scholarly journals A Virtual Reality-Based Cognitive Telerehabilitation System for Use in the COVID-19 Pandemic

2021 ◽  
Vol 13 (4) ◽  
pp. 2183
Author(s):  
José Varela-Aldás ◽  
Jorge Buele ◽  
Pedro Ramos Lorente ◽  
Iván García-Magariño ◽  
Guillermo Palacios-Navarro

The COVID-19 pandemic has changed people’s lives and the way in which certain services are provided. Such changes are not uncommon in healthcare services and they will have to adapt to the new situation by increasing the number of services remotely offered. Limited mobility has resulted in interruption of treatments that traditionally have been administered through face-to-face modalities, especially those related to cognitive impairments. In this telerehabilitation approach, both the patient and the specialist physician enter a virtual reality (VR) environment where they can interact in real time through avatars. A spaced retrieval (SR) task is implemented in the system to analyze cognitive performance. An experimental group (n = 20) performed the SR task in telerehabilitation mode, whereas a control group (n = 20) performed the SR task through a traditional face-to-face mode. The obtained results showed that it is possible to carry out cognitive rehabilitation processes through a telerehabilitation modality in conjunction with VR. The cost-effectiveness of the system will also contribute to making healthcare systems more efficient, overcoming both geographical and temporal limitations.

2018 ◽  
Vol 31 (6) ◽  
pp. 312-318 ◽  
Author(s):  
Maria Grazia Maggio ◽  
Maria Cristina De Cola ◽  
Desirèe Latella ◽  
Giuseppa Maresca ◽  
Chiara Finocchiaro ◽  
...  

Background: The purpose of this study is to evaluate the effects of a virtual reality training with BTS Nirvana (BTS-N) system in the cognitive and behavioral recovery in patients with Parkinson disease (PD). The BTS-N is a semi-immersive therapy system used for motor and cognitive rehabilitation of patients with neurological diseases, by creating virtual scenarios with which the patient may interact. Methods: We enrolled 20 patients with PD undergoing neurorehabilitation. All the patients were randomized into 2 groups: experimental group performing semi-immersive virtual reality training with BTS-N and control group undergoing traditional cognitive training. Each participant was evaluated before and immediately after the end of the training. Each cognitive training consisted of 3 sessions a week, each lasting 60 minutes, for 8 weeks, for a total of 24 sessions in each group. Results: Experimental group showed a greater improvement in cognitive functioning, with regard to executive and visuospatial abilities, as compared with the control group. Conclusion: Our findings suggest that rehabilitation through a new virtual reality instrument could be a valuable tool in improving cognitive and behavioral outcomes of patients with PD.


2021 ◽  
Vol 5 (1) ◽  
pp. 20-41
Author(s):  
Liliana Mendes ◽  
Luís Paulo Reis ◽  
Fernando Barbosa

Acquired brain injury (ABI) is associated with severe functional consequences at several levels: personal, psychological, social, physical, economic, and systemic. The main objective of the present study is to show the potential of applying virtual reality (VR) in neuropsychological rehabilitation and the consequent psychological and cognitive improvement of the person with ABI. A total of 27 participants of both sexes with moderate or severe ABI participated in an investigation in a clinical trial-type design with pre-test and post-test. Participants in the experimental group (n = 8) underwent a remote holistic neuropsychological intervention program supported by a VR platform: the Virtual Centre for the Rehabilitation of Road Accident Victims (VICERAVI). The experimental group results were compared with a first control group (n = 10) that underwent a conventional holistic neuropsychological intervention face-to-face program; and with a second control group that did not have any neuropsychological intervention (n = 9). We conclude that the VR-based neuropsychological rehabilitation program (NRP) at a distance produces better cognitive results in general cognitive functioning, learning, memory, and executive functioning than the conventional face-to-face NRP. Still, at the psychosocial level, the conventional NRP obtained results similar to those of the VR-based NRP, which did not produce significant improvements. Thus, the study results suggest that the development of VR-based holistic NRPs may benefit the autonomy of people with ABI.


