A Virtual Reality Based Exercise System for Hand Rehabilitation Post-Stroke

We present preliminary results from a virtual reality (VR)-based system for hand rehabilitation that uses a CyberGlove and a Rutgers Master II-ND haptic glove. This system trains finger range of motion, finger flexion speed, independence of finger motion and finger strength. Eight chronic post-stroke subjects participated. In keeping with variability in both the lesion site and in initial upper extremity function, each subject showed improvement on a unique combination of movement parameters in VR training. Six of the eight subjects improved significantly on VR trained parameters of range of finger motion and ability to move fingers independently, and four of them also improved on speed of finger flexion. Finally, 3 subjects improved their ability to generate mechanical work with their affected hand during training. Importantly, these improvements transferred to gains on clinical tests, as well as to significant reductions in task completion times for the prehension of real objects. These results are indicative of the feasibility of this exercise system for rehabilitation in patients with hand dysfunction resulting from neurological impairment