Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada.
Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Neurorehabil Neural Repair. 2024 Dec;38(11-12):832-844. doi: 10.1177/15459683241286449. Epub 2024 Sep 28.
Stroke is a heterogeneous condition, making choice of treatment, and determination of how to structure rehabilitation outcomes difficult. Individualized goal-directed and repetitive physical practice is an important determinant of motor learning. Yet, many investigations of motor learning after stroke deliver task practice without consideration of individual capability of the learner.
We developed a gamified arm rehabilitation task for people with stroke that is personalized to individual capacity for paretic arm movement, provides a high dose of practice, progresses through increasingly difficulty levels that are dependent on the performance of the individual, and is practiced in an engaging environment. The objectives of the current study were to determine if 10 days of gamified, object intercept training using the paretic arm would improve arm movement speed and clinical outcome measures of impairment or function.
Individuals with chronic stroke and age-matched controls engaged in 10 days of gamified, skilled motor practice of a semi-immersive virtual reality-based intercept and release task. The paretic arm was assessed using the Fugl-Meyer Assessment (motor impairment) and Wolf Motor Function Test (motor function) before and after training.
Both groups showed faster arm movement speed with practice; individuals with stroke demonstrated reduced paretic arm motor impairment and increased function after the intervention. Age and sex (for both groups), and time post-stroke were not related to changes in movement speed.
Findings indicate that gamified motor training positively affects paretic arm motor behavior in individuals with mild to severe chronic stroke.
中风是一种异质性疾病，这使得治疗选择和康复结果的构建变得困难。个体化目标导向和重复的身体练习是运动学习的重要决定因素。然而，许多中风后的运动学习研究在进行任务练习时，没有考虑到学习者的个体能力。
我们为中风患者开发了一种基于游戏的手臂康复任务，该任务针对偏瘫手臂的运动能力进行个性化定制，提供高剂量的练习，通过依赖个体表现的递增难度级别进行进展，并在吸引人的环境中进行练习。本研究的目的是确定使用偏瘫手臂进行 10 天的基于游戏的目标导向、熟练运动练习是否会改善手臂运动速度以及损伤或功能的临床结果测量值。
慢性中风患者和年龄匹配的对照组在 10 天内进行基于半沉浸式虚拟现实的拦截和释放任务的游戏化、熟练运动练习。在训练前后使用 Fugl-Meyer 评估（运动损伤）和 Wolf 运动功能测试（运动功能）评估偏瘫手臂。
两组手臂运动速度都随着练习而加快；中风患者在干预后偏瘫手臂的运动损伤减少，功能增加。年龄和性别（两组）以及中风后时间与运动速度的变化无关。
研究结果表明，游戏化运动训练对轻度至重度慢性中风患者的偏瘫手臂运动行为有积极影响。
