Virtual sensory feedback for gait improvement in neurological patients

We review a treatment modality for movement disorders by sensory feedback. The natural closed-loop sensory-motor feedback system is imitated by a wearable virtual reality apparatus, employing body-mounted inertial sensors and responding dynamically to the patient’s own motion. Clinical trials have s...

Full description

Bibliographic Details
Main Author: Yoram eBaram
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-10-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00138/full
_version_ 1819179950983348224
author Yoram eBaram
author_facet Yoram eBaram
author_sort Yoram eBaram
collection DOAJ
description We review a treatment modality for movement disorders by sensory feedback. The natural closed-loop sensory-motor feedback system is imitated by a wearable virtual reality apparatus, employing body-mounted inertial sensors and responding dynamically to the patient’s own motion. Clinical trials have shown a significant gait improvement in patients with Parkinson's disease using the apparatus. In contrast to open-loop devices, which impose constant-velocity visual cues in a treadmill fashion, or rhythmic auditory cues in a metronome fashion, requiring constant vigilance and attention strategies, and in some cases, instigating freezing in Parkinson’s patients, the closed-loop device improved gait parameters and eliminated freezing in most patients, without side effects. Patients with multiple sclerosis, previous stroke, senile gait and cerebral palsy using the device also improved their balance and gait substantially. Training with the device has produced a residual improvement, suggesting virtual sensory feedback for the treatment of neurological movement disorders.
first_indexed 2024-12-22T22:06:36Z
format Article
id doaj.art-93ecab1d188a4e76b2a77e9f49868cca
institution Directory Open Access Journal
issn 1664-2295
language English
last_indexed 2024-12-22T22:06:36Z
publishDate 2013-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj.art-93ecab1d188a4e76b2a77e9f49868cca2022-12-21T18:10:57ZengFrontiers Media S.A.Frontiers in Neurology1664-22952013-10-01410.3389/fneur.2013.0013858844Virtual sensory feedback for gait improvement in neurological patientsYoram eBaram0Technion - Israel Institute of TechnologyWe review a treatment modality for movement disorders by sensory feedback. The natural closed-loop sensory-motor feedback system is imitated by a wearable virtual reality apparatus, employing body-mounted inertial sensors and responding dynamically to the patient’s own motion. Clinical trials have shown a significant gait improvement in patients with Parkinson's disease using the apparatus. In contrast to open-loop devices, which impose constant-velocity visual cues in a treadmill fashion, or rhythmic auditory cues in a metronome fashion, requiring constant vigilance and attention strategies, and in some cases, instigating freezing in Parkinson’s patients, the closed-loop device improved gait parameters and eliminated freezing in most patients, without side effects. Patients with multiple sclerosis, previous stroke, senile gait and cerebral palsy using the device also improved their balance and gait substantially. Training with the device has produced a residual improvement, suggesting virtual sensory feedback for the treatment of neurological movement disorders.http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00138/fullvirtual realitySensory feedbackGait improvementclosed-loop gait regulationSensory-motor control
spellingShingle Yoram eBaram
Virtual sensory feedback for gait improvement in neurological patients
Frontiers in Neurology
virtual reality
Sensory feedback
Gait improvement
closed-loop gait regulation
Sensory-motor control
title Virtual sensory feedback for gait improvement in neurological patients
title_full Virtual sensory feedback for gait improvement in neurological patients
title_fullStr Virtual sensory feedback for gait improvement in neurological patients
title_full_unstemmed Virtual sensory feedback for gait improvement in neurological patients
title_short Virtual sensory feedback for gait improvement in neurological patients
title_sort virtual sensory feedback for gait improvement in neurological patients
topic virtual reality
Sensory feedback
Gait improvement
closed-loop gait regulation
Sensory-motor control
url http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00138/full
work_keys_str_mv AT yoramebaram virtualsensoryfeedbackforgaitimprovementinneurologicalpatients