Author(s):  
G. Uskov ◽  
A. Tsopanova ◽  
T. Perezhogina

Complete feeding of ponies is provided on the basis of data on their nutritional needs depending on age, sex, physiological state and level of productivity (the amount of milk produced and the intensity of growth of young animals). Ponies are sensitive to a lack of vitamins and mineral elements in the feed. When there is a sufficient amount of organic and mineral substances, but a lack or absence of vitamins, horses and ponies have impaired metabolism. The purpose of this work is to study the effectiveness of the use of vitamin and mineral additive MEGA-VIT in the rations of pregnant and lactating mares of Shetland pony breed. It has been found during of the researches that the vitamin and mineral additive MEGA-VIT had a positive influence on the productive and physiological indicators of animals. The cost of spent feed for the entire period of experiment in the control group was 50,6 thousand rubles, and in the experimental group it was 11,8 thousand rubles more or 23,5 %. Revenue from the sale of young horses of the control group amounted to 400 thousand rubles, and experimental group – 440 thousand rubles, this is by 40 thousand rubles more than in control group. This led to the increase in profit in the experimental group of mares by 28,1 thousand rubles and accordingly the level of profitability by 3,2 %. It has been recommended on the results have been obtained on the base of researches to include 30 g/head/day in the rations of mares of Shetland pony breed during pregnancy, and 50 g/head/day during lactation.


The article is devoted to the solution of an urgent problem- influence of different lighting modes on the dairy productivity of cows. 2 groups of cows with 20 heads each were formed. In control group, light in the cowshed was 50-75 Lux for a light period of 7.5 h in January to 16.5 h in June, and in experimental group - 150-200 Lux and 16 h, respectively. It was found that the intensity and duration of illumination affects physiological state, reproductive ability and milk productivity of cows. In the experimental group of cows, compared with the control group, hemoglobin content in blood increased by 4.6% (P < 0.01), red blood cells - by 20.6% (P < 0.05), total protein - by 11.2% (P < 0.001), glucose - by 39.1% (P < 0.05). There was a tendency to increase the total calcium and inorganic phosphorus in blood serum of cows of the experimental group. The level of alkaline phosphatase in blood serum of cows in the control group was 71.5% (P < 0.01) higher than that of cows in the experimental group. Milk yield per 1 cow in the experimental cowshed was 433 kg more than in the control. The cost of 1 kg of milk in the experimental group was 0.94 rubles lower, and the profitability of milk production and sales is 9.42% higher than in the control group. To increase the milk productivity of cows, it is recommended to increase light level in barns for tethered keeping to 150-200 Lux, with the duration of lighting in the winter and transition periods of year up to 16 hours per day.


Author(s):  
Roxana Steliana Miclaus ◽  
Nadinne Roman ◽  
Ramona Henter ◽  
Silviu Caloian

More innovative technologies are used worldwide in patient’s rehabilitation after stroke, as it represents a significant cause of disability. The majority of the studies use a single type of therapy in therapeutic protocols. We aimed to identify if the association of virtual reality (VR) therapy and mirror therapy (MT) exercises have better outcomes in lower extremity rehabilitation in post-stroke patients compared to standard physiotherapy. Fifty-nine inpatients from 76 initially identified were included in the research. One experimental group (n = 31) received VR therapy and MT, while the control group (n = 28) received standard physiotherapy. Each group performed seventy minutes of therapy per day for ten days. Statistical analysis was performed with nonparametric tests. Wilcoxon Signed-Rank test showed that both groups registered significant differences between pre-and post-therapy clinical status for the range of motion and muscle strength (p < 0.001 and Cohen’s d between 0.324 and 0.645). Motor Fugl Meyer Lower Extremity Assessment also suggested significant differences pre-and post-therapy for both groups (p < 0.05 and Cohen’s d 0.254 for the control group and 0.685 for the experimental group). Mann-Whitney results suggested that VR and MT as a therapeutic intervention have better outcomes than standard physiotherapy in range of motion (p < 0.05, Cohen’s d 0.693), muscle strength (p < 0.05, Cohen’s d 0.924), lower extremity functionality (p < 0.05, Cohen’s d 0.984) and postural balance (p < 0.05, Cohen’s d 0.936). Our research suggests that VR therapy associated with MT may successfully substitute classic physiotherapy in lower extremity rehabilitation after stroke.


