TW201406366A - Equipment for visual motor and/or neuromuscular therapy and method for visual motor and/or neuromuscular therapy using said equipment - Google Patents

Abstract

The present invention relates to an equipment for visual motor and/or neuromuscular therapy and a method for visual motor and/or neuromuscular therapy using said equipment, comprising: a viewing device (1) with cameras (2) that capture images observed by the user and displays (3) depicting said images; segments (5) linked with the user's limbs (4) with rotation articulations (6) between them; actuators (7) arranged in the rotation articulations (6) between segments (5); position, speed, acceleration and/or force sensors (8) associated with the segments (5) and with each rotation articulation (6); contact surfaces (9) linked with the fingertips that are provided with contact surfaces (9) with actuators and sensors (10); a computer (11) receiving information from the cameras (2) and the sensors (8 and 10) in order to command the actuators and create forces or vibrations in the segments (5).

Description

Apparatus for visual motor and/or neuromuscular treatment, and method of using the same for visual motor and/or neuromuscular treatment

The present invention relates to an apparatus for examination, diagnosis or assistance for diagnosis and treatment of vision, hearing (auditory measurement), proprioception, and micro-psychological muscle movement techniques.

Vision is the entry channel for 95% of the information people receive, and is therefore used for spatial location, emotional communication, and especially for learning (for example, for techniques used in shape recognition, reading, reading comprehension, etc.) It is convenient to periodically check vision to find and handle functional problems that can be presented.

However, when working with vision therapy, it is not only necessary to work with vision, but other sensations of providing information to the brain must also be co-operated. To stimulate and re-educate the brain, and to establish new behavioral patterns that correct abnormalities or defects, the visual motor integration therapy is used, where a connection is established between the visual system and the system of excitatory nerve excitement to Vision Force in controlling eye movement, eye coordination, focusing ability, hand-eye coordination, orientation, one-sidedness, information and visual memory, visual shape perception, proprioception, body arrangement, and the development of the relationship between the body and the space, The correct performance of the planned motor action, and other variables work, in short, allowing the user to be more coordinated to have a better sense of his/her own body and his/her surroundings, generally to his/her The mobile system is more confident and accurate. Treatment with motor and/or visual motor motion is especially indicated for children in the early stages of life, as well as for people with neuromuscular defects, neurodegenerative diseases, or for suffering from stroke, accident, brain Surgery and other people.

Until today, there are no known devices that allow visual motor therapy to be performed automatically, quickly and efficiently, but require the intervention of an expert (rehabilitation expert, optometrist, etc.) that must be based on his/her experience and standardized individual The program evaluates the individual's visual motor skills. Moreover, due to the scarcity of experts dedicated to providing care to the entire population, many people cannot be taken care of in order to regularly perform the required treatments.

The present invention provides an apparatus and method that allows for the automated use of therapeutic applications without supervised care for establishing the proper connection and operation of the vision system with the system of excitatory nerve excitement, such that the device of the present invention allows the user to feel He/she's own body and ability to position it in the space felt by his/her feelings, and to be able to identify abnormalities in vision and management of the device, and to establish repeated treatments for correcting those anomalies.

For this purpose, the proposed device for visual motor and/or neuromuscular treatment is provided on the user's limb by a viewing device incorporated on the user's head, such as Formed on his/her arm, or on his/her arms and legs, and a computer that receives information captured by the viewing device and about the set of components that are placed on the user's limb The information is such that, depending on all of the information, the device can recognize visual motor anomalies and the user can execute different visual motor and/or neuromuscular treatment programs integrated into the computer's memory.

