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A Randomized Feasibility Trial of a Novel, Integrative, and Intensive Virtual Rehabilitation Program for Service
Kiara H Buccellato1,2, Michelle Nordstrom1,2,3,4, Justin M Murphy1,2
1The Henry M. Jackson Foundation for the Advancement of Military Medicine, 6720 A Rockledge Dr, Bethesda, MD 20817.
Military Medicine
|July 4, 2019
Summary
This study found the BrightBrainer Virtual Rehabilitation system feasible for treating acquired brain injuries in a military outpatient clinic. While not statistically significant, cognitive function showed positive trends, warranting further research.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Health Services Research
Background:
- Acquired Brain Injury (ABI), including Traumatic Brain Injury (TBI) and Cerebral Vascular Accident (CVA), presents significant challenges for military healthcare.
- Existing rehabilitation solutions may benefit from innovative, integrative approaches to address motor, cognitive, and emotional deficits.
Purpose of the Study:
- To evaluate the feasibility of implementing a novel virtual rehabilitation system for ABI symptoms in an outpatient military clinic.
- To assess the clinical effectiveness of this virtual rehabilitation system as a secondary aim.
Main Methods:
- A 6-week randomized feasibility study involving 21 military healthcare beneficiaries with ABI diagnoses.
- Utilized the BrightBrainer Virtual Rehabilitation (BBVR) system, featuring virtual reality and repetitive bilateral upper extremity training.
- Assessed participant and provider acceptance alongside seven clinical outcomes, including motor function and cognitive assessments.
Main Results:
- Participants and providers reported moderate to high utility, ease of use, and satisfaction with the BBVR system (73-86%).
- Adjunct therapy with BBVR showed a trend towards statistical significance in improving cognitive function (ANAM, p=0.074).
- No other measured clinical outcomes approached statistical significance.
Conclusions:
- The study provides evidence supporting the feasibility of integrating the BBVR system into outpatient military settings for ABI symptom management.
- These findings justify a larger randomized trial to further investigate the clinical effectiveness of the BBVR system.
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