Medical Device Technology, Callaghan Innovation, Christchurch, New Zealand.
Burwood Academy of Independent Living, Christchurch, New Zealand.
Arch Phys Med Rehabil. 2014 Aug;95(8):1484-9. doi: 10.1016/j.apmr.2014.02.028. Epub 2014 Mar 21.
To investigate the effect of 4 to 6 weeks of exergaming with a computer mouse embedded within an arm skate on upper limb function in survivors of chronic stroke.
Intervention study with a 4-week postintervention follow-up.
In home.
Survivors (N=13) of chronic (≥6 mo) stroke with hemiparesis of the upper limb with stable baseline Fugl-Meyer assessment scores received the intervention. One participant withdrew, and 2 participants were not reassessed at the 4-week follow-up. No participants withdrew as a result of adverse effects.
Four to 6 weeks of exergaming using the arm skate where participants received either 9 (n=5) or 16 (n=7) hours of game play.
Upper limb component of the Fugl-Meyer assessment.
There was an average increase in the Fugl-Meyer upper limb assessment score from the beginning to end of the intervention of 4.9 points. At the end of the 4-week period after the intervention, the increase was 4.4 points.
A 4- to 6-week intervention using the arm skate significantly improved arm function in survivors of chronic stroke by an average of 4.9 Fugl-Meyer upper limb assessment points. This research shows that a larger-scale randomized trial of this device is warranted and highlights the potential value of using virtual reality technology (eg, computer games) in a rehabilitation setting.
研究在慢性中风幸存者中使用嵌入式手臂滑板的 4 至 6 周的上肢外骨骼游戏对上肢功能的影响。
干预研究，有 4 周的干预后随访。
家庭。
上肢偏瘫的慢性（≥6 个月）中风幸存者（N=13），具有稳定的基线 Fugl-Meyer 评估分数，接受了干预。1 名参与者退出，2 名参与者在 4 周随访时未重新评估。没有参与者因不良反应而退出。
使用手臂滑板进行 4 至 6 周的外骨骼游戏，参与者接受 9（n=5）或 16（n=7）小时的游戏时间。
Fugl-Meyer 评估的上肢部分。
从干预开始到结束，上肢 Fugl-Meyer 评估分数平均增加了 4.9 分。干预结束后 4 周，增加了 4.4 分。
使用手臂滑板进行 4 至 6 周的干预可使慢性中风幸存者的手臂功能平均提高 4.9 分。这项研究表明，该设备的更大规模随机试验是合理的，并强调了在康复环境中使用虚拟现实技术（例如计算机游戏）的潜在价值。
