Inge CuC

Diseño y Evaluación Preliminar de un Videojuego de Realidad Virtual Inmersiva y Cinéticamente Adaptativo para la Rehabilitación Post-Accidente Cerebrovascular

JULIAN FELIPE VILLADA CASTILLO

Universidad Tecnológica de Pereira

https://orcid.org/0000-0002-2694-1429

John Edison

Wilfrid Laurier University

DOI: https://doi.org/10.17981/ingecuc.21.2.2025.09

Palabras clave: Realidad Virtual Inmersiva (IVR), Exergame, Sistema Cinemáticamente Adaptativo, Rehabilitación post-stroke, Dimensionless Jerk, Escala de fatiga de Borg, Personalización Terapéutica

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Resumen

Introducción: La rehabilitación de extremidades superiores tras un accidente cerebrovascular enfrenta desafíos como la baja motivación y adherencia a terapias tradicionales. Este trabajo propone un exergame Inmersivo de Realidad Virtual (IVR) con un sistema de dificultad cinemáticamente adaptativo que ajusta dinámicamente la complejidad de los ejercicios en tiempo real, utilizando datos de movimiento capturados por equipos de realidad virtual.

Objetivo: Evaluar la efectividad de un sistema adaptativo basado en el tirón adimensional para optimizar el esfuerzo terapéutico en pacientes post-stroke.

Metodología: Se realizó un estudio de usabilidad con 20 participantes divididos en un grupo control (versión no adaptativa) y un grupo experimental (versión adaptativa). La escala de fatiga de Borg y el Cuestionario de Neurociencia de Realidad Virtual (VRNQ) se utilizaron para medir el compromiso, la fatiga percibida y la experiencia del usuario.

Resultados: El sistema adaptativo mejoró el compromiso de los participantes y los resultados terapéuticos. El grupo experimental mostró niveles de esfuerzo físico percibidos más cercanos al rango terapéutico ideal, según lo definido por la literatura. Además, este grupo obtuvo mejores evaluaciones en experiencia de usuario e inmersión.

Conclusiones: El exergame inmersivo y cinemáticamente adaptativo demostró ser una herramienta personalizada y eficaz para la rehabilitación post-stroke. Aunque se identificaron áreas de mejora, como la capacidad de respuesta en etapas avanzadas, este sistema ofrece un enfoque dinámico y motivador para optimizar el proceso de recuperación.

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Citas

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