The viewing device disposed on the head of the user has a camera that captures images viewed by the user's eyes, and a display that faces the user's eyes, and is captured by the camera An image is drawn on the display such that the image captured by the camera of the viewing device is corrected such that the position and orientation of the pupil from the user and the view of the virtual distance from the user are The three-dimensional immersive virtual environment is stereoscopically drawn on the displays, and the virtual distance is equal to the true geometric convergence point of the user's gaze direction and the real distance between the user himself/herself. The optometry font and visual stimuli can also be drawn in the images depicted on the displays, the user actually interacting with the optometry fonts and visual stimuli for examination, diagnosis or treatment. These optometry fonts and visual stimuli may be drawn separately or simultaneously from images viewed by the user by the camera of the surrounding entity.

The segments are attached to the limbs of the user, the segments being hinged to each other in a rotary joint having one or more degrees of freedom. Configured in consecutive segments The rotating joint is provided with an actuator for inducing movement in the limb of the user, and when the therapeutic application performed is correct, an active movement that facilitates movement of the corresponding limb can be induced, or The impedance effect exerted by the application and not properly resisting the movement of the limb can be induced.

A sensor (8) that measures the position, velocity, and/or acceleration of the user's limbs (arms, forearms, or hands, phalanges containing the fingers), and/or the forces or momentums at which they are acting, The segments are associated with each of the rotating joints located between the segments such that all information retrieved by the sensors (8) is stored in the computer and processed for optimal treatment use.

In another aspect, the contact surface is coupled to the user's fingertip and separated therefrom in the initial docking state, and is provided with actuators that cause vibration or movement in the contact surfaces, and measurement presence. A sensor for the presence of contact and/or force between each contact surface and its corresponding fingertip.

With all such devices, a computer system is responsible for receiving and processing information captured by the camera of the viewing device, and information measured by sensors associated with the segments and their rotating joints. Depending on all such information and the inspection and diagnosis and/or treatment programs integrated into the memory of the computer, actuators configured to induce forces in the segments are commanded in the rotary joints. The user's movement or modification thereof is induced, and the optometry font and visual stimuli are drawn in the image depicted on the display of the viewing device.

The method for neuromuscular treatment of a vision motor and/or a user by means of the device of the invention comprises the performance of the visual function of the user and the An objective measure of motor behavior at one or more locations of the user's limb (4). The method includes the following phases: - Identifying one or more visual motor functions to be improved.

- Construct a three-dimensional immersive virtual environment for treatment.

Selecting an agreement for performing therapy according to which visual stimuli and motor stimuli in the three-dimensional immersive virtual environment are displayed to the user, and the user's response to the displayed visual and motor stimuli is observed, Record and / or analysis, here:

The visual stimuli are displayed on a display (3) of the viewing device (1), and the motor stimuli are induced by an actuator (7) that is disposed in a limb with the user (4) in the rotating joint (6) between the joined segments (5), and/or along the actual segments (5) in any position of the user's limb (4).

The user's response to the visual and motor stimuli is observed, recorded, and/or analyzed based on information captured by the viewing device (1) and the sensors (8, 10) of the device for Visual motor and / or neuromuscular treatment.

- Continuously modify the conditions of the three-dimensional immersive virtual environment.

- continually modifying visual stimuli and motor stimuli displayed to the user in the three dimensional immersive virtual environment.

- Comparing the visual motor function identified in the first step with pre-established parameters relating to the visual motor function of a healthy user, or with other specific purposes, for determining the efficiency of the treatment.

Due to its constructive and functional characteristics, the equipment is thus obtained, The genus is applied to functions intended for visual motor and/or neuromuscular treatment that allow for the processing of sensory stimuli taken by the vision, touch or hearing, and can alert the exercise device to each treatment situation. The reaction.

1‧‧‧ viewing device

2‧‧‧ camera

3‧‧‧ display

4‧‧‧ limbs

4.1‧‧‧ Arm

4.2‧‧‧Hand

5‧‧‧frag

5.1‧‧‧frag

5.2‧‧‧frag

5.3‧‧‧frag

5.4‧‧‧frag

5.5‧‧‧frag

5.6‧‧‧frag

5.7‧‧‧frag

5.8‧‧‧frag

6‧‧‧Rot joint

7‧‧‧Actuator

8‧‧‧Sensor

9‧‧‧Contact surface

10‧‧‧ Sensors

11‧‧‧ computer

12‧‧‧ mark

13‧‧‧ headphones

14‧‧‧ microphone

BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a block diagram showing the components of a device for forming a vision motor and/or neuromuscular treatment of the present invention.

