Effectiveness of Occupational Therapy using Virtual Reality (VR) for Neurological Rehabilitation and Parkinson’s Disease BJ Woolston.

Slides:



Advertisements
Similar presentations
Steven Browne, O.T. Reg. (N.B.) Brad Holley, O.T.Reg. (N.B.)
Advertisements

IN THE NAME OF GOD Motor Control and Neuromuscular Problems Elham Torkashvand MohammadReza Behradmehr Dr.Arshi Spring Behnam Kazempour.
Bridgett Piernik-Yoder, PhD, OTR UT Health Science Center at San Antonio Department of Occupational Therapy.
For: Occupational therapists working with the geriatric population By: Diane Brett.
Chapter 38 Rehabilitation and Restorative Nursing Care
E40:2742 Rehabilitation Evaluation and Intervention Learn about the concepts and principles of rehabilitation, habilitation, compensation, and adaptation.
Evidenced Based Practice Providing Effective Recreational Therapy Interventions For Geriatric Clients Jo Lewis, MS/CTRS Megan C. Janke, Ph.D., LRT/CTRS.
T HERAPEUTIC E XERCISE KNR 164. W HAT IS T HERAPEUTIC E XERCISE ? Therapeutic Exercise: is the systematic and scientific application of exercise and movement.
Virtual reality therapy simulates real life learning incorporating increased sensory input by the use of technology. Interaction with the 3D technology.
A Related Service Part of the Special Education Program.
Physical Therapy A Guide for Aspiring College Students Created by: Kyle Norman.
Occupational therapy Mazyad Alotaibi.
Healthy Mind. Bell Ringer What do you do to help keep your mind healthy? What are some consequences of not having a healthy mind? What do you know about.
Related Services in Special Education National Association of Special Education Teachers.
By: Meryl Abag The Rehabilitation process that helps individuals relearn the skills they need to be independent through the use of therapeutic activities.
The Therapy of Rhythm: Using Movement in the Management of Parkinson’s Disease Presented By: Tess Dalleave, OTASPresented By: Tess Dalleave, OTAS.
NEUROLOGICAL DISORDERS. Dementia  A degenerative syndrome characterized by deficits in memory, language, and mood.  The most common form: Alzheimer’s.
Competition is a test of an athlete’s physical and psychological skills.
Power Point Library Related Services- Overview. Related Services Put simply, related services are any services that are necessary to help a student benefit.
A Clinical Framework for Assessing Function
MNA Mosby ’ s Long Term Care Assistant Chapter 46 Rehabilitation and Restorative Nursing Care.
Pediatric Rehabilitation Enhance performance after Illness, trauma, sports related injury Includes medical, social, emotional, school.
School Based occupational Therapy Mazyad Alotaibi.
Neurodegeneration is the umbrella term for the progressive loss of structure or function of neurons, including death of neurons. Many neurodegenerative.
NAJMA ADAM DOW UNIVERSITY OF HEALTH SCIENCES
Chapter 17: Geriatric Emergencies
Motor control, motor Learning and recovery of function
Karen Hookstadt, OTR Spalding Rehabilitation Hospital.
Evaluation of a Closed-Loop BCI-FES System on Recovery of Upper Extremity Function Based on Functionality Post Stroke: A Case Series Angela Gille, OTS.
THE ROLE OF THE PHYSICAL THERAPIST IN A FALLS PROGRAM Melinda Jaeger, PT Empira Rehab Specialist Aging Services of Minnesota Live From 350 South Conference.
Lakeview Rehab at Home What we’ve learned so far Third Thursday Presentation January 20, 2011.
DISABILITIES AWARENESS. MENTAL DISABILITIES Multiple categories of mental illnesses Anxiety Mood Psychotic Eating Impulse and Control Personality Dissociative.
Physical and Health Disabilities Current Issues Collaboration Cerebral Palsy.
NEUROLOGICAL DISORDERS. Dementia  A degenerative syndrome characterized by deficits in memory, language, and mood.  The most common form: Alzheimer’s.
The Occupational Therapist and Huntington’s Disease
 also known as human kinetics  scientific study of human movement  addresses physiological, mechanical, and psychological mechanisms Kinesiology means.
Neurological Disorders
Impairment/Change in Ability to Fulfill Usual Roles, Habits, or Routines Inability to Meet New or Expected Demands ADL’s IADL’s Rest/Sleep Work Education.
Occupational Therapy Occupational Therapy Assisting as a career.
SPED 417/517 Atypical Sensory and Motor Development.
Interventions for Cognitive Dysfunction of Persons with Traumatic Brain Injuries OT 460A.
Parkinson's disease ♦ Is a neurodegenerative disorder ♦ Develops around age 50 * incidence rises with age * affects 1-2% of population > age 65 ♦ Higher.
EXTENDED OCCUPATIONAL REHABILITATION Ksenija Šterman, MD, Specialist for Occupational, Traffic and Sports Medicine Ljubljana,
“HEALTH IS THE BEST” In the name of God. WHAT IS IT? Parkinson's disease (PD) is a chronic and progressive movement disorder, meaning that symptoms.
By Fox Rehabilitation.  Fox Rehabilitation Founded in 1998 by Tim Fox, PT, a practicing physical therapist  Built on the robust foundation of Geriatric.
Therapeutic Exercise Foundations and Techniques Part I General Concepts Chapter 01 Therapeutic Exercise: Foundational Concepts.
School Based Therapy.
The Effectiveness of Exercise Therapy Treatment with Mental Illness
Module 7.3 Movement Disorders
Occupational Therapy Best Practice
Interventions for Cognitive Dysfunction OT 460A
FallProof™ A Comprehensive Balance and Mobility Training Program developed by Debra J. Rose Ph.D. Presented by Cathy Harbidge, Margaret Low, and Janet.
The Power of Play By Caitlin Razler MOT, OTR/L Occupational Therapist
VIRTUAL REALITY PRESCRIPTION REHABILITATION
Disability Any lost, absent or impaired physical or mental function
Parkinson’s Disease Celsey and Chylee.
The Impact of a Structured Balance Training Program on Elderly Adults
Module 2: Program Development in Community-based Practice
OCCUPATIONAL THERAPY.  Concept of Occupational Therapy -Definition -Aims -Scope.
“The effects of chronic changes to the functioning of the nervous system due to interference to neurotransmitter function, illustrated by the role of Dopamine.
Parkinson's disease Parkinson's disease (PD) is the second-most common
Long Term Effects of Concussions
Falls and Mobility in Aging
Motor control, motor Learning and recovery of function
Care and Problems of the Nervous System
Occupational Therapy & Physical Therapy in Illinois Schools
School Based Therapy.
PCA TRAINING PROGRAM.
Kwok-Leung Cheung Giuseppe Colloca
HOW DOES EXPERIENCE AFFECT BEHAVIOUR AND MENTAL PROCESSES?
Presentation transcript:

