Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential

The rejection rates of upper-limb prosthetic devices in adults are high, currently averaging 26% and 23% for body-powered and electric devices, respectively. While many factors influence acceptance, prosthesis training methods relying on novel virtual reality systems have been...

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Main Authors: Aya Gaballa, Reidner Santos Cavalcante, Edgard Lamounier, Alcimar Soares, John-John Cabibihan
Format: Article
Language:English
Published: IEEE 2022-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/9785794/
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author Aya Gaballa
Reidner Santos Cavalcante
Edgard Lamounier
Alcimar Soares
John-John Cabibihan
author_facet Aya Gaballa
Reidner Santos Cavalcante
Edgard Lamounier
Alcimar Soares
John-John Cabibihan
author_sort Aya Gaballa
collection DOAJ
description The rejection rates of upper-limb prosthetic devices in adults are high, currently averaging 26% and 23% for body-powered and electric devices, respectively. While many factors influence acceptance, prosthesis training methods relying on novel virtual reality systems have been cited as a critical factor capable of increasing the likelihood of long-term, full-time use. Despite that, these implementations have not yet garnered widespread traction in the clinical setting, and their use remains immaterial. This review aims to explore the reasons behind this situation by identifying trends in existing research that seek to advance Extended Reality “X-Reality” systems for the sake of upper-limb prosthesis rehabilitation and, secondly, analyzing barriers and presenting potential pathways to deployment for successful adoption in the future. The search yielded 42 research papers that were divided into two categories. The first category included articles that focused on the technical aspect of virtual prosthesis training. Articles in the second category utilize user evaluation procedures to ensure applicability in a clinical environment. The review showed that 75% of articles that conducted whole system testing experimented with non-immersive virtual systems. Furthermore, there is a shortage of experiments performed with amputee subjects. From the large-scale studies analyzed, 71% of those recruited solely non-disabled participants. This paper shows that X-Reality technologies for prosthesis rehabilitation of upper-limb amputees carry significant benefits. Nevertheless, much still must be done so that the technology reaches widespread clinical use.
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publishDate 2022-01-01
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series IEEE Transactions on Neural Systems and Rehabilitation Engineering
spelling doaj-art-970a62d5669c45ca8975adb89a0825322025-08-20T03:05:39ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102022-01-01301652166310.1109/TNSRE.2022.31793279785794Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical PotentialAya Gaballa0Reidner Santos Cavalcante1https://orcid.org/0000-0002-7883-5353Edgard Lamounier2Alcimar Soares3https://orcid.org/0000-0003-1100-3533John-John Cabibihan4https://orcid.org/0000-0001-5892-743XDepartment of Mechanical and Industrial Engineering, Qatar University, Doha, QatarFaculty of Electrical Engineering, Federal University of Uberlândia, Uberlândia, BrazilFaculty of Electrical Engineering, Federal University of Uberlândia, Uberlândia, BrazilFaculty of Electrical Engineering, Federal University of Uberlândia, Uberlândia, BrazilDepartment of Mechanical and Industrial Engineering, Qatar University, Doha, QatarThe rejection rates of upper-limb prosthetic devices in adults are high, currently averaging 26% and 23% for body-powered and electric devices, respectively. While many factors influence acceptance, prosthesis training methods relying on novel virtual reality systems have been cited as a critical factor capable of increasing the likelihood of long-term, full-time use. Despite that, these implementations have not yet garnered widespread traction in the clinical setting, and their use remains immaterial. This review aims to explore the reasons behind this situation by identifying trends in existing research that seek to advance Extended Reality “X-Reality” systems for the sake of upper-limb prosthesis rehabilitation and, secondly, analyzing barriers and presenting potential pathways to deployment for successful adoption in the future. The search yielded 42 research papers that were divided into two categories. The first category included articles that focused on the technical aspect of virtual prosthesis training. Articles in the second category utilize user evaluation procedures to ensure applicability in a clinical environment. The review showed that 75% of articles that conducted whole system testing experimented with non-immersive virtual systems. Furthermore, there is a shortage of experiments performed with amputee subjects. From the large-scale studies analyzed, 71% of those recruited solely non-disabled participants. This paper shows that X-Reality technologies for prosthesis rehabilitation of upper-limb amputees carry significant benefits. Nevertheless, much still must be done so that the technology reaches widespread clinical use.https://ieeexplore.ieee.org/document/9785794/Prosthesisvirtual realityaugmented realityserious gamesrehabilitationupper-limb
spellingShingle Aya Gaballa
Reidner Santos Cavalcante
Edgard Lamounier
Alcimar Soares
John-John Cabibihan
Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Prosthesis
virtual reality
augmented reality
serious games
rehabilitation
upper-limb
title Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential
title_full Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential
title_fullStr Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential
title_full_unstemmed Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential
title_short Extended Reality “X-Reality” for Prosthesis Training of Upper-Limb Amputees: A Review on Current and Future Clinical Potential
title_sort extended reality x201c x reality x201d for prosthesis training of upper limb amputees a review on current and future clinical potential
topic Prosthesis
virtual reality
augmented reality
serious games
rehabilitation
upper-limb
url https://ieeexplore.ieee.org/document/9785794/
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