Perceptual Rehabilitation Research Articles

Effectiveness of Kinesthetic Game-Based Training System in Children With Visual-Perceptual Dysfunction

Visual perceptual dysfunctions were common in children with developmental delays, and have severe adverse impacts on children’s daily activities. Recent studies have shown that technologies such as virtual reality and imaging can provide a motivating and engaging tool for remediating visual perceptual dysfunctions. This study was aimed to present the work we were conducting in experimenting with augmented reality (AR) for visual perceptual rehabilitation in children with developmental delay. Sixty participants (mean age = 7.96 ± 1.4) were equally divided into an experimental group trained with proposed KBTS (KBTS group) and a control group trained using traditional visual perceptual training (TVPT group). Each group completed an 8-week training program (two 30-minute sessions per week). Visual perceptual assessments (Test of Visual Perceptual Skill- 3rd Edition, Beery-Buktenica Developmental Test of Visual-Motor Integration- 6th Edition) and functional outcome measures (Vineland Adaptive Behavior Scale- Chinese Version, School Function Assessment- Chinese Version) were administered to investigate the effectiveness of the intervention. The KBTS group significantly outperformed the TVPT group in assessments of visual-motor integration, visual perceptual skills, and school functions. The effectiveness of the KBTS was supported by robust effect sizes for the pre- and post-intervention comparisons of visual perceptual and visual motor integrative functions between the KBTS group and the TVPT group. This study suggests that KBTS effectively improves visual-motor integration and overall visual perceptual functions in children with developmental delays. This study has discussed the ideas for incorporating several principles of game scenarios for visual perceptual rehabilitation, and the proposed KBTS still have raised a number of issues requiring further work. Enabling users to perform visual motor integrative tasks in an augmented reality world offers the potential for developing advanced visual perceptual skills which may be more easily transferable to activities of daily living than other techniques. Augmented reality has the potential to achieve entertaining and satisfying outcomes for visual perceptual rehabilitation, and making use of the potential applications of AR technologies should be considered more beneficial for the home-based rehabilitation during the current pandemic situations. Other clinical applications are discussed as well.

Online training for perceptual rehabilitation in cochlear implant users

Although cochlear implants have been demonstrated to be effective surgical treatments for deafness, new implant users must undergo an intense period of perceptual learning and adaptation to learn to hear with their prosthesis. Few adult cochlear implant users receive any formal training following implantation, and as a result, the perceptual skills that they develop are highly variable. This study assessed the efficacy of the high variability online training program for adult cochlear implant users dubbed the HiVOlT-CI in 31 normal hearing individuals listening to cochlear implant simulations and three adult cochlear implant users. The goal of our interactive, adaptive, high-variability training program is to provide empirically-based, adaptive and interactive perceptual training to new cochlear implant users to help them adjust to their prosthesis. We also aim to develop a common set of robust and adaptive cognitive auditory skills in cochlear implant users that will help them to hear in real world situations. We also hope to establish baseline levels of performance for experienced cochlear implant users to evaluate successful implant use by new users.

Perceptual learning

Perceptual learning refers to how experience can change the way we perceive sights, sounds, smells, tastes, and touch. Examples abound: music training improves our ability to discern tones; experience with food and wines can refine our pallet (and unfortunately more quickly empty our wallet), and with years of training radiologists learn to save lives by discerning subtle details of images that escape the notice of untrained viewers. We often take perceptual learning for granted, but it has a profound impact on how we perceive the world. In this Primer, I will explain how perceptual learning is transformative in guiding our perceptual processes, how research into perceptual learning provides insight into fundamental mechanisms of learning and brain processes, and how knowledge of perceptual learning can be used to develop more effective training approaches for those requiring expert perceptual skills or those in need of perceptual rehabilitation (such as individuals with poor vision). I will make a case that perceptual learning is ubiquitous, scientifically interesting, and has substantial practical utility to us all.

Individual Differences in Sensory Substitution.

Sensory substitution devices were developed in the context of perceptual rehabilitation and they aim at compensating one or several functions of a deficient sensory modality by converting stimuli that are normally accessed through this deficient sensory modality into stimuli accessible by another sensory modality. For instance, they can convert visual information into sounds or tactile stimuli. In this article, we review those studies that investigated the individual differences at the behavioural, neural, and phenomenological levels when using a sensory substitution device. We highlight how taking into account individual differences has consequences for the optimization and learning of sensory substitution devices. We also discuss the extent to which these studies allow a better understanding of the experience with sensory substitution devices, and in particular how the resulting experience is not akin to a single sensory modality. Rather, it should be conceived as a multisensory experience, involving both perceptual and cognitive processes, and emerging on each user's pre-existing sensory and cognitive capacities.