Effectiveness of Occupational Therapy using Virtual Reality (VR) for Neurological Rehabilitation and Parkinson’s Disease BJ Woolston

Definitions Bradykinesia – Slow movement (walking). Akinesia – loss of power for voluntary movement. Dyskinesia – Impairment of voluntary movement. Virtual Reality – An interactive computer generated environment that simulates the real world. Ideopathic – relating to or denoting any disease/ condition that arises spontaneously or for which the cause is unknown.

Parkinson’s Disease One of most common age-related degenerative diseases. 555 per 100,000 in 60’s 2,949 per 100,000 over 85 For every woman with PD there are 1.5 men. Decrease in ability for voluntarily muscle control. Facial muscles

Focus What are the benefits of group OT for patients with Parkinson’s disease? What is the evidence for the effectiveness of interventions within the scope of OT practice to improve performance… and quality of life of people with Parkinson's disease? For patients with acute CVA, is VR gaming more effective than standard recreational therapy for the improvement of hand function? 1 – what is the effectiveness of OT on neurodegenerative disease? 2 – How can VR help CVA? 3 – How well does group OT work on Parkinson’s?

Group OT for Parkinson’s Focus areas General mobility Dexterity ADL’s Education Clear understanding of PD. Decreased fear Increase self assurance Attitude changes: egocentric – concerned Family members participation. Amelioration of physical appearance. Maintained Fx status for 1 yr. Arrival, welcome and soc., general mobility exercise, rest and soc., dexterity activities, functional activities, educational activities, and departure with informal soc. Control group decreased independence wit progression of PD. Rehab group perceived progression as less severe…?

Effective OT for Parkinson’s 3 areas of focus that affect outcome Strengthening of performance skills Environmental elicitation performance Integration of performance patterns 3 resulting areas of outcome Strengthening physical performance skills and occupational performance in physical activities. Providing environmental elicitation of regulated performance. Teach self-management and cognitive behavioral strategies for integrating performance patterns into daily life.

Neurodegenerative Diseases & OT Can develop new skills with task-specific training. Especially in enriched adaptive environments helping brain to compensate for loss in basal ganglia Fx. Vestibular and sensory processing rehab may reduce balance problems. Unclear if it reduces falls. Education…? Important to align knowledge about compensatory motor activity, interpersonal behavior, and environmental stimuli. i.e., partnered dancing to music

VR in Rehab Neuroplasticity makes it possible. Various uses Spinal Cord Injury CVA Phobias (acrophobia) Parkinson’s Projection of items into area Use of head set to create environment Precautions/ difficulties Motion sickness Equipment failure Schizophrenia Can provide corrective experiences that ameliorate attitudes and anxieties. Another study evaluated the use of VR with CVA patients finding that their UE motor function increased by 7.4 seconds using the WFMT (wolf motor function test) which is a series of strength, functional ability, and time.

Treatments for NCD/ Parkinson’s Group Tx Task specific training (partner dancing) Teach self-management VR supplement Medication management Perception of client Family/ support group

Conclusion Parkinson’s disease and neurodegenerative diseases decrease the ability for people to create fluid movements, thereby impairing occupational function and the desire to participate in social activities. The use of group Tx with supplemental VR can take advantage of neuroplasticity to increase Fx, social participation, safety and overall quality of life.

References Gauthier L., Dalziel S., Gauthier S., (1987). The Benefits of Group Occupational Therapy for Patients With Parkinson’s Disease. American Journal of Occupational Therapy, Volume 41, Number 6. Taken from: file:///Users/bradfordwoolston/Downloads/360.pdf Bell Boucher, Danielle M., "Investigating Immersive Augmented Reality as a Rehabilitation Tool for Parkinson disease" (2013). Electronic Thesis and Dissertation Repository. Paper 1588. Taken from: http://ir.lib.uwo.ca/cgi/viewcontent.cgi?article=2986&context=etd What is the evidence for the effectiveness of interventions within the scope of occupational therapy practice to improve performance skills, occupational performance, and quality of life of people living with Parkinsosn’s disease? Link: http://www.aota.org/- /media/corporate/files/secure/practice/ccl/neuro/parkinsons%20cat. pdf M. H. Andreae (1996). Virtual Reality in Rehabilitation. British Medical Journal. Taken from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349678/