Inducing Visuomotor Adaptation Using Virtual Reality Gaming with a Virtual Shift as a Treatment for Unilateral Spatial Neglect

Authors

  • A.R. Carter Department of Neurology, Washington University School of Medicine, Saint Louis, MO, USA
  • M.H. Foreman Program in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USA
  • C. Martin Program in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USA
  • S. Fitterer Program in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USA
  • A. Pioppo Program in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USA
  • L.T. Connor Program in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USA
  • J.R. Engsberg Program in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USA

DOI:

https://doi.org/10.6000/2292-2598.2016.04.03.4

Keywords:

Sensorimotor learning, plasticity, stroke, spatial attention, engagement.

Abstract

Unilateral spatial neglect after stroke is characterized by reduced responses to stimuli on the contralesional side, causing significant impairments in self-care and safety. Conventional visuomotor adaptation (VMA) with prisms that cause a lateral shift of the visual scene can decrease neglect symptoms but is not engaging according to patients. Performing VMA within a virtual reality (VR) environment may be more engaging but has never been tested. To determine if VMA can be elicited in a VR environment, healthy subjects (n=7) underwent VMA that was elicited by either wearing prisms that caused an optical shift, or by application of a virtual shift of the hand cursor within the VR environment. A low cost VR system was developed by coupling the Kinect v2 gaming sensor to online games via the Flexible Action and Articulated Skeleton Toolkit (FAAST) software. The adaptation phase of training consisted of a reaching task in online games or in a custom target pointing program. Following the adaptation phase the optical or virtual shift was removed and participants were assessed during the initial portion of the de-adaptation phase for the presence of an after-effect on their reaching movements, with lateral reaching errors indicating the successful induction of VMA. Results show that practicing reaching in a VR environment with a virtual shift lead to a horizontal after-effect similar to conventional prism adaptation. The results demonstrate that VMA can be elicited in a VR environment and suggest that VR gaming therapy could be used to improve recovery from unilateral spatial neglect.

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Published

2016-10-19

How to Cite

Carter, A., Foreman, M., Martin, C., Fitterer, S., Pioppo, A., Connor, L., & Engsberg, J. (2016). Inducing Visuomotor Adaptation Using Virtual Reality Gaming with a Virtual Shift as a Treatment for Unilateral Spatial Neglect. Journal of Intellectual Disability - Diagnosis and Treatment, 4(3), 170–184. https://doi.org/10.6000/2292-2598.2016.04.03.4

Issue

Vol. 4 No. 3 (2016)

Section

Special Issue: The Versatility of Using Free Internet Videogames for Motor Therapy for Persons with Disabilities
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