Rosselli Zélie, Somville Merlin, Ducoffre Edouard, Arnould Carlyne, Saussez Geoffroy, Bleyenheuft Yannick
MSL-IN Laboratory, Institute of neuroscience, UCLouvain, 1200 Bruxelles, Belgium.
Forme & fonctionnement Humain (FfH) Laboratory, CeREF-Santé, Haute Ecole Louvain en Hainaut, 6061 Charleroi, Belgium.
Bioengineering (Basel). 2025 Jun 16;12(6):662. doi: 10.3390/bioengineering12060662.
The REAtouch Lite device was recently developed to support motor skill learning-based interventions, integrating both games/activities and assessment tools to enable home-based telerehabilitation. Given the importance of hand functions in rehabilitation of patients with brain lesions, this study aimed to validate a virtual version of the Box and Block Test (vBBT) implemented in the REAtouch device. A total of 205 healthy participants, 37 post-stroke adults, and 37 children with cerebral palsy (CP) performed the standard BBT, various versions of the newly designed vBBT (with/without a separation wall; with 6, 4, and free zones) and the Tower of London test assessing executive function/planning abilities. Friedman's ANOVA revealed significant differences between the BBT and all versions of the vBBT scores in healthy participants (all < 0.001). However, the vBBT-4 zones showed the largest intraclass correlation coefficient (ICC) with the BBT in healthy participants (0.58) and even higher correlations in participants with CP and stroke (>0.8). Only the vBBT-6 zones version showed a significant correlation with patients' planning abilities ( < 0.01; r = -0.28). These findings highlight the vBBT-4 zones as the most relevant version to assess hand dexterity directly with the REAtouch device, potentially within telerehabilitation modalities. Further normative data must be established.
REAtouch Lite设备最近被开发出来，以支持基于运动技能学习的干预措施，它整合了游戏/活动和评估工具，以实现家庭远程康复。鉴于手部功能在脑损伤患者康复中的重要性，本研究旨在验证REAtouch设备中实施的虚拟版箱块测试（vBBT）。共有205名健康参与者、37名中风后成年人和37名脑瘫（CP）儿童进行了标准BBT、新设计的vBBT的各种版本（有无分隔墙；有6个、4个和自由区域）以及评估执行功能/计划能力的伦敦塔测试。弗里德曼方差分析显示，健康参与者中BBT与所有版本的vBBT分数之间存在显著差异（均<0.001）。然而，vBBT-4区域在健康参与者中与BBT的组内相关系数（ICC）最大（0.58），在CP和中风参与者中相关性更高（>0.8）。只有vBBT-6区域版本与患者的计划能力存在显著相关性（<0.01；r=-0.28）。这些发现突出了vBBT-4区域是使用REAtouch设备直接评估手部灵活性的最相关版本，可能适用于远程康复模式。必须建立进一步的规范数据。
