiment, evaluated through another customized questionnaire. The achieved results show the potential of our system as a clinical tool and reveal its social and economic impact.https://doi.org/10.1038/s41598-023-49571-7
spellingShingle Gabriele Abbate
Alessandro Giusti
Luca Randazzo
Antonio Paolillo
A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment
Scientific Reports
title A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment
title_full A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment
title_fullStr A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment
title_full_unstemmed A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment
title_short A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment
title_sort mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments a study of acceptability usability and embodiment
url https://doi.org/10.1038/s41598-023-49571-7
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