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运动捕捉摄像头支持的远程康复游戏化对中风和脑瘫患者上肢功能及生活质量的影响。

The impact of motion capture camera-supported telerehabilitation gamification on upper extremity functions and quality of life in stroke and cerebral palsy patients.

作者信息

Bilir Kaya Başak, Güngör Ketenci Pınar, Öztekin Özlem, Memişoğlu Kemal

机构信息

Department of Physical Medicine and Rehabilitation, Erenköy Physical Therapy and Rehabilitation Hospital, İstanbul, Türkiye.

Ministry of Health, Minister of Health, Ankara, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2025 Mar 28;71(2):157-166. doi: 10.5606/tftrd.2025.16461. eCollection 2025 Jun.

Abstract

OBJECTIVES

The aim of this study was to investigate the impact of a newly developed motion capture camera-supported telerehabilitation gamification software on upper extremity functions and quality of life (QoL) in patients with stroke and cerebral palsy (CP).

PATIENTS AND METHODS

Between November 14 2022 and November 14 2023, a total of 122 patients were included in the study, 90 with stroke (52 males, 38 females; mean age: 59.8±14.7 years; range, 23 to 80 years) and 32 with CP (17 males, 15 females; mean age: 11.7±2.8 years; range, 8 to 18 years). All patients received a telerehabilitation program, supported by motion capture technology, incorporated gamification elements to engage patients were conducted for 30 sessions. The patients were assessed by hemiplegic upper extremity functionality tests and QoL scales.

RESULTS

Both groups showed statistically significant improvements in the upper extremity functions and QoL, as measured by Fugl-Meyer Assessment of Upper Extremity (FMA-UE) Scale (p<0.001), Action Research Arm Test (ARAT) (p<0.001), Nine-Hole Peg Test (9HPT) (CP: p<0.05, Stroke: [p<0.001]), Motor Activity Log-28 (MAL-28) (p<0.001), Stroke-Specific Quality of Life Scale (SS-QOL) (p<0.001) and Pediatric Quality of Life Inventory (PedsQL) (p<0.001).

CONCLUSION

Our study findings highlight the potential of motion capture camera-supported telerehabilitation gamification software in enhancing upper extremity functional outcomes and significant improvement in QoL for patients with stroke and CP.

摘要

目的

本研究旨在调查一种新开发的、由运动捕捉摄像头支持的远程康复游戏化软件对中风和脑瘫(CP)患者上肢功能和生活质量(QoL)的影响。

患者与方法

在2022年11月14日至2023年11月14日期间,共有122名患者纳入本研究,其中90名中风患者(男性52名,女性38名;平均年龄:59.8±14.7岁;范围23至80岁),32名CP患者(男性17名,女性15名;平均年龄:11.7±2.8岁;范围8至18岁)。所有患者均接受了由运动捕捉技术支持的远程康复计划,该计划纳入了游戏化元素以吸引患者,共进行30次疗程。通过偏瘫上肢功能测试和生活质量量表对患者进行评估。

结果

两组患者在上肢功能和生活质量方面均显示出统计学上的显著改善,通过上肢Fugl-Meyer评估量表(FMA-UE)(p<0.001)、动作研究臂测试(ARAT)(p<0.001)、九孔插钉测试(9HPT)(CP:p<0.05,中风:[p<0.001])、运动活动日志-28(MAL-28)(p<0.001)、中风特异性生活质量量表(SS-QOL)(p<0.001)和儿童生活质量量表(PedsQL)(p<0.001)进行测量。

结论

我们的研究结果突出了运动捕捉摄像头支持的远程康复游戏化软件在改善中风和CP患者上肢功能结局以及显著提高生活质量方面的潜力。

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