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5 tips for efficiently using virtual reality (VR) in your clinic

17 October 2024

VR technology is revolutionizing rehabilitation by offering immersive and engaging experiences for patients. Virtualis is a new member of Interacoustics’ balance portfolio to provide this revolutionary VR technology in your clinic. With a Virtualis solution, you can provide personalized, motivating and efficient care to your patients with balance disorders.

To help you get the most out of your Virtualis solutions, let’s dive into five of my favorite tips.

 

1. Use the DATA model

Using a clinician-based approach is essential for providing comprehensive care to patients with balance disorders, following the Diagnose-Assess-Train-Assess (DATA) model.

Your Virtualis solution plays a key role in the assess and train phases of this process. Start by performing an assessment to evaluate your patient's current functional level, then select a training module aimed at improving their ability to meet daily activity demands.

One of my preferred assess-to-train module combinations is the Limits of Stability (LOS) assessment (Figure 1) paired with the LOS Rehab module (Figure 2). This approach maximizes efficiency, as the results from the LOS assessment seamlessly transition into the rehab module.

 

The software is showing a completed LOS assessment. The patient has managed to reach all eight positions in a straight fashion. The eight positions are as follows: straight forward, forward to the right, straight right, backward to the right, straight backward, backward to the left, straight left, and forward to the left.
Figure 1: Clinician’s screen for the LOS assessment using the StaticVR solution.

 

The software is displaying a honeycomb and a bee, with the patient having to lean in various directions to get the bee to fly and catch flowers. A yellow line is displaying the goal radius, and a red line is displaying the patient’s capability. The following general settings are available. Objective order is set to random. Objectives with a 45-degree step is ticked. Hold duration is set to 0.0 seconds but can be increased with a slider. Time before disappearance is set to 3.8 seconds but can be decreased or increased with a slider. Objective size is set to 100% but can be increased with a slider. The following efforts are available. Global is set to 0% but can be decreased or increased with a slider. Front is set to minus 9% but can be decreased or increased with a slider. Right is set to minus 9% but can be decreased or increased with a slider. Back is set to minus 100% but can be decreased or increased with a slider. Left is set to minus 9% but can be decreased or increased with a slider. The software is displaying the following results in real-time. Duration is 257 seconds. Caught flowers is 9 out of 18. Reaction time is 1.21 seconds. Mean velocity is 3.91 degrees per second. Initial excursion is 89%. Maximal excursion is 109%. Directional control is 67%. Finally, the clinician has the options to either pause or quit the session.
Figure 2: Clinician’s screen for the LOS Rehab module using the StaticVR solution.

 

2. Tailor programs to your patient’s needs

Personalization is key to patient success! When using VR in your clinic, tailor exercises to each patient’s abilities and needs. Virtualis makes this simple by allowing for real-time progressions while your patient is performing an activity. This allows you to set the correct intensity for each specific patient based on their status and goals while decreasing the unnecessary rest time.

One of my favorite things about Virtualis is the ability to challenge your patients more than in traditional rehabilitation. By providing an engaging immersive environment that increases patient motivation, you can progress the therapy task incrementally and push your patients further.

 

3. Integrate VR with traditional rehabilitation methods

While VR is a powerful tool on its own, it can seamlessly complement your traditional rehabilitation methods. Think about a favorite exercise you typically assign to patients with balance disorders – now imagine incorporating immersive VR technology into that same activity.

By creating a motivating, interactive environment and using real-time feedback, the exercise becomes even more effective. One of my go-to habituation exercises for patients with motion sensitivity involves standing head and body turns toward a target.

With the ReflexVR module (Figure 3), this exercise is transformed into an engaging balloon-popping game. What’s more, as a clinician, you can customize the targets to suit the specific movements your patient needs to practice.

 

A series of purple balloons in seven columns and five rows are displayed for the patient. One of the balloons is green. This is the balloon the patient should pop with an arrow that they can move around with their VR controller.
Figure 3: ReflexVR module.

 

4. Use these features for ultimate efficiency

Using Virtualis in your clinic already can provide efficient care, but here are a few of my favorite suggestions to further increase your efficiency with your Virtualis solution.

 

Create protocols

Store your favorite modules in one convenient location for use with multiple patients. This saves time by eliminating the need to select modules individually for each patient.

 

Launch from previous session

In the history tab, you can start a module right where the patient left off in their previous session (Figure 4). There's no need to remember the parameters used, allowing you to begin training with just a few clicks.

 

The software is displaying the initial and final values for the following parameters: Circles amplitude, Circles speed, Circles size, Butterflies, Butterflies speed, Butterflies max height, Butterflies min height, and Y axis inversion. The clinician can choose to start a new session with the previous initial values or the previous final values.
Figure 4: Initial and final parameters from a previous BirdVR session.

 

Create reports of your patient’s results

In the reports tab, you can easily select results and generate a PDF report with just a few clicks (Figure 5). This streamlines documentation and makes it simple to share results quickly.

 

A list of previous sessions is listed to the left. To the right, the clinician has several options to customize the PDF report. So far, the example report is showing the statokinesigram referenced to in Figure 1.
Figure 5: Report editor for a previous LOS session.

 

5. Educate on best practice

Even the best technology won’t deliver results if you don’t have the training and education to effectively use it. Make sure all the therapists in your clinic understand how to set up, operate and adjust parameters for various patients on your Virtualis solution.

To help you along, Interacoustics offers comprehensive training and education for all Virtualis users (serial number of your Virtualis product is required to gain access).

Read more:

 

Harness the full potential of VR

By following these tips, your clinic can harness the full potential of VR technology and provide personalized, motivating and efficient care.

Don’t have Virtualis yet but interested in seeing more? Explore the Virtualis solutions for more information.

Cassandra Anderson
Global Clinical Educator for Balance Rehabilitation, Interacoustics A/S Cassie holds her Doctorate in Physical Therapy and has served as a licensed physical therapist for 11 years. She began her career in the inpatient rehab setting working primarily with patients post stroke then transitioned to the outpatient setting working primarily with the vestibular/balance population in a multidisciplinary ENT and neurology clinics. Cassie has participated in research and quality improvement projects aimed at incorporating technology into clinical practice and has presented at both the national and international level.

Published: 17 October 2024
Modified: 17 October 2024

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