Computer Assisted Rehabilitation Environment (CAREN) is a system that integrates a training platform (motion base)
a virtual environment
a sensor system (motion capture) and D-flow software. It is useful for both diagnostic and therapeutic use. The human gait pattern can be impaired due to disease
trauma or natural decline. Gait analysis is a useful tool to identify impaired gait patterns. Traditional gait analysis is a very time consuming process and therefore only used in exceptional cases. With new systems a quick and extensive analysis is possible and provides useful tools for therapeutic purposes. The range of systems will be described in this paper
highlighting both their diagnostic use and the therapeutic possibilities. Because wounded warriors often have an impaired gait due to amputations or other extremity trauma
these systems are very useful for military rehabilitative efforts. Additionally
the virtual reality environment creates a very challenging situation for the patient
enhancing their rehabilitation experience. For that reason several Armed Forces have these systems already in use. The most recent experiences will be discussed; including new developments both in the extension of the range of systems and the improvement and adaptation of the software. A new and promising development
the use of CAREN in a special application for patients with post-traumatic stress disorder (PTSD)
will also be reviewed.
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references
Manring MM , Hawk A , Calhoun JH , Andersen RC : Treatment of war wounds: a historical review . Clin Orthop Relat Res 2009 , 467 : 2168 - 2191 .
Krueger CA , Wenke JC , Ficke JR : Ten years at war: comprehensive analysis of amputation trends . J Trauma Acute Care Surg 2012 , 73 : S438 - S444 .
Isaacson BM , Swanson TM , Pasquina PF : The use of computer-assisted rehabilitation environment (CAREN) for enhancing wounded warrior rehabilitation regimens . J Spinal Cord Med 2013 , 36 : 296 - 299 .
Lohse KR , Hilderman CG , Cheung KL , Tatla S , Van der Loos HF : Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy . PLoS One 2014 , 28 : e933318 .
McEwen D , Taillon-Hobson A , Bilodeau M , Sveistrup H , Finestone H : Virtual reality excercise improves mobility after stroke: in inpatient randomized controlled trial . Stroke 2014 , 45 : 1853 - 1855 .
Kiper P , Agostini M , Luque-Moreno C , Tonin P , Turolla A : Reinforced feedback in virtual environment for rehabilitation of upper extremity dysfunction after stroke: preliminary data from a randomized controlled trial . Biomed Res Int 2014 , 2014 : 752128 .
Sessoms PH , Wyatt M , Grabiner M , Collins JD , Kingsbury T , Thesing N , Kaufman K : Method for evoking a trip-like response using a treadmill-based perturbation during locomotion . J Biomech 2014 , 47 : 277 - 280 .
Yoon J , Park HS , Damiano DL : A novel walking speed estimation scheme and its application to treadmill control for gait rehabilitation . J Neuroeng Rehabil 2012 , 9 : 62 .
Fluett CG , Deutsch JE : Virtual reality for sensimotor rehabilitation post-stroke: the promose and current state of the field . Curr Phys Med Rehabil Rep 2013 , 1 : 9 - 20 .
Giggins OM , Persson UM , Caulfield B : Biofeedback in rehabilitation . J Neuroeng Rehabil 2013 , 10 : 60 .
van der Eerden WJ , Otten E , May G , Even-Zohar O : CAREN-computer assisted rehabilitation environment . Stud Health Technol Inform 1999 , 62 : 373 - 378 .
Barton GJ , Vanrenterghem J , Lees A , Lake M : A method for manipulating a movable platform’s axes of rotation: a novel use of the CAREN system . Gait Posture 2006 , 24 : 510 - 514 .
Makssoud HE , Richards CL , Comeau F : Dynamic control of a moving platform using the CAREN system to optimize walking in virtual reality environments . Conf Proc IEEE Eng Med Biol Soc 2009 , 2009 : 2384 - 2387 .
Kizony R , Levin MF , Hughey L , Perez C , Fung J : Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment . Physical Therapy 2010 , 90 : 252 - 260 .
Mert A , Frunt TM , van der Lint R , Uijttewaal KJM , van der Wurff P : The CAREN system is useful in the rehabilitation process: User survey of 50 patients (poster presentation) . In The Netherlands Ministry of Defence, Commando DienstenCentra , Military Rehabilitation Center ; 2009 .
Vermetten E , Meijer L , van der Wurff P , Mert A : The effect of military motion-assisted memory desensitization and reprocessing treatment on the symptoms of combat-related post traumatic stress disorder: first preliminary results . Stud Health Technol Inform 2013 , 191 : 125 - 127 .
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