OBJECTIVE: This exploratory study assessed the possible effectiveness of hemiparetic upper extremity training in subjects with chronic stroke withcomputer instrumentation (haptic force feedback) and 3-dimensional visualization applied to computer games, as well as to evaluate concurrent computer-assisted assessment of the kinematics of movements and test whether any improvement detected in the computer environment was reflected in activities of daily living (ADLs). METHODS: A single-subject repeated-measures experimental design (AB) was used. After baseline testing, 5 patients were assigned to the therapy 3 times a week for 45 min for 5 weeks. Velocity, time needed to reach, and hand path ratio (reflecting superfluous movements) were the outcome measures, along with the Assessment of Motor and Process Skills and the Box and Block test. The follow-up phase (C) occurred 12 weeks later. RESULTS: Improvements were noted in velocity, time, and hand path ratio. One patient showed improvement in occupational performance in ADLs. CONCLUSIONS: The application of this strategy of using virtual reality (VR) technologies may be useful in assessing and training stroke patients. The results of this study must be reproduced in further studies. The VR systems can be placed in homes or other nonclinical settings.
RCT Entities:
OBJECTIVE: This exploratory study assessed the possible effectiveness of hemiparetic upper extremity training in subjects with chronic stroke with computer instrumentation (haptic force feedback) and 3-dimensional visualization applied to computer games, as well as to evaluate concurrent computer-assisted assessment of the kinematics of movements and test whether any improvement detected in the computer environment was reflected in activities of daily living (ADLs). METHODS: A single-subject repeated-measures experimental design (AB) was used. After baseline testing, 5 patients were assigned to the therapy 3 times a week for 45 min for 5 weeks. Velocity, time needed to reach, and hand path ratio (reflecting superfluous movements) were the outcome measures, along with the Assessment of Motor and Process Skills and the Box and Block test. The follow-up phase (C) occurred 12 weeks later. RESULTS: Improvements were noted in velocity, time, and hand path ratio. One patient showed improvement in occupational performance in ADLs. CONCLUSIONS: The application of this strategy of using virtual reality (VR) technologies may be useful in assessing and training strokepatients. The results of this study must be reproduced in further studies. The VR systems can be placed in homes or other nonclinical settings.
Authors: Mónica S Cameirão; Sergi Bermúdez I Badia; Esther Duarte Oller; Paul F M J Verschure Journal: J Neuroeng Rehabil Date: 2010-09-22 Impact factor: 4.262
Authors: Margit Alt Murphy; Hanna C Persson; Anna Danielsson; Jurgen Broeren; Asa Lundgren-Nilsson; Katharina S Sunnerhagen Journal: BMC Neurol Date: 2011-05-25 Impact factor: 2.474
Authors: M Iosa; G Morone; A Fusco; M Bragoni; P Coiro; M Multari; V Venturiero; D De Angelis; L Pratesi; S Paolucci Journal: Stroke Res Treat Date: 2012-12-13
Authors: Ann-Marie Hughes; Jane Helena Burridge; Sara Holtum Demain; Caroline Ellis-Hill; Claire Meagher; Lisa Tedesco-Triccas; Ruth Turk; Ian Swain Journal: BMC Health Serv Res Date: 2014-03-12 Impact factor: 2.655