2 shows a perspective view of a user and incorporates a device for visual motor and/or neuromuscular treatment according to an embodiment of the present invention into his/her upper limb.

3 is a perspective view of a segment of the device of the present invention associated with the user's upper limb, particularly with respect to the user's right and right hands.

Figure 4 shows a perspective view of an embodiment of a segment associated with a limb of a user.

BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a block diagram showing the components of a device for forming a vision motor and/or neuromuscular treatment of the present invention.

The device consists of a viewing device (1) arranged on the user's head. The viewing device (1) has a camera (2) that captures an image of the field of view viewed by the user's eyes, each camera (2) being coupled to the user's eyes.

Drawing on the image captured by the cameras (2) The indicator (3) is disposed inside the viewing device (1) facing the user's eyes. The viewing device (1) allows for a stereoscopic vision and has an eye tracking system so that the user is gazing at any time. In the Spanish patent application P201100247, the applicant belonging to the same as the present invention, such as the viewing device (1) of the present applicant, has been described, and therefore its internal structure will not be described because it is not within the scope of the present invention. .

The device for visual motor and/or neuromuscular treatment is also comprised of a segment (5) attached to the limb (4) of the user, which can be coupled to the user's arm or to the user's Arm and leg links. The segments (5) are hinged to each other by a rotating joint (6) having one or more degrees of freedom. The segments (5) can have different alternative structures, such as rigid rods, tubes having different profiles, such as flexible surfaces that support one or more segments (5), or other structures without limiting the invention. range.

These rotating joints (6) arranged between the segments (5) are provided with actuators (7) for inducing the movement of the user or its modification. The actuators (7) can be of any conventional type, such as an electromagnetic or piezoelectric actuator, and can have, for example, one or more degrees of freedom, as much as needed to perform the therapeutic application.

Position, velocity, acceleration and/or force sensors (8) are associated with the segments (5) and with each of the rotating joints (6) located between the segments (5). By means of these sensors (8), when such therapeutic applications are performed, the user's response is determined, ie the absolutes of the limbs (4) The relative movement, the rate of movement, the acceleration, or the force and momentum exerted by the user and/or the force and momentum exerted on the user to be measured.

A contact surface (9) integral with the segment (5) disposed at the distal end of each user's upper limb (4) is coupled to the user's fingertip. These contact surfaces (9) are provided with sensors (10) that measure the force present between each contact surface (9) and its corresponding fingertips so that if the user is interacting with the real object, it can be built And, where appropriate, the interaction force occurs, or by creating a relative movement between the contact surface (9) and the user's fingertip, by the actuator (7), at the user Contains the feeling that he/she is about to make real contact with the virtual object being drawn on the display (3) until the contact surfaces (9) come into contact with the user's fingertips and exert a force on them. .

In another aspect, a computer (11) is provided to manage all of the information about the different components that make up the device for visual motor and/or neuromuscular treatment, the computer (11) being received by the cameras (2) Information captured and information measured by the segments (5) and the sensor (8) of the rotating joint and the sensor (10) through the contact surfaces, and based thereon, the commands are configured An actuator (7) in the rotating joint (6) to induce movement in the segments (5), and the computer (11) is responsible for the display for introducing the viewing device (1) (3) ) Optometry fonts and visual stimuli in the images depicted.

As can be observed in Figure 4, the possibility of such segments (5) has been envisaged, which is actually configured in the computer (11) by a flexible surface A segment constructed by the reference mark (12), the flexible surface being like a long glove covering one of the user's upper limbs. The fiducial markers (12) are captured by the camera (2) of the viewing device (1) for reference to the segments (5).

