User-centered development of a personalized adaptive mirror therapy for upper-limb post-stroke rehabilitation using virtual reality and myoelectric control Article Swipe
Paolo De Pasquale
,
Daniela De Bartolo
,
Marta Russo
,
Denise Berger
,
Antonella Maselli
,
Daniele Borzelli
,
Emma Colamarino
,
Donatella Mattia
,
Christian Nissler
,
Markus Nowak
,
Elena Falomo
,
Javier Soto Morras
,
Martin R. Schiller
,
Claudio Castellini
,
Giovanni Morone
,
Andrea d’Avella
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fbioe.2025.1655416
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fbioe.2025.1655416
Introduction Cerebral stroke often results in significant motor deficits, including contralateral hemiparesis of the upper limb. Rehabilitation protocols with high-intensity and task-specific exercises can improve these deficits. Recent technological advancements in virtual reality (VR), myoelectric control, and exergames may be exploited to enhance rehabilitation effectiveness. However, novel rehabilitation approaches combining these novel methodologies have rarely been developed with the active involvement of both therapists and patients. Methods An interdisciplinary team developed a novel system, Validation of the Virtual Therapy Arm (VVITA), for post-stroke upper-limb rehabilitation combining VR, myoelectric control, and exergames using a user-centered design (UCD) approach. The VVITA hardware includes a head-mounted VR display, motion tracking devices integrated in the VR system, and wireless armbands to record electromyographic (EMG) signals, providing an interactive virtual environment for immersive rehabilitation exercises implementing a virtual mirror therapy. Assistance and task difficulty are adjusted dynamically based on patient performance, promoting active participation and motor learning. Results The development process involved iterative phases, involving focus groups with stroke patients, therapists, and researchers. A pilot study with four stroke survivors assessed the system’s feasibility, demonstrating its potential for personalized and adaptive rehabilitation. Conclusion The VVITA system enhances mirror therapy by integrating VR and myoelectric control, providing a tailored approach to upper-limb post-stroke rehabilitation. The UCD approach ensured the system met patient and therapist needs, showing promise for improving motor recovery and rehabilitation outcomes.
Related Topics
Concepts
Rehabilitation
Virtual reality
Hemiparesis
Physical medicine and rehabilitation
Task (project management)
Stroke (engine)
Motor learning
Computer science
Medicine
Physical therapy
Human–computer interaction
Psychology
Engineering
Psychiatry
Lesion
Mechanical engineering
Systems engineering
Neuroscience
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fbioe.2025.1655416
- https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2025.1655416/pdf
- OA Status
- gold
- Cited By
- 1
- References
- 68
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4413799335
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4413799335Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fbioe.2025.1655416Digital Object Identifier
- Title
-
User-centered development of a personalized adaptive mirror therapy for upper-limb post-stroke rehabilitation using virtual reality and myoelectric controlWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-08-28Full publication date if available
- Authors
-
Paolo De Pasquale, Daniela De Bartolo, Marta Russo, Denise Berger, Antonella Maselli, Daniele Borzelli, Emma Colamarino, Donatella Mattia, Christian Nissler, Markus Nowak, Elena Falomo, Javier Soto Morras, Martin R. Schiller, Claudio Castellini, Giovanni Morone, Andrea d’AvellaList of authors in order
- Landing page
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https://doi.org/10.3389/fbioe.2025.1655416Publisher landing page
- PDF URL
-
https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2025.1655416/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2025.1655416/pdfDirect OA link when available
- Concepts
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Rehabilitation, Virtual reality, Hemiparesis, Physical medicine and rehabilitation, Task (project management), Stroke (engine), Motor learning, Computer science, Medicine, Physical therapy, Human–computer interaction, Psychology, Engineering, Psychiatry, Lesion, Mechanical engineering, Systems engineering, NeuroscienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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68Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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