HAVAE Laboratory UR 20217, University of Limoges, 87000 Limoges, France.
Department of Physical Medicine and Rehabilitation, University Hospital Center, 87000 Limoges, France.
Int J Environ Res Public Health. 2022 Jul 26;19(15):9112. doi: 10.3390/ijerph19159112.
After discharge from the hospital to home, stroke patients may experience weakness and reduced movement in their hemiparetic arms that limits their ability to perform daily activities. Therapists can use exercise games (exergames) to maintain functional abilities and daily use of the arm at home. A systematic review and meta-analysis was conducted to determine the efficiency of upper limb home-based rehabilitation, using exergaming on activity abilities in stroke Randomized controlled trials were reviewed in the CENTRAL, MEDLINE, CINAHL, EMBASE, and SCOPUS online databases. Clinical measures of observation and self-reporting were studied in post-intervention and follow-up. Nine studies were included in this systematic review (535 participants). The Physiotherapy Evidence Database (PEDro) score was 6.6/10 (SD 1.0, range 5-8), indicating good quality. This systematic review and meta-analysis showed that upper limb home-based exergaming interventions were no more effective in terms of activity than conventional therapy after stroke, according to the observational and subjective assessments in post-intervention and follow-up. Using this same approach, future studies should focus on evaluating home-based exergames through subgroup analysis to be able to propose recommendations.
出院回家后，脑卒中患者可能会出现偏瘫侧手臂无力和运动减少的情况，从而限制其进行日常活动的能力。治疗师可以使用运动游戏（健身游戏）来维持患者的功能能力，并促进其在家中使用偏瘫侧手臂。本系统评价和荟萃分析旨在确定使用家用健身游戏进行上肢康复的效率，研究对象为脑卒中患者的活动能力。研究人员在 CENTRAL、MEDLINE、CINAHL、EMBASE 和 SCOPUS 在线数据库中对随机对照试验进行了综述。观察性研究和自我报告的临床指标在干预后和随访时进行了研究。本系统评价共纳入了 9 项研究（535 名参与者）。物理治疗证据数据库（PEDro）评分为 6.6/10（SD 1.0，范围 5-8），表明研究质量较高。本系统评价和荟萃分析表明，根据干预后和随访时的观察性和主观评估，与传统疗法相比，家用上肢健身游戏干预在活动能力方面并没有更显著的效果。未来的研究应该采用同样的方法，通过亚组分析来评估家用健身游戏，以便能够提出建议。
