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Advances in Neurorrehabilitation: VR, Noninvasive Neuromodulation, Movement Representation Strategies and Robotic Assist Devices

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (30 January 2024) | Viewed by 7244

Special Issue Editors

Prof. Dr. Juan Pablo Romero

E-Mail Website
Guest Editor
1. Faculty of Experimental Sciences, Brain Injury and Movement Disorders Neurorehabilitation Research Group, Francisco de Vitoria University, 28223 Madrid, Spain
2. Brain Damage Unit, Beata María Ana Hospital, 28007 Madrid, Spain
Interests: neurorehabilitation of the motor and non-motor symptoms of Parkinson's disease; neurorehabilitation of motor and cognitive sequelae of acquired brain injury
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Josué Fernández-Carnero

E-Mail Website
Guest Editor
Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Alcorcón, 28922 Madrid, Spain
Interests: musculoskeletal pain; neurophysiology of pain; pain management education; transcranial direct current stimulation
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are inviting submissions to the Special Issue “Advances in Neurorehabilitation: Telerehabilitation, Virtual Reality, Noninvasive Neuromodulation, Movement Representation Strategies, and Robotic Assistance Devices”.

Neurorehabilitation concerns multidisciplinary strategies to minimize or compensate for any functional alterations produced by injury, degeneration, or malfunction of the nervous system in order to regain independence and increase the quality of life of affected subjects.

The development of new techniques and solutions to rehabilitate patients suffering motor or sensitive symptoms reduces the need for continuous healthcare and social assistance, which represent a great social and economic burden in every society.

New circumstances such as limitations due to pandemics have prompted the clinical use of  telerehabilitation and robotic-assisted rehabilitation as well as renewed interest in techniques such as movement representation strategies, action observation, and noninvasive neuromodulation, which do not always need to be performed in a hospital setting.

We encourage you and your co-workers to submit your articles reporting on this topic. Original articles, project protocols, or case reports dealing with strategies or devices for cognitive, motor, or sensorial rehabilitation are welcome, as are articles providing an up-to-date overview of the use of already available strategies or devices used for neurorehabilitation. Especially welcome are articles related to pain, traumatic brain injury, stroke, and Parkinson’s disease.

Prof. Dr. Juan Pablo Romero
Prof. Dr. Josué Fernández-Carnero
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • telerehabilitation
  • virtual reality
  • robot-assisted rehabilitation
  • motor imagery
  • action observation
  • mirror therapy
  • TDCS
  • noninvasive neuromodulation

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Published Papers (3 papers)