The reference marks (12) may be a point of color contrasting with the surface of the glove, or even a point of light, such that the computer (11) is able to know each actual by the position of those fiducial marks (12). The position of the segment (5) and its spatial trajectory are defined. From the information measured by the sensors (8), it is also possible to know the position of the segments (5) and thus the position of the limb of the user.

Figure 3 shows a detailed example of the composition of the segment (5) associated with one of the user's upper limbs (4). In this example, the segments (5) are composed of a first set of segments (5.1) disposed on the scapula, a second set of segments (5.2) disposed on the tibia, and configured on the ulna and a third set of segments on the tibia (5.3), a fourth set of segments placed on the carpal bone (5.4), a fifth set of segments placed on the metacarpal bone (5.5), and a sixth set placed on the proximal phalanx Fragment (5.6), a seventh set of segments (5.7) disposed on the medial phalanx, and an eighth set of segments (5.8) disposed on the distal phalanx. A contact surface (9) that is sequentially coupled to the fingertip of the user is integrally disposed with the eighth group of segments (5.8). As can be seen in detail in Figure 3, the rotating joint (6) of the device for visual motor and/or neuromuscular treatment is located substantially in regions in which the arm of the human body is positioned and The joints inherent in the hand.

In the embodiment shown in Figure 4, the segment (5) associated with the upper limb (4) of the user is integrated into a flexible surface, such as a sleeve, surrounding the arm (4.1) and hand (4.2) of the user. And in the glove, the segments are actually made by the camera (2) by tracking the reference mark (12).

As can be seen in Figure 2, the device for visual motor and/or neuromuscular therapy optionally includes an earpiece (13) and a microphone (14) that allows the user to interact with his/her surroundings, In this way, the therapeutic use of the vision system, the motor system and the auditory system can be coordinated.

When performing therapeutic applications to improve the function of different vision motors, the computer (11) for the equipment for visual motor and/or neuromuscular treatment performs the following sequence of operations: If desired, the gaze direction of each eye of each camera (2) and the convergence point of both eyes are selectively determined by the viewing device (1) by gazing in the corresponding eye. The computer (11) digitizes the images captured by the two cameras (2) to convert them into a distance corresponding to the user's pupil, the position and orientation of his/her pupil, and the user The gaze of the eye truly converges the geometric system of geometric points.

The computer (11) additionally performs another digit correction of the image captured by the two cameras (2) to establish an incremental blur in the plane that is incrementally away from the surface containing the convergence point, once The three-dimensional immersive virtual environment is stereoscopically corrected at a virtual distance from the user, and finally displayed on the display (3) of the viewing device (1) The image that the user is observing, the virtual distance is equal to the true convergence geometry of the gaze and the true distance between the users.

An environment surrounding the user, containing his/her own limbs (4), forming a part of the environment, and selective virtual objects that the user will interact with during treatment are rendered in a modified manner On the displays (3) as indicated previously.

Depending on the response of the user, such as his/her arm, movement of the forearm, etc., information taken by the cameras (2) and/or by the sensors (8, 10) To explain, the computer (11) sends control signals to the actuators (7) such that they induce active force and/or impedance forces and/or vibrations in the corresponding segments (5) to correct Or enhance the user's behavior, which will help him/her improve his/her visual motor skills.

One of the therapeutic uses that can be performed with the device of the present invention is an improvement in the user's subtle psychomotor skills such as improving or learning how to write, and a virtual pencil is displayed in the three-dimensional display through the display (3). In an immersive virtual environment, and a treatment target on how to hold the virtual pencil with the fingers of the users is established, the position of the virtual pencil when writing, the accuracy of the stroke of the virtual pencil on the virtual writing plane, The pressure of one or more of the user's fingers on the virtual pencil, the user's hand pressing the virtual pencil against the virtual writing plane, the dynamic distribution of the posture, force, and the segments (5) Absolute and/or relative movement; and the ability to coordinate the fingers of one or both hands, coordinating the fingers with each other or with each other and with the virtual objects held by them mobile.

