Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, No. 252, Wu-Hsing St., Taipei City, 110, Taiwan.
Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
J Neuroeng Rehabil. 2021 Apr 26;18(1):71. doi: 10.1186/s12984-021-00866-8.
Stroke survivors need continuing exercise intervention to maintain functional status. This study assessed the feasibility and efficacy of an interactive telerehabilitation exergaming system to improve balance in individuals with chronic stroke, compared to conventional one-on-one rehabilitation.
In this prospective case-control pilot study, 30 Taiwanese individuals with chronic stroke were enrolled and randomly allocated to an experimental group and a control group. All participants received intervention 3 times per week for 4 weeks in the study hospital. The experiment group underwent telerehabilitation using a Kinect camera-based interactive telerehabilitation system in an independent room to simulate home environment. In contrast, the control group received conventional one-on-one physiotherapy in a dedicated rehabilitation area. The effectiveness of interactive telerehabilitation in improving balance in stroke survivors was evaluated by comparing outcomes between the two groups. The primary outcome was Berg Balance Scale (BBS) scores. Secondary outcomes were performance of the Timed Up and Go (TUG) test, Modified Falls Efficacy Scale, Motricity Index, and Functional Ambulation Category.
Comparison of outcomes between experimental and control groups revealed no significant differences between groups at baseline and post-intervention for all outcome measures. However, BBS scores improved significantly in both groups (control group: p = 0.01, effect size = 0.49; experimental group: p = 0.01, effect size = 0.70). Completion times of TUG tests also improved significantly in the experimental group (p = 0.005, effect size = 0.70).
The Kinect camera-based interactive telerehabilitation system demonstrates superior or equal efficacy compared to conventional one-on-one physiotherapy for improving balance in individuals with chronic stroke. Trial registration ClinicalTrials.gov. NCT03698357. Registered October 4, 2018, retrospectively registered.
中风幸存者需要持续的运动干预来维持其功能状态。本研究评估了一种基于 Kinect 摄像头的互动远程康复游戏系统在改善慢性中风患者平衡方面的可行性和疗效，与传统的一对一康复相比。
在这项前瞻性病例对照试验中，共招募了 30 名台湾慢性中风患者，并将他们随机分配到实验组和对照组。所有患者在研究医院每周接受 3 次干预，持续 4 周。实验组在独立房间中使用基于 Kinect 摄像头的互动远程康复系统进行远程康复，以模拟家庭环境。相比之下，对照组在专门的康复区接受传统的一对一物理治疗。通过比较两组之间的结果，评估互动远程康复对改善中风幸存者平衡的效果。主要结果是 Berg 平衡量表（BBS）评分。次要结果是计时起立行走测试（TUG）、改良跌倒效能量表、运动指数和功能性步行分类的表现。
实验组和对照组之间的结果比较显示，所有测量指标在基线和干预后两组之间均无显著差异。然而，两组的 BBS 评分均显著提高（对照组：p=0.01，效应量=0.49；实验组：p=0.01，效应量=0.70）。TUG 测试的完成时间也在实验组中显著改善（p=0.005，效应量=0.70）。
基于 Kinect 摄像头的互动远程康复系统在改善慢性中风患者平衡方面的效果优于或等同于传统的一对一物理治疗。
ClinicalTrials.gov。NCT03698357。2018 年 10 月 4 日注册，回顾性注册。
