- Balance, Gait, and Falls Prevention
- Musculoskeletal pain and rehabilitation
- Cerebral Palsy and Movement Disorders
- Vestibular and auditory disorders
- Virtual Reality Applications and Impacts
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Stroke Rehabilitation and Recovery
- Spinal Cord Injury Research
- Spine and Intervertebral Disc Pathology
- Muscle activation and electromyography studies
- Pain Management and Placebo Effect
- Resilience and Mental Health
- Posttraumatic Stress Disorder Research
- Ophthalmology and Eye Disorders
- Psychosomatic Disorders and Their Treatments
- Educational Games and Gamification
- Persona Design and Applications
- Effects of Vibration on Health
- Myofascial pain diagnosis and treatment
- Diabetic Foot Ulcer Assessment and Management
- Mindfulness and Compassion Interventions
- Prosthetics and Rehabilitation Robotics
- Psychotherapy Techniques and Applications
- Traumatic Brain Injury Research
- Injury Epidemiology and Prevention
Ministry of Defence
2013-2016
Ministry of Defence
2013
Central Military Hospital
2011-2013
It has frequently been proposed that lowering walking speed is a strategy to enhance gait stability and decrease the probability of falling. However, previous studies have not able establish clear relation between stability. We investigated whether people do indeed lower when challenged, this reduces Nine healthy subjects walked on Computer Assisted Rehabilitation ENvironment (CAREN) system, while quasi-random medio-lateral translations surface were imposed at four different intensities. A...
The usefulness and effectiveness of specific serious games in the medical domain is often unclear. This caused by a lack supporting evidence on validity individual games, as well publicly available information. Moreover, insufficient understanding design principles among individuals institutions that develop or apply game compromises their use. article provides first consensus-based framework for assessment games. 62 items 5 main themes, aimed at assessing game's rationale, functionality,...
Besides a stable gait pattern, in daily life requires the capability to adapt this pattern response environmental conditions. The purpose of study was elucidate anticipatory strategies used by able-bodied people attain an adaptive and how these interact with maintain stability. Ten healthy subjects walked Computer Assisted Rehabilitation ENvironment (CAREN). To provoke had hit virtual targets, markers guided their knees, while walking on self-paced treadmill. effects without task speed, step...
Although the symptoms of Post-Traumatic Stress Disorder (PTSD) in general and military population seem very similar, combat-related PTSD (cr-PTSD) is typically thought to be more severe due repeated prolonged exposure traumatic events. Therapeutic adherence reported a problem populations compromising treatment efficacy. Therefore, new potential supplementary specially designed for patients with cr-PTSD. This intervention called Military Motion Memory Desensitization Reprocessing (3MDR). The...
Current evidence for the effectiveness of specialist multidisciplinary programs burdensome chronic pain and functional somatic syndromes drives effort to improve approaches, strategies, delivery modes. It remains unknown what extent in respect serious gaming during regular outpatient rehabilitation can contribute health outcomes.
Introduction: Lower leg pain (LLP), including medial tibial stress syndrome (MTSS) and chronic exertional compartment (CECS), remains a major problem for the military. Objective: Evaluation of patient characteristics short-term results rehabilitation program service members used in Military Rehabilitation Centre Aardenburg. Methods: This retrospective study includes 161 Netherlands Armed Forces. Service were grouped into following diagnostic categories: MTSS (n = 47), conservative treatment...
Abstract Background: Ototoxicity caused by medication can lead to debilitating symptoms such as dizziness, vertigo and postural instability. There is no current ‘gold standard’ treatment available. Case report: A 79-year-old male, with bilateral loss of vestibular function gentamicin toxicity after surgery for prosthetic valve endocarditis, complained difficulty in walking an increased risk falling. Physical examination showed a positive head thrust test suggesting function. Results: The...
Rehabilitation for vestibular disease is a safe method to partially alleviate symptoms of vertigo. It was hypothesized that principles military aviation desensitization procedures have success rate more than 80% can be extrapolated chronic as well. The virtual reality motion base computer-assisted rehabilitation environment used treatment modality in 17 patients. They were exposed sinusoidal vertical passive whole body increasing intensity maximum 12 sessions. Dizziness Handicap Inventory...
Introduction Many individuals suffer from chronic pain or functional somatic syndromes and face boundaries for diminishing limitations by means of biopsychosocial interventions. Serious gaming could complement multidisciplinary interventions through enjoyment independent accessibility. A study protocol is presented studying whether, how, which patients under what circumstances, serious improves patient health outcomes during regular rehabilitation. Methods analysis mixed-methods design...
Meta-analyses or critical reviews in medical research concerning serious games focus on outcome measures like for example daily pain. They however do not take into account the effectiveness of game relation to constructs used design game. This is a possible explanation why there vast heterogeneity results profession, but maybe also relatively poor health care. A comprehensive hierarchy validity care proposed where concepts as content validity, concurrent and predictive are addressed. can aid...
This study provides an analysis of bodily experiences a man with lower leg amputation who used virtual rehabilitation program.The reports data from semi-structured interviews 32-year veteran environment during rehabilitation. The were analyzed using interpretative phenomenological (IPA).During this program, he initially experienced his body as object, which had to handle carefully. As went along the training sessions, however, was more stimulated react directly without being aware body's...
In tilting trains partial alignment to the gravito-inertial force (GIF) in curves seems be best tilt compensation reduce incidence of motion sickness. We investigated effect GIF on development sickness during low-frequency horizontal motion.There were 12 healthy subjects who participated. The design was a three-period, single-blind, crossover trial, counterbalanced for order. Cardiopulmonary measurements, Misery SCores (MISC), and questionnaire data (Motion Sickness Susceptibility...
Motion sickness incidence (MSI) for vertical sinusoidal motion reaches a maximum at 0.167 Hz. Normal breathing frequency is close to this frequency. There some evidence synchronization of with stimulus If enforced takes place over larger range (0.05-0.8 Hz) and whether contributes the high MSI Hz was investigated. Sinusoidal (amplitude 0.3 g, frequencies 0.05, 0.1, 0.2, 0.4, 0.8 applied. Nausea MISC-scores respiratory parameters, such as tidal volume, frequency, end-tidal CO(2) (PetCO(2)),...
Introduction: Balance is negatively influenced by optokinetic stimuli. Fall research with these stimuli has been done standing subjects. Less known of the influence have on risk falling while walking. The objective this study was to qualitatively investigate roll balance during