Depending on the therapeutic application to be performed, the device can display different virtual objects on the display, such as writing elements (pencils, keyboards, typewriters), musical instruments, professional tools (drills, screw clamps, screwdrivers), Articles characterized by fragile home, teaching or professional purposes, or parts that can interact with one another to load a predefined location can be displayed.

A method for visual motor and/or neuromuscular treatment of a user is performed by the apparatus of the present invention, the method comprising the performance of the visual function of the user and one or more of the limb (4) of the user Objective measurement of motor behavior in multiple locations, the method comprising the following phases:

First, the one or more visual motor functions of the user to be improved or treated are by the visual motor treatment and/or neuromuscular, the target of the treatment, the duration of the treatment session, and the number of sessions required The minimum and/or maximum time is determined to achieve the establishment goal to be established.

The visual motor functions of the user to be improved or treated by treatment and subsequently compared with pre-established parameters include, in particular, eye movement, eye coordination, focus, hand-eye coordination, orientation, one-sidedness, information and visual memory. , visual shape perception, body feeling, body arrangement and the development of the relationship between the body and the space, the correct performance of the motor function of the plan, and the like.

Second, the three-dimensional immersive virtual environment is constructed for performing vision motor and/or neuromuscular therapy.

Prior to the user, the organization of the three-dimensional immersive virtual environment contains Surrounding his/her real environment and/or he/she must concentrate on the painting of his/her attention to the real environment while treating, the physical depiction of a part of the environment, and the user’s The digital process of modifying the depiction of the environment in the field of view, which is drawn before his/her eyes are on the display (3) of the viewing device (1), and establishes the geometrical structure of the drawing, the user will actually a virtual object that interacts with it, a parameter that defines those virtual objects (shape, size, elasticity, ...), a virtual movement that is allowed and/or disallowed by the virtual object and the object, the virtual objects and/or Or the interaction with the physical object in the user's field of view, and the object of the interaction with the user regarding his/her interaction with the virtual object or object depicted in his/her field of vision, including the user The visual motor performance is an evaluation criterion during the application, and in particular, criteria, variables and parameters defining fault or error conditions to be treated with improvement.

Third, an agreement for performing a visual motor and/or neuromuscular treatment is selected, wherein one or more therapeutic applications to be performed by the user in the three-dimensional immersive environment are used to stimulate his/her vision Motor system.

In one aspect, the agreement includes displaying, to the user, a visual stimulus displayed on the display (3) of the viewing device (1) in the location of the three-dimensional immersive virtual environment, and by means of the actuators (7) The induced motor stimulation, the actuators being arranged in the rotating joint (6) between the segments (5), and on the other hand, including from being used for vision motor and/or neuromuscular treatment Information captured by the viewing device (1) and the sensors (8, 10) of the device, relating to one or more of the following visual and/or Or one or more visual stimuli and motor stimuli displayed by the motor process to observe, record, and/or analyze one or more of the user's reactions: Feeling (ie, the user has experienced one or more changes in his/her virtual visual environment); Identifying (ie, the user has distinguished one or more specific changes in his/her virtual visual environment; positioning (ie, the user has attempted to aim his/her gaze toward the feeling and recognition) The change or direction of the change, and has attempted to converge toward the plane where he/she feels their depth); understanding (ie, the user has decided to proceed with the associated subsequent motor action, the motor action is Incorporating into the predefined logic in the treatment agreement, which is confirmed by the user or confirmed by the effect that he/she subsequently proceeds and is taken as the response of the user); Performance skill (ie, the quality, and his/her reaction to the previous treatment agreement [eg, errors in the gaze direction of each eye, errors in the convergence of each eye, response to each eye) Errors in time, errors in the action time of each eye, decisions in the position of the virtual object, errors in the path of the virtual object, errors in muscle dynamics (for example, for the application) Every muscle tissue that is needed: the initial moment of the change in the strength of the force, the maximum strength, etc., and the effects of those effects on the three-dimensional virtual environment of the user's response [eg, relevant to the user The objectives set forth in the agreement reached by the effect of his/her role in the virtual environment: The user compares the response pattern established in the error direction in the position in each of the three-dimensional spatial reference axes, the error in the reaction time, the error in the action time, the error in the decision making, etc. Perform these subsequent actions).

