Kamm, Christian P; Blättler, Remo; Kueng, Roger; Vanbellingen, Tim (2023). Feasibility and usability of a new home-based immersive virtual reality headset-based dexterity training in multiple sclerosis. Multiple sclerosis and related disorders, 71, p. 104525. Elsevier 10.1016/j.msard.2023.104525
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BACKGROUND
Impaired manual dexterity is frequent and disabling in patients with multiple sclerosis (MS), affecting activities of daily living and quality of life.
OBJECTIVE
The aim of this study was to evaluate the feasibility, usability and patient engagement/satisfaction of a home-based immersive virtual reality (VR) headset-based dexterity training in persons with multiple sclerosis (pwMS). In addition, preliminary efficacy data on the impact of this new training on manual dexterity were collected.
METHODS
Single arm prospective study. After a waiting period of two weeks, pwMS performed a specifically developed home-based VR headset-based dexterity training using the Oculus quest 2 for two weeks with five training sessions/week, each session for approximately 20 minutes. Primary endpoints were feasibility (measured by the adherence rate), usability (System Usability Scale, SUS) and patient engagement/satisfaction (Custom User Engagement Questionnaire, CUEQ). Secondary exploratory efficacy endpoints, measured before and after the waiting period as well as after the training intervention, were the Nine-hole-Peg-Test (9HPT), Coin rotation task (CRT), Handheld JAMAR dynamometer, Arm Function in Multiple Sclerosis Questionnaire (AMSQ) and the Multiple Sclerosis Impact Scale 29 (MSIS 29).
RESULTS
Eleven pwMS (mean age 49 ± 10.87 SD, mean EDSS 4.28 ± 1.48 SD) participated in the study. Feasibility (adherence rate: 81.8%), usability (median SUS score 94 (IQR = 78-96)) and patient engagement/satisfaction (median 8 on scale of 1-10) of the VR training was very high. In addition, the CRT for the dominant hand improved significantly after training (p = 0.03).
CONCLUSIONS
The good results on feasibility, usability, and patient engagement/satisfaction qualify this home-based immersive VR headset-based dexterity training approach for the use in home-based neurorehabilitation in pwMS. Improved fine motor skills for the dominant hand suggest preliminary efficacy, but this needs to be proven in a future randomized-controlled trials.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Gerontechnology and Rehabilitation 04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology |
UniBE Contributor: |
Kamm, Christian Philipp, Vanbellingen, Tim |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2211-0356 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
07 Feb 2023 12:06 |
Last Modified: |
18 Apr 2023 11:24 |
Publisher DOI: |
10.1016/j.msard.2023.104525 |
PubMed ID: |
36738693 |
Uncontrolled Keywords: |
Feasibility Hand and arm function Home-based training Manual dexterity Multiple sclerosis Rehabilitation Virtual reality |
BORIS DOI: |
10.48350/178370 |
URI: |
https://boris.unibe.ch/id/eprint/178370 |
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