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The impact of VR on health: a focus on rehabilitation | Isabel Van De Keere | TEDxGoodenoughCollege


I’m a very active person I love

I’m a very active person I love traveling I love doing a lot of sports

traveling I love doing a lot of sports

traveling I love doing a lot of sports like hiking swimming and and so on so

like hiking swimming and and so on so

like hiking swimming and and so on so that’s why I seven years ago I did a

that’s why I seven years ago I did a

that’s why I seven years ago I did a trip to the west coast of Ireland very

trip to the west coast of Ireland very

trip to the west coast of Ireland very beautiful very wild nature and so on so

beautiful very wild nature and so on so

beautiful very wild nature and so on so we were hiking there so I went back to

we were hiking there so I went back to

we were hiking there so I went back to work and then six months later I hear a

work and then six months later I hear a

work and then six months later I hear a sound and basically one second in one

sound and basically one second in one

sound and basically one second in one second my life changed completely from

second my life changed completely from

second my life changed completely from being very active as you can see on the

being very active as you can see on the

being very active as you can see on the left to being completely immobile after

left to being completely immobile after

left to being completely immobile after a work accident so I had a very heavy

a work accident so I had a very heavy

a work accident so I had a very heavy lamp construction that basically fell

lamp construction that basically fell

lamp construction that basically fell from the ceiling on my head

from the ceiling on my head

from the ceiling on my head and so basically they left me without

and so basically they left me without

and so basically they left me without balance for a very long time very

balance for a very long time very

balance for a very long time very isolated and losing the most important

isolated and losing the most important

isolated and losing the most important thing in my life my independence

thing in my life my independence

thing in my life my independence so this accident took me on a long rehab

so this accident took me on a long rehab

so this accident took me on a long rehab journey to get back to the person that I

journey to get back to the person that I

journey to get back to the person that I am today and this rehab journey often

am today and this rehab journey often

am today and this rehab journey often left me frustrated and demotivated in

left me frustrated and demotivated in

left me frustrated and demotivated in the way we have was being approached

the way we have was being approached

the way we have was being approached it’s very boring in the way current

it’s very boring in the way current

it’s very boring in the way current rehabilitation is being done it’s very

rehabilitation is being done it’s very

rehabilitation is being done it’s very repetitive not engaging also the access

repetitive not engaging also the access

repetitive not engaging also the access to rehab it’s it’s in the beginning you

to rehab it’s it’s in the beginning you

to rehab it’s it’s in the beginning you have Allah but then suddenly there is

have Allah but then suddenly there is

have Allah but then suddenly there is this you have much less access to rehab

this you have much less access to rehab

this you have much less access to rehab and then there is this gap where it’s

and then there is this gap where it’s

and then there is this gap where it’s very few and you actually still need a

very few and you actually still need a

very few and you actually still need a lot I’m an engineer myself biomedical

lot I’m an engineer myself biomedical

lot I’m an engineer myself biomedical engineer and so I wanted to find a

engineer and so I wanted to find a

engineer and so I wanted to find a solution to change that do going looking

solution to change that do going looking

solution to change that do going looking into different conditions having my own

into different conditions having my own

into different conditions having my own experience and then looking into

experience and then looking into

experience and then looking into different conditions such going from

different conditions such going from

different conditions such going from traumatic brain injury to stroke to

traumatic brain injury to stroke to

traumatic brain injury to stroke to spinal cord injury patients who in a lot

spinal cord injury patients who in a lot

spinal cord injury patients who in a lot of cases have either upper limb lower

of cases have either upper limb lower

of cases have either upper limb lower limb or both disabilities and when I was

limb or both disabilities and when I was

limb or both disabilities and when I was looking into those patients when we take

looking into those patients when we take

looking into those patients when we take for example stroke patients the mobility

