针对平衡障碍和凝视功能障碍的游戏与远程康复：一项随机对照试验方案

Games and Telerehabilitation for Balance Impairments and Gaze Dysfunction: Protocol of a Randomized Controlled Trial.

作者信息

Szturm Tony, Hochman Jordan, Wu Christine, Lisa Lix, Reimer Karen, Wonneck Beth, Giacobbo Andrea

机构信息

College of Rehabilitation Sciences, Department of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.

出版信息

JMIR Res Protoc. 2015 Oct 21;4(4):e118. doi: 10.2196/resprot.4743.

DOI:10.2196/resprot.4743

PMID:26490109

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4704916/

Abstract

BACKGROUND

Digital media and gaming have received considerable interest from researchers and clinicians as a model for learning a broad range of complex tasks and facilitating the transfer of skills to daily life. These emerging rehabilitation technologies have the potential to improve clinical outcomes and patient participation because they are engaging, motivating, and accessible. Our research goal is to develop preventative and therapeutic point-of-care eHealth applications that will lead to equivalent or better long-term health outcomes and health care costs than existing programs. We have produced a novel computer-aided tele-rehabilitation platform that combines computer game-based exercises with tele-monitoring.

OBJECTIVE

Compare the therapeutic effectiveness of an in-home, game-based rehabilitation program (GRP) to standard care delivered in an outpatient physical therapy clinic on measures of balance, gaze control, dizziness, and health-related quality of life.

METHODS

A randomized, controlled, single-blind pilot trial will be conducted. Fifty-six participants with a diagnosis of peripheral vestibular disorder will be randomly assigned to either usual physical therapy (comparator group) or to a game-based intervention (experimental group). Measures to be assessed will include gaze control, dynamic balance, and self-reported measures of dizziness.

RESULTS

The project was funded and enrollment was started in August 2014. To date, 36 participants have been enrolled. There have been 6 drop-outs. It is expected that the study will be completed January 2016 and the first results are expected to be submitted for publication in Spring of 2016.

CONCLUSIONS

A successful application of this rehabilitation program would help streamline rehabilitation services, leverage therapist time spent with clients, and permit regular practice times at the client's convenience.

TRIAL REGISTRATION

Clinicaltrials.gov: NCT02134444; https://clinicaltrials.gov/ct2/show/NCT02134444 (Archived by WebCite at http://www.webcitation.org/6cE18bqqY).

摘要

背景

数字媒体和游戏作为学习广泛复杂任务及促进技能向日常生活转移的一种模式，已引起研究人员和临床医生的极大兴趣。这些新兴的康复技术具有改善临床疗效和患者参与度的潜力，因为它们具有吸引力、能激发积极性且易于使用。我们的研究目标是开发预防和治疗即时护理电子健康应用程序，与现有项目相比，这些应用程序将带来同等或更好的长期健康结果和医疗成本。我们已经开发出了一个新颖的计算机辅助远程康复平台，该平台将基于电脑游戏的练习与远程监测相结合。