Virtual Reality in Cognitive and Perceptual Rehabilitation - A Promising Approach

In modern medical era, the paradigm of rehabilitation bench upon functional outcomes. The conventional approaches primarily dealing with physical issues in terms of sensory-motor deficits of patients with neurological disorders seem insufficient. Cognitive and perceptual rehabilitation is the one which enables the individual to utilize various sensory cues from environment together with its understanding, judgement and memory for achieving meaningful gains. It is important that the rehabilitation approaches do not underestimate the importance of this area of rehabilitation because cognitive and perceptual skills are, in a way, considered prerequisite skills to even physical performances.

Challenges in neuro-machine interaction based active robotic rehabilitation of stroke patients

Study results in the last decades show that amount and quality of physical exercises, then the active participation, and now the cognitive involvement of patient in rehabilitation training are known of crux to enhance recovery outcome of motor dysfunction patients after stroke. Rehabilitation robots mainly have been developing along this direction to satisfy requirements of recovery therapy, or focusing on one or more of the above three points. Therefore, neuro-machine interaction based active rehabilitation robot has been proposed for assisting paralyzed limb performing designed tasks, which utilizes motor related EEG, UCSDI (Ultrasound Current Source Density Imaging), EMG for rehabilitation robot control and feeds back the multi-sensory interaction information such as visual, auditory, force, haptic sensation to the patient simultaneously. This neuro-controlled and perceptual rehabilitation robot will bring great benefits to post-stroke patients. In order to develop such kind of robot, some key technologies such as noninvasive precise detection of neural signal and realistic sensation feedback need to be solved. There are still some grand challenges in solving the fundamental questions to develop and optimize such kind of neuro-machine interaction based active rehabilitation robot.

A Systematic Review of Nonpharmacological Perceptual Rehabilitation After Stroke and Other Adult-Acquired Nonprogressive Brain Injury

Stroke, and other adult-acquired brain injury, can impair a person's ability to process the multiple sources of sensory data experienced in daily life. Perceptual impairments are many and diverse, impact on everyday activities, reduce independence, and cause distress, for example, difficulty recognizing familiar faces and everyday objects, errors judging movement and distance, and inability to find one's way around. This systematic review examined the quality of the evidence for rehabilitation interventions (eg, functional training, sensory stimulation, strategy training, task repetition) for people with perceptual impairments after stroke and acquired brain injury comparing …

Non-pharmacological interventions for perceptual disorders following stroke and other adult-acquired, non-progressive brain injury.

Stroke and other adult-acquired brain injury may impair perception leading to distress and increased dependence on others. Perceptual rehabilitation includes functional training, sensory stimulation, strategy training and task repetition. To examine the evidence for improvement in activities of daily living (ADL) six months post randomisation for active intervention versus placebo or no treatment. We searched the trials registers of the Cochrane Stroke Group and the Cochrane Infectious Diseases Group (May 2009) but not the Injuries Group, the Cochrane Central Register of Controlled Trials (The Cochrane Library 2009, Issue 3), MEDLINE (1950 to August 2009), EMBASE (1980 to August 2009), CINAHL (1982 to August 2009), PsycINFO (1974 to August 2009), REHABDATA and PsycBITE (May to June 2009). We also searched trials and research registers, handsearched journals, searched reference lists and contacted authors. Randomised controlled trials of adult stroke or acquired brain injury. Our definition of perception excluded visual field deficits, neglect/inattention and apraxia. One review author assessed titles, abstracts and keywords for eligibility. At least two review authors independently extracted data. We requested unclear or missing information from corresponding authors. We included six single-site trials in rehabilitation settings, involving 338 participants. Four trials included people with only stroke. All studies provided sensory stimulation, sometimes with another intervention. Sensory stimulation typically involved practising tasks that required visuo-perceptual processing with occupational therapist assistance. Repetition was never used and only one study included functional training. No trials provided data on longer term improvement in ADL scores. Only three trials provided any data suitable for analysis. Two of these trials compared active to placebo intervention. There was no evidence of a difference in ADL scores at the scheduled end of intervention: mean difference (95% confidence interval (CI))was 0.9 (-1.6 to 3.5) points on a self-care ADL scale in one study and odds ratio (95% CI) was 1.3 (0.56 to 3.1) for passing a driving test in the other, both in favour of active intervention. The trial that compared two active interventions did not findevidence of difference in any of the review outcomes. There is insufficient evidence to support or refute the view that perceptual interventions are effective. Future studies should be sufficiently large, include a standard care comparison and measure longer term functional outcomes. People with impaired perception problems should continue to receive neurorehabilitation according to clinical guidelines.

Book Review: Cognitive and Perceptual Rehabilitation: Optimising Function

Book Review: Cognitive and Perceptual Rehabilitation: Optimising Function