for example stroke patients the mobility

for example stroke patients the mobility that they have that they gain after die

that they have that they gain after die

that they have that they gain after die rehabilitation is only 15 percent it’s

rehabilitation is only 15 percent it’s

rehabilitation is only 15 percent it’s only 15 person

only 15 person

only 15 person that those people gained back when they

that those people gained back when they

that those people gained back when they leave the hospital and a lot of that 15%

leave the hospital and a lot of that 15%

leave the hospital and a lot of that 15% they will actually lose again because

they will actually lose again because

they will actually lose again because there’s it’s a few more mobility

there’s it’s a few more mobility

there’s it’s a few more mobility basically to have an active life and so

basically to have an active life and so

basically to have an active life and so there is no follow-up rehab as well so

there is no follow-up rehab as well so

there is no follow-up rehab as well so there must be a way to change this 15%

there must be a way to change this 15%

there must be a way to change this 15% and a mechanism to actually give them

and a mechanism to actually give them

and a mechanism to actually give them back more of that mobility and there is

back more of that mobility and there is

back more of that mobility and there is one mechanism that can bring a solution

one mechanism that can bring a solution

one mechanism that can bring a solution and that is neuroplasticity and

and that is neuroplasticity and

and that is neuroplasticity and basically neuroplasticity is something

basically neuroplasticity is something

basically neuroplasticity is something that we use on a daily basis we use it

that we use on a daily basis we use it

that we use on a daily basis we use it to learn new things to learn a new

to learn new things to learn a new

to learn new things to learn a new movement for example and to make

movement for example and to make

movement for example and to make something inner to ourselves and let’s

something inner to ourselves and let’s

something inner to ourselves and let’s let’s so neuroplasticity what it is it’s

let’s so neuroplasticity what it is it’s

let’s so neuroplasticity what it is it’s basically it’s this amazing capacity of

basically it’s this amazing capacity of

basically it’s this amazing capacity of your brain to change and to adapt to

your brain to change and to adapt to

your brain to change and to adapt to interactions with the environment so for

interactions with the environment so for

interactions with the environment so for example the stroke patient that I was

example the stroke patient that I was

example the stroke patient that I was talking about earlier so when you when a

talking about earlier so when you when a

talking about earlier so when you when a person has a stroke part of your brain

person has a stroke part of your brain

person has a stroke part of your brain becomes damaged and this damaged part

becomes damaged and this damaged part

becomes damaged and this damaged part will affect a certain function whether

will affect a certain function whether

will affect a certain function whether it’s cognitive whether its physical so

it’s cognitive whether its physical so

it’s cognitive whether its physical so in a lot of cases part of the of the

in a lot of cases part of the of the

in a lot of cases part of the of the body of a stroke patient has been

body of a stroke patient has been

body of a stroke patient has been affected with some paralyzation and so

affected with some paralyzation and so

affected with some paralyzation and so we can actually this new plasticity that

we can actually this new plasticity that

we can actually this new plasticity that exists we can rewire retrain the brains

exists we can rewire retrain the brains

exists we can rewire retrain the brains that actually we can have an undamaged

that actually we can have an undamaged

that actually we can have an undamaged part of your brain take over that

part of your brain take over that

part of your brain take over that function again and reinstate that

function again and reinstate that

function again and reinstate that movement a connection between your brain

movement a connection between your brain

movement a connection between your brain and your motion I often compare it to

and your motion I often compare it to

and your motion I often compare it to there is it’s Wi-Fi connection between

there is it’s Wi-Fi connection between

there is it’s Wi-Fi connection between your brain and your arm and because of

your brain and your arm and because of

your brain and your arm and because of the stroke is being broken and we want

the stroke is being broken and we want

the stroke is being broken and we want to reinstall that Wi-Fi connection and

to reinstall that Wi-Fi connection and

to reinstall that Wi-Fi connection and so for these stroke patients for example

so for these stroke patients for example

so for these stroke patients for example what we want to offer them is really the

what we want to offer them is really the

what we want to offer them is really the ability to gain back more of that motion

ability to gain back more of that motion

ability to gain back more of that motion and more of that mobility and so that is

and more of that mobility and so that is

and more of that mobility and so that is where VR virtual reality really will

where VR virtual reality really will

where VR virtual reality really will make a difference because we can allow

make a difference because we can allow

make a difference because we can allow people such as stroke case and spinal

people such as stroke case and spinal

people such as stroke case and spinal cord injury patients with upper limb

cord injury patients with upper limb

cord injury patients with upper limb disabilities lower limb disabilities we

disabilities lower limb disabilities we

disabilities lower limb disabilities we give them the opportunity to engage with

give them the opportunity to engage with

give them the opportunity to engage with objects in the virtual world because of

objects in the virtual world because of

objects in the virtual world because of the high level of immersion as well

the high level of immersion as well

the high level of immersion as well in the physical world they will not even

in the physical world they will not even

in the physical world they will not even be able to pick up a pen because they

be able to pick up a pen because they

be able to pick up a pen because they one day like the strength and also they

one day like the strength and also they

one day like the strength and also they have lack of fine motor skills and that

have lack of fine motor skills and that

have lack of fine motor skills and that is currently an issue in physiotherapy

is currently an issue in physiotherapy

is currently an issue in physiotherapy because of that lack of being able to

because of that lack of being able to

because of that lack of being able to interact with objects they get really

interact with objects they get really

interact with objects they get really frustrated they tune out and they don’t

frustrated they tune out and they don’t

frustrated they tune out and they don’t achieve the number of repetitions that

achieve the number of repetitions that

achieve the number of repetitions that they should be achieving while going

they should be achieving while going

they should be achieving while going through the rehabilitation so with VR we

through the rehabilitation so with VR we

through the rehabilitation so with VR we can change that because we can give them

can change that because we can give them

can change that because we can give them a challenge an exercise they don’t think