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16 pages, 1650 KiB  
Article
Motor Imagery and Paired Associative Stimulation in Poststroke Rehabilitation: Dissociating Motor and Electrophysiological Effects
by Nabila Brihmat, Evelyne Castel-Lacanal, Mohamed Tarri, Benoit Lepage, Emmeline Montane, Camile Cormier, Xavier de Boissezon, David Gasq, Isabelle Loubinoux and Philippe Marque
Appl. Sci. 2023, 13(10), 6063; https://doi.org/10.3390/app13106063 - 15 May 2023
Cited by 1 | Viewed by 1694
Abstract
Paired associative stimulation (PAS) is an intervention that modulates cortical plasticity. Motor imagery (MI) is used in the rehabilitation of stroke patients. We aimed to evaluate the possible synergistic effect of associating both interventions for potentiating motor recovery poststroke. MIPAS is a single-center, [...] Read more.
Paired associative stimulation (PAS) is an intervention that modulates cortical plasticity. Motor imagery (MI) is used in the rehabilitation of stroke patients. We aimed to evaluate the possible synergistic effect of associating both interventions for potentiating motor recovery poststroke. MIPAS is a single-center, randomized controlled trial that enrolled 24 hemiparetic poststroke participants. Three single-session interventions were tested in a crossover design: PAS/MI, PAS, and ShamPAS/MI during which the affected Extensor Carpi Radialis (ECR) muscle was targeted. During MI, the participants were instructed to imagine extending their paretic wrist. We used Sham, subthreshold stimulation during ShamPAS. Changes in ECR Motor-Evoked Potential (MEP) areas and paretic wrist Range of Motion (aROM) during active extension were compared between the interventions. We observed no significant superior effect of any intervention, neither on MEP nor on wrist aROM. A time of assessment effect was highlighted for both outcome measures, with MEP- and aROM-measured post-interventions significantly higher than those measured pre-intervention. Despite the beneficial effect of each intervention on participant paretic wrist motor function, not always associated with MEP change, our results do not highlight a specific advantage in combining PAS and MI interventions in post-stroke motor rehabilitation. Full article
(This article belongs to the Special Issue Advances in Neurorrehabilitation: VR, Noninvasive Neuromodulation, Movement Representation Strategies and Robotic Assist Devices)
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16 pages, 597 KiB  
Article
Is Virtual Rehabilitation Technology Ready to Be Widely Integrated in the Rehabilitation Area? An IT Governance Perspective
by Juan Carlos Muria-Tarazón, Hermenegildo Gil-Gómez, Patricia Mesa-Gresa and José-Antonio Gil-Gómez
Appl. Sci. 2023, 13(8), 4786; https://doi.org/10.3390/app13084786 - 11 Apr 2023
Viewed by 2502
Abstract
In this work, the authors analyze virtual reality rehabilitation research on strokes in the past 8 years (2015–2022) from the perspective of Information Technology governance (how these initiatives sustain and extend organization strategy), using the “Four Ares” technique that is widely used in [...] Read more.
In this work, the authors analyze virtual reality rehabilitation research on strokes in the past 8 years (2015–2022) from the perspective of Information Technology governance (how these initiatives sustain and extend organization strategy), using the “Four Ares” technique that is widely used in other sectors with a proven track record. Are we doing the right things? Are we doing them the right way? Are we getting them done well? Are we getting the benefits? Methods: The bibliography was exhaustively selected for evaluation considering these four questions, covering different aspects of existing evidence on this topic. Results: Some evidence of positive outcomes in patients with a stroke was found, and different approaches, types of measurement, platforms, and methods were analyzed to discern the present situation of research and recommendations. Conclusions: Positive outcomes on motor functions and on motivation and patient adherence to the treatment suggests this is an interesting field to research and examine in the future. Homogeneity on research design and larger samples are key to improving evidence and identifying the best strategies to use. Full article
(This article belongs to the Special Issue Advances in Neurorrehabilitation: VR, Noninvasive Neuromodulation, Movement Representation Strategies and Robotic Assist Devices)
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11 pages, 882 KiB  
Article
Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
by Marta C. Diaz-Saez, Gonzalo Navarro-Fernández, Josué Fernandez-Carnero, Miriam Garrigós-Pedrón, Juan Pablo Romero Muñoz and Hector Beltran-Alacreu
Appl. Sci. 2022, 12(7), 3657; https://doi.org/10.3390/app12073657 - 5 Apr 2022
Cited by 2 | Viewed by 2236
Abstract
Mixed reality presents itself as a potential technological tool for the management of people with musculoskeletal disorders, without having as many adverse side effects as immersive virtual reality. The objective of this study was to explore the possibilities of a mixed-reality game, performing [...] Read more.
Mixed reality presents itself as a potential technological tool for the management of people with musculoskeletal disorders, without having as many adverse side effects as immersive virtual reality. The objective of this study was to explore the possibilities of a mixed-reality game, performing task-oriented cervical exercises compared to conventional therapeutic exercises in sensorimotor outcome measures in asymptomatic subjects. A randomized crossover pilot study was performed with two intervention groups: a mixed-reality group (MRG) and a conventional exercise group (CEG). The cervical joint position error test (CJPET) and deep cervical flexor endurance test (DCFET) were measured as sensorimotor outcomes. Statistically significant differences were found in the pre–post comparison in the DCFET for both groups (MRG: t = −3.87, p < 0.01; CEG: t = −4.01, p < 0.01) and in the extension of the CJPET for the MRG (t = 3.50, p < 0.01). The rest of the measurements showed no significant differences comparing both groups pre- and postintervention (p > 0.05). Mixed reality has apparently the same positive effects as conventional exercises in sensorimotor outcomes in asymptomatic subjects. These results could help in future studies with mixed virtual reality in the management of people with musculoskeletal disorders. Full article
(This article belongs to the Special Issue Advances in Neurorrehabilitation: VR, Noninvasive Neuromodulation, Movement Representation Strategies and Robotic Assist Devices)
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