For example, the user's response to visual and/or motor stimulation may correspond to movement of a segment (5) associated with the user's limb (4) or bone tissue; the segments (5) by the sense The rate and/or acceleration of the movement measured by the detector (8); measured by the sensors (8, 10) and exerted by the user and/or exerted on the user And/or momentum; each eye's jump movement; in the gaze direction by a convergence effort and a salient point of the three-dimensional immersive virtual space (for example, any of the displayed physical and/or virtual objects) Intentional change accompanying the focus; the change in the gaze direction without the convergence effort and/or the focus of the virtual three-dimensional space; the change in the diameter of the pupil of each eye The change in curvature of the lens; the spherical appearance of each eye; the expression of language; the general movement of the body and the particular movement of the head, arms, and fingers; the instantaneous rate of all such changes described; and / Or by the information expressed by the user (for example, by Suitable means of communication and interaction, such as a microphone (14), earphone (13), a display (3), a camera (2) or the like by the computer (11) retrieved).

Fourth, depending on the response observed in the user, the conditions of the three-dimensional immersive virtual environment are continuously modified. Thus, for example, changes in the geometrical organization of the depiction of the three-dimensional immersive virtual environment are included; a virtual object is included; a change in light conditions in the environment and/or in the user's attention area is made, and can include a spatial three-dimensional distribution of color, color saturation, light intensity, contrast, brightness, etc.; The state of movement of the object drawn in the field of view of the user, and the like.

Fifth, the visual and motor stimuli displayed to the user in the three-dimensional immersive virtual environment are continuously modified.

For example, the position of the virtual object used to view the user in the three-dimensional immersive virtual environment is changed, and/or the appearance perceived by the user is changed (for example, changing the virtual object) One or more features that make it more ambiguous or less substantial, etc., which are made in view of one or more of these errors, by the user relative to a predetermined target The composition has been detected based on information captured by the viewing device (1) and the sensors (8, 10) of the device for visual motor and/or neuromuscular therapy. For example, these errors may be the point of convergence of the gaze, the position of the arm and/or hand and/or finger, the force exerted on the object, and the like.

Thus, for example, the appearance of the virtual object can be progressively changed toward a geometric point in the virtual three-dimensional space specified by the treatment, such that when the user's error reduction or disappearance is detected, it is sharper or more solid, such as Because his/her gaze convergence point and/or adjustment point, or his/her hand or the position of the virtual object, or the display on the physical object is moved, there must be an effort to try to achieve the indicated goal. It has a therapeutic effect on the visual and motor function of the user.

Power can also be selected by another option or additionally via the actuators (7) Inducing that the actuators indicate to the user and/or stimulate the correct movement in the user, and/or the vibration may be induced by another actuator or additionally via the actuators (7), The vibration intensity and/or frequency of the actuators is proportional to the error caused by the user relative to the target specified by the treatment.

With all of this, depending on the information captured by the device for visual motor and/or neuromuscular treatment, the user is continually modified visual and motor stimulation in the three dimensional immersive virtual environment. The response is gradually analyzed and the third, fourth, and fifth steps are repeated until the goal of treatment is achieved, and when the visual motor function of the user treated with the treatment is consistent with the pre-established parameters, the targets are Achieved. Furthermore, the third to fifth steps can be repeated until the time or number of sessions of the established treatment session is completed, or they can even be repeated until the treatment inefficiency criterion is determined, and/or the user's vision motor The reason why the function does not correspond to these pre-established parameters.