a challenge an exercise they don’t think

a challenge an exercise they don’t think about the number of repetitions but they

about the number of repetitions but they

about the number of repetitions but they just do it they achieve the challenge

just do it they achieve the challenge

just do it they achieve the challenge and then another big problem currently

and then another big problem currently

and then another big problem currently with with rehabilitation is that on

with with rehabilitation is that on

with with rehabilitation is that on average the waiting time for these

average the waiting time for these

average the waiting time for these serious conditions is about three months

serious conditions is about three months

serious conditions is about three months before people move in move from the

before people move in move from the

before people move in move from the hospital they acute world into a rehab

hospital they acute world into a rehab

hospital they acute world into a rehab facility and having gone through rehab

facility and having gone through rehab

facility and having gone through rehab myself initially you’re very motivated

myself initially you’re very motivated

myself initially you’re very motivated because you knew what it was before and

because you knew what it was before and

because you knew what it was before and you want to get back there you want to

you want to get back there you want to

you want to get back there you want to be come back the active person that you

be come back the active person that you

be come back the active person that you were before and the independent person

were before and the independent person

were before and the independent person but then when you have you don’t have

but then when you have you don’t have

but then when you have you don’t have access to anything during three months

access to anything during three months

access to anything during three months basically become very demotivated again

basically become very demotivated again

basically become very demotivated again up to people get very depressed even

up to people get very depressed even

up to people get very depressed even worse people commit suicide and that is

worse people commit suicide and that is

worse people commit suicide and that is something that we need to tackle and we

something that we need to tackle and we

something that we need to tackle and we need to reduce that and that is where VR

need to reduce that and that is where VR

need to reduce that and that is where VR can really make a difference to really

can really make a difference to really

can really make a difference to really bring the rehab a lot quicker to

bring the rehab a lot quicker to

bring the rehab a lot quicker to patients so this is David Smith he’s a

patients so this is David Smith he’s a

patients so this is David Smith he’s a Paralympic athlete he was a gold

Paralympic athlete he was a gold

Paralympic athlete he was a gold medalist in 2012 for Great Britain and

medalist in 2012 for Great Britain and

medalist in 2012 for Great Britain and he’s also spinal cord injury patients so

he’s also spinal cord injury patients so

he’s also spinal cord injury patients so what he’s doing is using our VR we have

what he’s doing is using our VR we have

what he’s doing is using our VR we have platform where he’s immersed in a 3d

platform where he’s immersed in a 3d

platform where he’s immersed in a 3d environment and basically it’s based on

environment and basically it’s based on

environment and basically it’s based on the grasping method so he’s moving

the grasping method so he’s moving

the grasping method so he’s moving objects around and in this case he had

objects around and in this case he had

objects around and in this case he had three times spinal cord tumor three

three times spinal cord tumor three

three times spinal cord tumor three surgeries and three times paralyzed from

surgeries and three times paralyzed from

surgeries and three times paralyzed from the waist down and upper limb was

the waist down and upper limb was

the waist down and upper limb was affected as a stroke and as an athlete

affected as a stroke and as an athlete

affected as a stroke and as an athlete himself he was working constantly with

himself he was working constantly with

himself he was working constantly with visual stimulation and constantly

visual stimulation and constantly

visual stimulation and constantly working on recreating these neural

working on recreating these neural

working on recreating these neural pathways that had been damaged because a

pathways that had been damaged because a

pathways that had been damaged because a visual injury

visual injury

visual injury and working on that neuroplasticity to

and working on that neuroplasticity to

and working on that neuroplasticity to gain back his mobility and after about

gain back his mobility and after about

gain back his mobility and after about eight weeks he was already walking again

eight weeks he was already walking again

eight weeks he was already walking again and he still has his shoes in his upper

and he still has his shoes in his upper

and he still has his shoes in his upper limb but it has been tremendous and

limb but it has been tremendous and

limb but it has been tremendous and amazing to work with him to help develop

amazing to work with him to help develop

amazing to work with him to help develop the product as well so we are what what

the product as well so we are what what

the product as well so we are what what I’ve seen from the work and the work

I’ve seen from the work and the work

I’ve seen from the work and the work with with patients that have been

with with patients that have been

with with patients that have been affected by several conditions is that

affected by several conditions is that

affected by several conditions is that it can have tremendous impact on

it can have tremendous impact on

it can have tremendous impact on people’s health and people’s recovery

people’s health and people’s recovery

people’s health and people’s recovery and in terms of the current compared to

and in terms of the current compared to

and in terms of the current compared to the current rehabilitation in terms of

the current rehabilitation in terms of

the current rehabilitation in terms of longer engagement and increased motion

longer engagement and increased motion

longer engagement and increased motion the results have been have been

the results have been have been

the results have been have been impressive and I’ll take you through two

