The Feasibility of a Customized, In-Home, Game-Based Stroke Exercise Program Using the Microsoft Kinect Sensor

Abstract

The objective of this study was to determine the feasibility of a 6-week, game-based, in-home telerehabilitation exercise program using the Microsoft Kinect® for individuals with chronic stroke. Four participants with chronic stroke completed the intervention based on games designed with the customized Mystic Isle software. The games were tailored to each participant’s specific rehabilitation needs to facilitate the attainment of individualized goals determined through the Canadian Occupational Performance Measure. Likert scale questionnaires assessed the feasibility and utility of the game-based intervention. Supplementary clinical outcome data were collected. All participants played the games with moderately high enjoyment. Participant feedback helped identify barriers to use (especially, limited free time) and possible improvements. An in-home, customized, virtual reality game intervention to provide rehabilitative exercises for persons with chronic stroke is practicable. However, future studies are necessary to determine the intervention’s impact on participant function, activity, and involvement.

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

“…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.…”

“…Only 12% (5/41) of papers recorded the stroke types of patients [ 38 , 40 - 42 , 49 ], and of those all patients had infarct or ischemic strokes except for one, which had 10 ischemic and 5 hemorrhagic patients [ 49 ]. More than a quarter (11/41, 27%) of papers recorded hemiparetic side of patients [ 23 , 36 - 42 , 48 - 50 ], and the majority of recorded hemiparesis was the right side (7/11, 64%). Only 20% (8/41) of papers recorded the duration poststroke of the patients at the time of the study [ 22 , 37 - 41 , 49 , 50 ].…”

“…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).…”

The Effects of Visuomotor Training Using Pablo System on Hand Grip Strength and Wrist Movements in Adults and Elderly

“…Jamia Hamdard Institutional Ethics Committee approved the research. A total of 51 subjects participated in this study; of whom, 26 were assigned in group 1 (adults) aged 25 [25][26][27][28]. suffering from severe osteoporosis especially in elderly, contractures/ spasticity were excluded from the study [25].…”