Comparison of the immediate effect of the training with a virtual reality game in stroke patients according side brain injury

Abstract

BACKGROUND: Stroke is a major cause of motor disability in adults and needs interventions that contribute to motor recovery. OBJECTIVE: This study aimed to compare the immediate effect of the training with virtual reality game in stroke patients according side brain injury. METHODS:The participants included 20 patients (10 right brain injury), mean age of 50.6 ± 9.2 years, and 20 healthy subjects of 50.9 ± 8.8 years. All participants made a kinematic evaluation of drinking a cup of water before and after training with the table tennis game of the XBOX 360 Kinect ® , in two series of 10 tries of 45 s, with 15 minutes rest between them, a total of 30 minutes. Data were analyzed by ANOVA. RESULTS: There was a significant difference in the number of hits between patients and healthy subjects groups, in which patients had a lower performance in all the trials (p = 0.008). After the training, only patients with right brain injury improved their shoulder and elbow angles, approaching the left upper limb movement pattern of healthy subjects (p < 0.05). CONCLUSION: Patients with right brain injury responded better to the virtual reality game, suggesting introduction of new treatment techniques that promote neurorehabilitation.

Person-Generated Health Data in Simulated Rehabilitation Using Kinect for Stroke: Literature Review

“…Nearly half of the papers (17/41, 42%) recruited only stroke patients [ 22 , 35 - 50 ], 15% (6/41) recruited only healthy participants [ 51 - 56 ], and 17% (7/41) recruited both patients and healthy participants [ 23 , 30 , 57 - 61 ]. One paper recruited participants for a requirements-gathering phase but no details were provided regarding their health status and demographics [ 62 ], and 20% (8/41) of papers did not recruit any participants [ 63 - 70 ].…”

“…For papers that recruited healthy subjects, combined standard deviation (39.9 years) was greater than the combined mean (37.3 years), indicative of how spread out the age ranges were. While 38% (9/24) of papers with patients did not record gender [ 23 , 44 - 47 , 57 , 59 , 60 , 70 ], the majority of patients in those that did were male and 2 had an equal distribution [ 39 , 48 ]. Meanwhile, 54% (7/13) of papers with healthy subjects did not record gender [ 52 , 53 , 55 - 57 , 59 , 60 ]; the majority of patients in those that did were male.…”

“…The types of feedback provided to patients are described in the next section. Human performance data (n=25) are those used to indicate movement or exercise performance of the individual [ 22 , 36 - 40 , 42 , 45 - 48 , 52 , 53 , 57 , 59 , 60 , 62 , 64 - 67 , 69 - 72 ]. Most of these data were generated directly from the Kinect sensor; others were from different sensors such as accelerometers.…”

“…Task score feedback (n=10) was in the form of game scores provided as-is, without any interpretation of the user’s performance. These papers simply provided people with their scores at the end of a task execution [ 22 , 37 - 39 , 47 , 50 , 55 , 57 , 59 , 69 ]; 8 papers did not describe provision of feedback or any other mode of patient access to their data [ 36 , 40 , 41 , 43 , 48 , 51 , 58 , 68 ]. For more detailed descriptions of these data, please see Appendix 7 (Table L).…”

Evaluating the Benefits of Aphasia Intervention Delivered in Virtual Reality: Results of a Quasi-Randomised Study

“…Turning to stroke, several studies have explored uses of virtual reality in physiotherapy and/or occupational therapy [ 39 ]. Benefits have been described for upper and lower limb function, gait, and for everyday activities such as using a hammer or drinking from a cup [ 40 , 41 , 42 , 43 ]. Two meta analyses, comparing virtual reality treatments with conventional therapy, showed that results favoured the former [ 40 , 41 ].…”