BILATERAL MOVEMENT-BASED COMPUTER GAMES IMPROVE SENSORIMOTOR FUNCTIONS IN SUBACUTE STROKE SURVIVORS: A RANDOMIZED CONTROLLED TRIAL.

Background: Previous studies have reported that movement-based computer gaming is more effective than conventional intervention in enhancing upper limb rehabilitation. Objective: To evaluate whether the use of bilateral movement-based computer games could augment the effects of conventional interven...

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Published in:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 54; pp. 1 - 11
Main Authors: LAM, Stefanie S. L., Tai Wa LIU, NG, Shamay S. M., LAI, Charles W. K., WOO, Jean
Format: pictorial research tables/charts randomized controlled trial Journal Article
Published: Medical Journals Sweden AB 2022
Online Access:View this record in EBSCOhost
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      dt: 2022
      vid: 54
      pid: 59195
      pub: Medical Journals Sweden AB
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        10.2340/jrm.v54.913
        161431826
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        atl: BILATERAL MOVEMENT-BASED COMPUTER GAMES IMPROVE SENSORIMOTOR FUNCTIONS IN SUBACUTE STROKE SURVIVORS: A RANDOMIZED CONTROLLED TRIAL.
      aug:
        au:
          LAM, Stefanie S. L.
          Tai Wa LIU
          NG, Shamay S. M.
          LAI, Charles W. K.
          WOO, Jean
        affil: Physiotherapy Department, Shatin Hospital, Shatin
      sug:
        subj:
          Stroke Rehabilitation
          Survivors
          Video Games
          Movement
          Sensory Motor Integration Methods
          Large-Scale Brain Networks Physiology
          Upper Extremity Physiology
          Treatment Outcomes Evaluation
          Human
          Randomized Controlled Trials
          Psychomotor Performance
          Grip Strength
          Health Status
          Quality of Life
          Random Assignment
          Comparative Studies
          Pretest-Posttest Design
          Single-Blind Studies
          Middle Age
          Aged
          Aged, 80 and Over
          Clinical Assessment Tools
          Dynamometry
          Questionnaires
          Patient Attitudes
          T-Tests
          Mann-Whitney U Test
          Chi Square Test
          Male
          Female
          Analysis of Covariance
          Post Hoc Analysis
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Previous studies have reported that movement-based computer gaming is more effective than conventional intervention in enhancing upper limb rehabilitation. Objective: To evaluate whether the use of bilateral movement-based computer games could augment the effects of conventional intervention in improving the upper limb motor function, grip strength and health-related quality of life of subacute stroke survivors. Methods: A total of 93 subjects with subacute stroke were randomized into 2 groups receiving one of two 3.5-h interventions for 2 days per week over 8 weeks: (i) "bilateral movement-based computer games + conventional rehabilitation"; and (ii) "video-directed exercise + conventional rehabilitation" (control group). Results: A total of 83 subjects completed the interventions and follow-up assessments. Compared with video-directed exercise + conventional rehabilitation, bilateral movement-based computer games + conventional rehabilitation produced greater improvements in upper limb motor impairment from midtreatment to follow-up 1 month post-intervention, greater improvements in upper limb function from post-intervention to 1 month follow-up, and earlier improvements in grip strength (paretic) from midintervention to follow-up 1 month post-intervention. Subjects who received bilateral movement-based computer games + conventional rehabilitation also continued to improve in motor function from postintervention to 1 month post-intervention. Conclusion: Bilateral movement-based computer games may serve as an adjuvant therapy to conventional rehabilitation programmes for improving upper limb recovery among stroke survivors.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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