2021 ◽  
Vol 9 (1) ◽  
pp. 70-78
Author(s):  
Ayed Zureigat ◽  
Osama Abdel Fattah

Background: It is well known that advancing age is accompanied by many negative feelings due to the feeling of loneliness and psychological emptiness, which leads to the individual feeling that society does not need him due to his weak physical abilities and thus this, will negatively affect healthy aging. Objective: The study aimed to investigate the effect of the leisure activities on the psychological stress among the elderly during Coronavirus (COVID-19) Outbreak. Design: To achieve this, we used the quasi-experimental approach on a sample consisting of 54, with the average age of (65.4±2.3) years. Divided into two groups 27 as a control group and 27 as the experimental group and this sample was purposively selected. Because of the home quarantine and to reduce face-to-face interaction, we used a questionnaire to measure the psychological stress level by using the Google form. The study tool consisted of 7 paragraphs associated with depression and 6 paragraphs associated with anxiety, finally 6 paragraphs associated with aggression. Before applying the experiment, the psychological stress was measured among the study sample, and then the leisure activities program was sent to the experimental group by the WhatsApp application. The researchers used means, standard deviations, paired and independent sample t-test by using SPSS version 24 with a confidence level of 95% (p<0.05). Results: The results of the study have shown that the level of the psychological stress among both groups came with a high average in the pre-measurement, as well as the anxiety domain that were the most affected in a positive way through leisure activities practicing. Additionally, there were statistically significant differences between the pre and post measurement among experiment group and favor of the post measurement. Conclusion: the leisure activities practicing among the elderly have contributed positively to reducing the level of psychological stress represented by depression, anxiety.


2021 ◽  
Vol 28 (4) ◽  
pp. 458-469
Author(s):  
Eun Ju Lee ◽  
Min Jung Ryu

Purpose: This study was conducted to develop and examine the effects of a nursing education program using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care by assessing students’ confidence in performance, clinical decision-making ability, practice flow, class evaluations, and simulation design evaluations.Methods: This study was developed based on the Jeffries simulation model and 5E learning cycle model, blending a virtual reality simulation and high-fidelity simulation. The participants were 41 third-year nursing students with no virtual reality and simulation education experience. The experimental group (n=21) received the virtual reality program, while the control group (n=20) received traditional simulation education. Data were collected from March 8 to May 28, 2021 and analyzed using SPSS version 27 for Windows.Results: Statistically significant differences were found between the experimental group and the control group post-intervention in confidence in performance (F=4.88, p=.33) and clinical decision-making ability (F=18.68, p<.001). The experimental group showed significant increases in practice flow (t=2.34, p=.024) and class evaluations (t=2.99, p=.005) compared to the control group.Conclusion: Nursing education programs using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care can be an effective educational strategy in the clinical context.


2020 ◽  
pp. 15-21
Author(s):  
P.V. Tkachenko ◽  
◽  
D.A. Severinov ◽  
K.V. Luganskaya

