Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Physiotherapy, SDM Ayurveda Hospital, Udupi, Karnataka, India.
Neurorehabil Neural Repair. 2024 Apr;38(4):243-256. doi: 10.1177/15459683231222921. Epub 2024 Jan 29.
BACKGROUND1: Despite a growing interest in gaming rehabilitation for upper limb (UL) recovery post-stroke, studies investigating the effects of game-based rehabilitation incorporating functional games are lacking.
To investigate the efficacy of an intensive, functional, gamified rehabilitation program compared to task-based training on UL motor function in acute/sub-acute stroke survivors.
This randomized, multicenter, single-blind, clinical trial comprises 120 participants with unilateral stroke who were randomized to receive either gamified training (n = 64) using the ArmAble™ [experimental group (EG)] or task-based training (n = 56) in conjunction with conventional therapy for 2 hours per day, 6 days per week for 2 weeks, followed by UL rehabilitation for another 4 weeks at home. Primary outcomes evaluated by a blinded assessor included the Fugl-Meyer Assessment-Upper Extremity (FM-UE), and Action Research Arm Test (ARAT). Data were analyzed using a linear mixed-effect regression model.
The mean (standard deviation) age of the participants was 54.4 ± 11.7 years (78.1% men) in the EG and 57.7 ± 10.9 years (73.2% men) in the comparator group (CG). The median (interquartile range) time since stroke was 30.0 (54.0) days in the EG and 22.5 (45.0) days in the CG. Following the 2-week intervention, a statistically significant improvement was observed in the EG for the FM-UE [between-group mean differences (95% confidence interval): -3.9 (-6.5, -1.3); = .003]; but not for the ARAT [-2.9 (-5.8, 0.0); = .051]. Gains at 6 weeks were significantly greater in the EG for both FM-UE [-3.9 (-6.5, -1.3); = .003]; and ARAT [-3.0 (-5.9, -0.0); = .046].
Gamified rehabilitation using the ArmAble™ device has shown immediate and short-term improvement in UL function after acute/sub-acute stroke.
CTRI/2020/09/027651.
背景 1：尽管人们对游戏康复治疗上肢（UL）卒中后恢复越来越感兴趣，但缺乏研究调查基于功能游戏的游戏康复对 UL 运动功能的影响。
研究强化、功能、游戏化康复方案与基于任务的训练对急性/亚急性卒中幸存者 UL 运动功能的影响。
本随机、多中心、单盲、临床试验纳入了 120 名单侧卒中患者，将其随机分为接受 ArmAble™游戏化训练（实验组，n=64）或结合常规治疗进行基于任务的训练（对照组，n=56），每天 2 小时，每周 6 天，共 2 周，然后在家中进行另外 4 周的 UL 康复治疗。由盲法评估者评估的主要结局包括 Fugl-Meyer 上肢评估（FM-UE）和动作研究上肢测试（ARAT）。使用线性混合效应回归模型进行数据分析。
实验组参与者的平均（标准差）年龄为 54.4±11.7 岁（78.1%为男性），对照组为 57.7±10.9 岁（73.2%为男性）。实验组和对照组的中位（四分位距）卒中后时间分别为 30.0（54.0）天和 22.5（45.0）天。在 2 周干预后，实验组 FM-UE 有显著改善[组间平均差异（95%置信区间）：-3.9（-6.5，-1.3）； = .003]；但 ARAT 无改善[-2.9（-5.8，0.0）； = .051]。实验组在 6 周时 FM-UE [-3.9（-6.5，-1.3）； = .003]和 ARAT [-3.0（-5.9，-0.0）； = .046]的改善均显著大于对照组。
使用 ArmAble™设备的游戏化康复治疗在急性/亚急性卒中后即刻和短期时间内改善了 UL 功能。
CTRI/2020/09/027651。