impressive and I’ll take you through two

impressive and I’ll take you through two cases that I’ve worked with so one of

cases that I’ve worked with so one of

cases that I’ve worked with so one of them was a male in his 20s he had a

them was a male in his 20s he had a

them was a male in his 20s he had a traumatic brain injury and a spinal cord

traumatic brain injury and a spinal cord

traumatic brain injury and a spinal cord injury as well and his current

injury as well and his current

injury as well and his current engagement with physiotherapy is one

engagement with physiotherapy is one

engagement with physiotherapy is one minute and he’s tuning out so he doesn’t

minute and he’s tuning out so he doesn’t

minute and he’s tuning out so he doesn’t want to do it anymore

want to do it anymore

want to do it anymore he’s very disengaged in the VR we have

he’s very disengaged in the VR we have

he’s very disengaged in the VR we have experience as you saw before he was in

experience as you saw before he was in

experience as you saw before he was in it for ten minutes he wanted to do it

it for ten minutes he wanted to do it

it for ten minutes he wanted to do it over and over again he was having fun he

over and over again he was having fun he

over and over again he was having fun he was really engaged the other patient

was really engaged the other patient

was really engaged the other patient that I worked with is a man in his 60s

that I worked with is a man in his 60s

that I worked with is a man in his 60s he just had a stroke a few weeks before

he just had a stroke a few weeks before

he just had a stroke a few weeks before and his one side was completely affected

and his one side was completely affected

and his one side was completely affected and in the current rehabilitation so the

and in the current rehabilitation so the

and in the current rehabilitation so the physio would ask him to move his arms

physio would ask him to move his arms

physio would ask him to move his arms without any engagement with objects

without any engagement with objects

without any engagement with objects there is this conviction installed in

there is this conviction installed in

there is this conviction installed in patient and I’ve seen it in several

patient and I’ve seen it in several

patient and I’ve seen it in several patients is that when you have something

patients is that when you have something

patients is that when you have something that is affected you might have

that is affected you might have

that is affected you might have experiences yourself as well you want to

experiences yourself as well you want to

experiences yourself as well you want to protect it and you don’t want to over

protect it and you don’t want to over

protect it and you don’t want to over like do the movement even though you can

like do the movement even though you can

like do the movement even though you can move your arm you will always try to

move your arm you will always try to

move your arm you will always try to protect it and he was convinced no I

protect it and he was convinced no I

protect it and he was convinced no I can’t move my arm that far and then when

can’t move my arm that far and then when

can’t move my arm that far and then when he was put in there so there’s some fear

he was put in there so there’s some fear

he was put in there so there’s some fear as well that is installed in the

as well that is installed in the

as well that is installed in the patients and so when he was put in the

patients and so when he was put in the

patients and so when he was put in the VR we have experienced this fear kind of

VR we have experienced this fear kind of

VR we have experienced this fear kind of went away we gave him a challenge and he

went away we gave him a challenge and he

went away we gave him a challenge and he that conviction as well that he couldn’t

that conviction as well that he couldn’t

that conviction as well that he couldn’t move his arm went away and he was moving

move his arm went away and he was moving

move his arm went away and he was moving his arm in a very safe way but much

his arm in a very safe way but much

his arm in a very safe way but much further than he was actually doing when

further than he was actually doing when

further than he was actually doing when he was just doing his rehab and so that

he was just doing his rehab and so that

he was just doing his rehab and so that was also really

was also really

was also really kind of that limiting believes that you

kind of that limiting believes that you

kind of that limiting believes that you cannot move because of its a very hard

cannot move because of its a very hard

cannot move because of its a very hard condition that you’re going through as

condition that you’re going through as

condition that you’re going through as well and the protection mechanism so

well and the protection mechanism so

well and the protection mechanism so giving back an increased motion range

giving back an increased motion range

giving back an increased motion range and helping them to get better was a

and helping them to get better was a

and helping them to get better was a really great result

really great result

really great result so VR VR is just I mean it’s just an

so VR VR is just I mean it’s just an

so VR VR is just I mean it’s just an amazing technology giving groundbreaking

amazing technology giving groundbreaking

amazing technology giving groundbreaking results already in health care and it

results already in health care and it

results already in health care and it will make a tremendous impact going

will make a tremendous impact going

will make a tremendous impact going further further whether it soon we have

further further whether it soon we have

further further whether it soon we have whether it’s mental health so it’s

whether it’s mental health so it’s

whether it’s mental health so it’s really important to embrace these new

really important to embrace these new

really important to embrace these new technologies to let people take charge

technologies to let people take charge

technologies to let people take charge of their own health and well-being and

of their own health and well-being and

of their own health and well-being and empower them because there’s nothing

empower them because there’s nothing

empower them because there’s nothing worse in not having any options so thank

worse in not having any options so thank

worse in not having any options so thank you

you

you [Applause]

”

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