1‧‧‧ viewing device

2‧‧‧ camera

3‧‧‧ display

4‧‧‧ limbs

5‧‧‧frag

6‧‧‧Rot joint

7‧‧‧Actuator

8‧‧‧Sensor

9‧‧‧Contact surface

10‧‧‧ Sensors

11‧‧‧ computer

13‧‧‧ headphones

14‧‧‧ microphone

Claims (5)

An apparatus for visual motor and/or neuromuscular treatment, characterized in that the apparatus comprises: a viewing device (1) placed on the head of the user and having an eye drawn by the user a camera (2) of the observed image, and a display (3) facing the user's eyes, the image captured by the camera (2) is drawn on the display; the segment (5), the system Attached to the user's limb (4), each limb segment (5) is hinged to each other with a rotating joint (6) having one or more degrees of freedom; an actuator (7), which is configured in the segment (5) between the rotating joints (6); one or more position, velocity, acceleration and/or force sensors (8), and the segments (5) and each of the segments (5) The rotating joint (6) is associated; the contact surface (9) is coupled to the fingertip of the user, the contact surfaces (9) are provided with actuators for operating them, and are provided with a sensor (10) For measuring the presence or absence of a contact and/or the force present between each contact surface (9) and the corresponding fingertip; the computer (11) receiving the camera (2) Information and information measured by the sensors (8 and 10) to establish force or vibration in the segments (5), commanding the actuators based on the information and at the user Inducing a response during exercise, the computer (11) further draws an optometry font on the display (3) of the viewing device (1) And visual stimulation. A device for visual motor and/or neuromuscular treatment according to item 1 of the scope of the patent application, wherein the segment (5) associated with the upper limb (4) of the user is composed of: a first one disposed on the shoulder blade a segment (5.1), a second segment (5.2) disposed on the tibia, a third segment (5.3) disposed on the ulna and the tibia, and a fourth segment (5.4) disposed on the carpal bone, a fifth set of segments (5.5) disposed on the metacarpal, a sixth set of segments (5.6) disposed on the proximal phalanx, a seventh set of segments (5.7) disposed on the medial phalanx, and configured The eighth set of segments on the distal phalanx (5.8). A device for visual motor and/or neuromuscular treatment according to item 1 of the patent application, wherein the segment (5) associated with the upper limb (4) of the user is integrated into the arm (4.1) and the hand surrounding the user. In the flexible surface of (4.2), like a sleeve and a glove, a reference mark (12) for referring to the segments (5) by the camera (2) of the viewing device (1) is disposed. On a flexible surface. A method for visual motor and/or neuromuscular treatment using the apparatus of claims 1 to 3, characterized in that the method comprises the phases: identifying one or more visual motor functions to be improved; a three-dimensional immersive virtual environment for treatment; a protocol for performing therapy, according to which visual stimuli and motor stimuli in the three-dimensional immersive virtual environment are displayed to the user, and the displayed vision and motor Stimulating the response of the user concerned Observing, recording, and/or analyzing; continuously modifying conditions of the three-dimensional immersive virtual environment; continuously modifying visual stimuli and motor stimuli displayed to the user in the three-dimensional immersive virtual environment; comparing in the first step The visual motor function identified in the context and pre-established parameters relating to the visual motor function of a healthy user, or for other specific purposes, are used to determine the efficiency of the treatment. A method for visual motor and/or neuromuscular treatment, as in claim 4, wherein the visual stimuli are displayed on a display (3) of the viewing device (1) and the motor stimuli are actuated Induced by the device (7), the actuators are arranged in a rotating joint (6) between the segments (5) connected to the limb (4) of the user, and/or along the real segments (5) ) in any position of the user's limb (4), and the user's reaction is based on information captured by the viewing device (1) and the device's sensors (8, 10) Observation, recording and/or analysis for visual motor and/or neuromuscular treatment.