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Randomized Controlled Trial
. 2015 Aug 2:12:63.
doi: 10.1186/s12984-015-0057-x.

Clinical feasibility of interactive motion-controlled games for stroke rehabilitation

Kelly J Bower  1   2   3 , Julie Louie  4 , Yoseph Landesrocha  5 , Paul Seedy  6 , Alexandra Gorelik  7 , Julie Bernhardt  8
Affiliations
Randomized Controlled Trial

Clinical feasibility of interactive motion-controlled games for stroke rehabilitation

Kelly J Bower et al. J Neuroeng Rehabil. .

Abstract

Background: Active gaming technologies, including the Nintendo Wii and Xbox Kinect, have become increasingly popular for use in stroke rehabilitation. However, these systems are not specifically designed for this purpose and have limitations. The aim of this study was to investigate the feasibility of using a suite of motion-controlled games in individuals with stroke undergoing rehabilitation.

Methods: Four games, which utilised a depth-sensing camera (PrimeSense), were developed and tested. The games could be played in a seated or standing position. Three games were controlled by movement of the torso and one by upper limb movement. Phase 1 involved consecutive recruitment of 40 individuals with stroke who were able to sit unsupported. Participants were randomly assigned to trial one game during a single session. Sixteen individuals from Phase 1 were recruited to Phase 2. These participants were randomly assigned to an intervention or control group. Intervention participants performed an additional eight sessions over four weeks using all four game activities. Feasibility was assessed by examining recruitment, adherence, acceptability and safety in both phases of the study.

Results: Forty individuals (mean age 63 years) completed Phase 1, with an average session time of 34 min. The majority of Phase 1 participants reported the session to be enjoyable (93 %), helpful (80 %) and something they would like to include in their therapy (88 %). Sixteen individuals (mean age 61 years) took part in Phase 2, with an average of seven 26-min sessions over four weeks. Reported acceptability was high for the intervention group and improvements over time were seen in several functional outcome measures. There were no serious adverse safety events reported in either phase of the study; however, a number of participants reported minor increases in pain.

Conclusions: A post-stroke intervention using interactive motion-controlled games shows promise as a feasible and potentially effective treatment approach. This paper presents important recommendations for future game development and research to further explore long-term adherence, acceptability, safety and efficacy.

Trial registration: Australian and New Zealand Clinical Trials Registry ( ACTRN12613000220763 ).

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Figures

Fig. 1
Fig. 1
Screen shots of the four game activities. Legend: a. Ball Maze b. Fridge Frenzy c. Tentacle Dash d. Bubble Fish
Fig. 2
Fig. 2
Study flow diagram
See this image and copyright information in PMC

References

    1. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet. 2013;383:245–55. - PMC - PubMed
    1. Michael KM, Allen JK, MacKo RF. Reduced ambulatory activity after stroke: The role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil. 2005;86:1552–1556. doi: 10.1016/j.apmr.2004.12.026. - DOI - PubMed
    1. Tyson SF, Hanley M, Chillala J, Selley A, Tallis RC. Balance disability after stroke. Phys Ther. 2006;86:30–38. - PubMed
    1. Kwakkel G, Kollen BJ, Van der Grond JV, Prevo AJH. Probability of regaining dexterity in the flaccid upper limb: Impact of severity of paresis and time since onset in acute stroke. Stroke. 2003;34:2181–2186. doi: 10.1161/01.STR.0000087172.16305.CD. - DOI - PubMed
    1. Sturm JW, Dewey HM, Donnan GA, Macdonell RAL, McNeil JJ, Thrift AG. Handicap after stroke: How does it relate to disability, perception of recovery, and stroke subtype? The North East Melbourne Stroke Incidence Study (NEMESIS). Stroke. 2002;33:762–8. - PubMed

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