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Meta-Analysis
. 2022 Jul 26;19(15):9112.
doi: 10.3390/ijerph19159112.

Measured and Perceived Effects of Upper Limb Home-Based Exergaming Interventions on Activity after Stroke: A Systematic Review and Meta-Analysis

Axelle Gelineau  1 , Anaick Perrochon  1 , Louise Robin  1 , Jean-Christophe Daviet  1   2 , Stéphane Mandigout  1
Affiliations
Meta-Analysis

Measured and Perceived Effects of Upper Limb Home-Based Exergaming Interventions on Activity after Stroke: A Systematic Review and Meta-Analysis

Axelle Gelineau et al. Int J Environ Res Public Health. .

Abstract

After discharge from the hospital to home, stroke patients may experience weakness and reduced movement in their hemiparetic arms that limits their ability to perform daily activities. Therapists can use exercise games (exergames) to maintain functional abilities and daily use of the arm at home. A systematic review and meta-analysis was conducted to determine the efficiency of upper limb home-based rehabilitation, using exergaming on activity abilities in stroke. Randomized controlled trials were reviewed in the CENTRAL, MEDLINE, CINAHL, EMBASE, and SCOPUS online databases. Clinical measures of observation and self-reporting were studied in post-intervention and follow-up. Nine studies were included in this systematic review (535 participants). The Physiotherapy Evidence Database (PEDro) score was 6.6/10 (SD 1.0, range 5-8), indicating good quality. This systematic review and meta-analysis showed that upper limb home-based exergaming interventions were no more effective in terms of activity than conventional therapy after stroke, according to the observational and subjective assessments in post-intervention and follow-up. Using this same approach, future studies should focus on evaluating home-based exergames through subgroup analysis to be able to propose recommendations.

Keywords: activity; e-health; exergames; home; stroke; tele-health; upper limb.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Prisma 2020 Flow Diagram [24].
Figure 2
Figure 2
Forest plots between Intervention and Control Groups in post intervention. (a) SMD for the observed outcome; (b) MD for the self-reported outcomes MALAOU; (c) MD for the self-reported outcomes MALQOM. A pooled result favoring Intervention Group indicates negative values, and favoring Control group indicates positive differences between Intervention and Control Groups. Note: SMD = Standardized Mean Differences; MD = Mean Difference; MALAOU = Motor Activity Log Amount of Use; MALQOM = Motor Activity Log Quality Of Movement [31,32,33,34,35,36,38,39].
Figure 3
Figure 3
Forest plot between Intervention and Control Groups in follow-up. (a) SMD for the observed outcome; (b) MD for the self-reported outcomes MALAOU; (c) MD for the self-reported outcomes MALQOM. A pooled result favoring Intervention Group indicates negative values, and favoring Control group indicates positive differences between Intervention and Control Groups. Note: SMD = Standardized Mean Differences; MD = Mean Difference; MALAOU = Motor Activity Log Amount of Use; MALQOM = Motor Activity Log Quality Of Movement [31,34,35,36,38].
See this image and copyright information in PMC

References

    1. Richmond T., Peterson C., Cason J., Billings M., Terrell E.A., Lee A.C.W., Towey M., Parmanto B., Saptono A., Cohn E.R., et al. American Telemedicine Association’s Principles for Delivering Telerehabilitation Services. Int. J. Telerehabilit. 2017;9:63–68. doi: 10.5195/ijt.2017.6232. - DOI - PMC - PubMed
    1. Cramer S.C., Dodakian L., Le V., See J., Augsburger R., McKenzie A., Zhou R.J., Chiu N.L., Heckhausen J., Cassidy J.M., et al. Efficacy of Home-Based Telerehabilitation vs. In-Clinic Therapy for Adults after Stroke: A Randomized Clinical Trial. JAMA Neurol. 2019;76:1079. doi: 10.1001/jamaneurol.2019.1604. - DOI - PMC - PubMed
    1. Bettger J.P., Thoumi A., Marquevich V., De Groote W., Battistella L.R., Imamura M., Ramos V.D., Wang N., Dreinhoefer K.E., Mangar A., et al. COVID-19: Maintaining essential rehabilitation services across the care continuum. BMJ Glob. Health. 2020;5:e002670. doi: 10.1136/bmjgh-2020-002670. - DOI - PMC - PubMed
    1. Smith M.P. Estimating total morbidity burden of COVID-19: Relative importance of death and disability. J. Clin. Epidemiol. 2022;142:54–59. doi: 10.1016/j.jclinepi.2021.10.018. - DOI - PMC - PubMed
    1. Chi N.-F., Huang Y.-C., Chiu H.-Y., Chang H.-J., Huang H.-C. Systematic Review and Meta-Analysis of Home-Based Rehabilitation on Improving Physical Function among Home-Dwelling Patients with a Stroke. Arch. Phys. Med. Rehabil. 2020;101:359–373. doi: 10.1016/j.apmr.2019.10.181. - DOI - PubMed

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