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Work. 2015;50(1):121-9. doi: 10.3233/WOR-141927.

A systematic literature review of the use and effectiveness of the Computer Assisted Rehabilitation Environment for research and rehabilitation as it relates to the wounded warrior.

Author information

1
Naval Health Research Center, San Diego, CA, USA.
2
Walter Reed National Military Medical Center, Bethesda, MD, USA.

Abstract

BACKGROUND:

Several U.S. military treatment and research facilities employ a Computer Assisted Rehabilitation Environment (CAREN) [Motek Medical BV, Amsterdam, The Netherlands] for research and rehabilitation of complex injuries exhibited by Wounded Warriors. There has been little scientific evidence of the effectiveness of this type of system for rehabilitation.

OBJECTIVE:

A systematic review of the literature was completed to determine what type of work has been performed on the CAREN and report findings of clinical significance.

METHODS:

Specific terms were searched on electronic databases to include journal articles, abstracts, and peer-reviewed conference proceedings related to the CAREN.

RESULTS:

Twenty-six publications were elicited that met our criteria. These were divided by their primary focus: rehabilitation, clinical research, and technical reports.

DISCUSSION:

Results from published articles have determined that the system is a capable tool for both assessment and rehabilitation, but little has currently been published, particularly on patient populations.

CONCLUSION:

More research needs to be performed to evaluate its effectiveness as a rehabilitation tool compared to other rehabilitation methods. It is expected that a system, such as the CAREN, will challenge patients multifactorially (e.g. physically and cognitively) and provide biofeedback while decreasing rehabilitation time and increasing effectiveness of treatment.

KEYWORDS:

CAREN; immersive virtual environment; therapy; warfighter

PMID:
25167904
DOI:
10.3233/WOR-141927
[Indexed for MEDLINE]

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