Friday, January 18, 2008

More on Wii-hab

Please excuse that terrible pun, but here's another terrific article on the use of Nintendo Wii in rehabilitation, specifically for stroke victims. This study is headed by the Afferent Corporation, which develops devices that treat neurological dysfunction. A representative from the company, Bethany Therrien, states that playing the Wii stimulates a greater flow of sensory information to the brain, allowing the patient to reform old functional pathways.

Tuesday, January 8, 2008

VR Environments for Autistic People & Drug Addicts

I just learned about research at Duke University by Dr. Zachary Rosenthal that focuses on helping crack addicts effectively complete rehab. The Cognitive Behavioral Research and Treatment Program at Duke is the first instance I've heard in which virtual environments are used to simulate real-life scenarios specifically for drug users. The website states that randomized clinical trials are under way; it will be interesting to see the preliminary results.

MSN has a great profile of Brigadoon, a virtual island in Second Life that allows people with Asperger's to hone communication and socialization skills. At the Center for Brain Health at the University of Texas at Dallas, therapists are pushing the virtual environment one step farther and actually integrating them into therapy. The Chronicle of Higher Education ran an article (subscription required) applications of virtual reality for autistic people that quotes Dr. Rosenthal as well as the Director of the Center for Brain Health, Dr. Sandra Chapman. Since one hallmark of Asperger's is an inability to read facial expressions or detect nonverbal context clues, therapists work with patients to role play and analyze social situations. With the therapist's help, the patient can gain insight into how they handled specific situations and discuss appropriate actions and reactions.

Chapman asserts that the premise of such therapeutic interventions is that the brain can rewire pathways with intensive, experience-based practice. Virtual worlds offer a safe space for people to gain this invaluable practice, as well as a forum for patient, therapist, family members, and friends to interact. Chapman points out that the early, formative years, as the brain is developing, are a crucial time to help rewire neurological pathways. Center for Brain Health participants undergo a series of testing both pre- and post- treatment, including brain imaging and neurocognitive testing. It's an exciting time for autism research, and I can't wait to see some brain imaging or effect size numbers.

Further Reading:
http://www.utdallas.edu/news/2007/11/18-003.html

Wednesday, January 2, 2008

Rehab + Wii

As an undergraduate at Case, I heard anecdotal support for using the Nintendo Wii system to help nursing home patients get much-needed exercise and rehabilitation. CNN's Dr. Sanjay Gupta recently profiled another Ohio university, OSU, using the Wii system to complement therapy for paralyzed and injured patients. Check out the video here.

Most proponents of Wii-therapy are quick to say that it won't replace traditional therapy, but merely offers additional help for patients. Also, no one has quantified its effects yet; the evidence is merely anecdotal. I'm interested in research that provides a more systematic look at this exciting new research and a plan to integrate it more officially into therapies. Please shoot me an e-mail at elyse.moretti@gmail.com if you have any leads. Thanks!