Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Hale, Leigh; Satherley, Jessica A.; McMillan, Nicole J.; Milosavljevic, Stephan; Hijmans, Juha M.; King, Marcus

doi:10.1682/jrrd.2001.04.0070

Cited by 13 publications

(33 citation statements)

References 37 publications

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“…Moreover, the difficulties of the tasks of video games and virtual reality can be controlled and modulated rendering these tools [8] usable in clinical and home settings [2]. Benefits from video game-based therapy were initially demonstrated for upper-limb recovery [9], but, at present, the results on balance and mobility are inconclusive [1, 10]. In particular, little evidence is available in patients with residual disability and balance disturbances after the subacute phase of stroke [11].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Balance Training with Video Game-Based Therapy in Subacute Stroke Patients: A Randomized Controlled Trial

Morone

Tramontano

Iosa

et al. 2014

BioMed Research International

111

105

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The video game-based therapy emerged as a potential valid tool in improving balance in several neurological conditions with controversial results, whereas little information is available regarding the use of this therapy in subacute stroke patients. The aim of this study was to investigate the efficacy of balance training using video game-based intervention on functional balance and disability in individuals with hemiparesis due to stroke in subacute phase. Fifty adult stroke patients participated to the study: 25 subjects were randomly assigned to balance training with Wii Fit, and the other 25 subjects were assigned to usual balance therapy. Both groups were also treated with conventional physical therapy (40 min 2 times/day). The main outcome was functional balance (Berg Balance Scale-BBS), and secondary outcomes were disability (Barthel Index-BI), walking ability (Functional Ambulation Category), and walking speed (10-meters walking test). Wii Fit training was more effective than usual balance therapy in improving balance (BBS: 53 versus 48, P = 0.004) and independency in activity of daily living (BI: 98 versus 93, P = 0.021). A balance training performed with a Wii Fit as an add on to the conventional therapy was found to be more effective than conventional therapy alone in improving balance and reducing disability in patients with subacute stroke.

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Section: Introductionmentioning

confidence: 99%

The Efficacy of Balance Training with Video Game-Based Therapy in Subacute Stroke Patients: A Randomized Controlled Trial

Morone

Tramontano

Iosa

et al. 2014

BioMed Research International

111

105

View full text Add to dashboard Cite

show abstract

“…(23–26) Only a few studies, however, have investigated the individuals' actual experiences using such video game approaches. (27,28)…”

Section: Introductionmentioning

confidence: 99%

Understanding upper extremity home programs and the use of gaming technology for persons after stroke

Brown

Dudgeon

Gutman

et al. 2015

Disability and Health Journal

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Background Many persons post stroke continue to have difficulty using their more involved upper extremity and home programs may be poorly adhered to limiting the amount of practice an individual receives. More information on the experience of traditional home program and the acceptability of a novel home intervention was sought. Objective To qualitatively describe 1) upper extremity use at home, 2) previous home exercise or activity programs, and 3) the acceptability of a novel upper extremity home program, NeuroGame Therapy (NGT), that combines surface electromyography (sEMG) biofeedback and a commercial computer game. Methods A purposeful sample of ten persons with moderate to severe upper extremity motor impairment used the NGT intervention in their home for four weeks and completed nested (pre and post) one-on-one interviews. Written transcripts from the interviews were coded and themes were identified to address stated objectives. Results Participants reported that while use of their upper extremity in daily activities was recommended it occurred infrequently. Most participants described previous home programs as being non-specific, were often not carried out as recommended or were self-modified. Participants found NGT to be engaging and motivating, but reported minimal changes in the functional uses of their upper extremity. Conclusion These findings suggest that after stroke upper extremity use may be infrequent and home program approaches could be re-examined. NGT was reported to be an acceptable home intervention, but it will require further development and study to understand its value and role in post-stroke rehabilitation.

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“…For example, Belchior et al suggested that older adults' immersion during VR-based games could be adjusted to their skill levels [52]. Hale et al reported that patients with stroke seemed to enjoy VR-based rehabilitation when they were equipped with suitable technology [21].…”

Section: Discussionmentioning

confidence: 99%

“…At present, only the perspectives of patients with neurological conditions regarding VR-based rehabilitation have been explored [16][17][18][19][20][21], whereas few studies have examined the perspectives of patients with musculoskeletal conditions regarding VR-based rehabilitation. Musculoskeletal conditions are the most common reason for long-term pain and physical disability, causing 54 percent of all long-term disability and 24 percent of all restricted activity days [22][23], and regular exercise participation is reported to be important for the treatment of these musculoskeletal conditions [24].…”

Section: Introductionmentioning

confidence: 99%

Patient perspectives on virtual reality-based rehabilitation after knee surgery: Importance of level of difficulty

Lee¹,

Suh²,

Son

et al. 2016

J Rehabil Res Dev

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Abstract-This article explored the perspectives of 25 patients regarding virtual reality (VR)-based rehabilitation following knee surgery and identified the important factors that allowed patients to immerse themselves in rehabilitation. Qualitative analysis of data collected via open-ended questionnaire and quantitative analysis of data from physical assessments and surveys were conducted. In the open-ended questionnaire, the majority of participants mentioned level of difficulty as the most common reason for selecting both the most and the least immersive exercise programs. Quantitative analysis showed that participants experienced a high level of flow (3.9 +/-0.3 out of 5.0) and a high rate of expectation of therapeutic effect (96%) and intention of exercise adherence (96%). Further, participants with more severe pain or physical dysfunction tended to have more positive experiences (e.g., Difficulty-Skill Balance, Clear Goals, and Transformation of Time), leading to high levels of flow during VR-based rehabilitation. In conclusion, VR-based games are potentially acceptable as a motivational rehabilitation tool for patients following knee surgery. However, to best meet patients' needs, it might be useful to equip a VR program with varied levels of difficulty, taking into account the severity of the individual's knee injury. Additionally, severe pain or physical dysfunction might act as an indication rather than a contraindication for VR-based rehabilitation.

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Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Cited by 13 publications

References 37 publications

The Efficacy of Balance Training with Video Game-Based Therapy in Subacute Stroke Patients: A Randomized Controlled Trial

The Efficacy of Balance Training with Video Game-Based Therapy in Subacute Stroke Patients: A Randomized Controlled Trial

Understanding upper extremity home programs and the use of gaming technology for persons after stroke

Patient perspectives on virtual reality-based rehabilitation after knee surgery: Importance of level of difficulty

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