Analyzed is the problem of motivation of senior school persons for participation in professionally oriented competitions. Relevance: modern seniors easily learn technical subjects, cope with management of most of latest gadgets, and require new (not standard, interesting for teenager) format in conduct of vocational guidance events, such as quests, intelligent games in the style of TV shows, et all. Such a format allows participant to “go beyond”, look at the future profession and educational process slightly from a different angle. Methodology and research methods: a non-standard competition acts as example of intellectual natural-scientific tournament Credo Medicus, and that is a system of face-to-face intellectual competitions for two months with a break of 7 days between its stages. Participants are seniors of general education institutions. At the end of tournament field study of motivation of 30 seniors-participants (16–17 years old) participate in competitions of professional orientation (experimental group), that was carried out by means of following tests: determination of professional tendencies; motive for choosing a profession. Results of the survey were compared to the responses of 30 seniors, who did not participate in the tournament. Results: the experimental group is dominated by internal socially significant motifs (4.4), which is 0.8 more than in the control group (p = 0.0008). And in the control group, there is prevalence of internal (3.68 and 3.64) motifs over external (2.56 and 2.76) motifs. Scientific novelty of the research: it was found, that participants of intellectual tournament are more prone to knowledge and intellectual activity. When choosing a profession, they are dominated by socially significant motives, the role of external positive motives is small, and the desire to be useful for society is significantly expressed, that is most typical for medical activities. Practical significance of the research: materials of the study can serve as demonstration of experience of introducing into vocational guidance work of university a new format of events, such as the open intellectual natural-scientific tournament Credo Medicus, that allows to assess motivational aspects of choice of the profession of doctor of future applicants, and already at the stage of school education to engage in targeted training of interested and gifted teenagers.


2018 ◽  
Vol 29 (7) ◽  
pp. 496-503 ◽  
Author(s):  
Emine Yılmaz ◽  
Funda Kavak

The aim of this study was to determine the effects of mindfulness-based psychoeducation on internalized stigma in patients with schizophrenia. The patients were recruited from the community mental health centers. This quasiexperimental study was conducted using pretests and posttests with a control group. The participants were 69 patients with schizophrenia; 34 were part of the experimental group and 35 were part of the control group. The patients in the experimental group participated 2 days a week for 6 weeks in a total of 12 sessions which were given in the form of face-to-face group training. The difference between the scale mean posttest scores of the patients in the experimental and control groups was found to be statistically significant ( p < .05). In the intragroup comparisons, a significant difference was found between the stigma mean scores in the experimental group ( p < .05). It was concluded that mindfulness-based psychoeducation was effective in reducing stigma in patients with schizophrenia.


Author(s):  
V. G. Dvalivishvili ◽  
◽  
A. S. Khodov ◽  

The purpose of the research was a comparative study of the efficiency of feed use and the productivity of young sheep at different feeding levels, as well as clarifying the norms of metabolic energy and raw protein for growing young rams of Romanov breed with intensive rearing and fattening at the age of 3 to 10 months. Scientifi c and economic experiment has been carried out in the sheep breeding complex of the breeding farm in the OOO Farm “Pokrov” in the Zubtsovsky area in the Tver region. After weaning of sheep at the age of 3 months, 2 groups of young rams and 2 groups of young ewes have been formed, from twin litters per 15 heads in each. It has been found that the intensity of the growth of young rams was higher at both levels of rearing and fattening. The young rams of the 1st control group grew by 16,61 kg during the experimental feeding period, and the young ewes by 9,62 kg. In animals of the 2nd experimental group, the difference was 5,52 kg or 32,8 % in favor of the young rams. All indicators of the slaughter of young rams, depending on the level of feeding diff ered significantly. Thus, the difference in removable weight was 5,77 kg or 17,7 % in favor of animals of the 2nd experimental group. The difference between the groups by pre-slaughter weight was 5,74 kg or 19,2 % (P ≤ 0,001). By weight of the hot carcass, the sheep of the 2nd experimental group significantly exceeded the 1st control group by 2,82 kg or 21,3 % (P ≤ 0,01), by slaughter weight the difference was 3,97 kg or 29,0 % (P ≤ 0,01). The slaughter yield increased from 45,7 to 49,5 % or 3,8 abs.%. Age affects the efficiency of mutton production. Thus, the cost of 1 kg of mutton did not diff er from 7-month-old and 10–month-old rams, and feed expenditures increased significantly, therefore the prime-cost of mutton in older animals also increased, and the profitability of production decreased. Therefore, the slaughter of animals and the sale of mutton under intensive rearing is more effective at the age of 7 months.


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