Gamified Practice Improves Paretic Arm Motor Behavior in Individuals With Stroke.
Background: 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...
| Publicado en: | Neurorehabilitation & Neural Repair Vol. 38; no. 11/12; pp. 832 - 845 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | equations & formulas pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Dec2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180966762&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180966762 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15459683 IRK jtl: Neurorehabilitation & Neural Repair issn: 15459683 maglogo: Y pubinfo: dt: Dec2024 vid: 38 iid: 11/12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 180966762 180027011 180966762 180966762 10.1177/15459683241286449 180966762 ppf: 832 ppct: 13 formats: tig: atl: Gamified Practice Improves Paretic Arm Motor Behavior in Individuals With Stroke. aug: au: Rubino, Cristina Lakhani, Bimal Larssen, Beverley C. Kraeutner, Sarah N. Andrushko, Justin W. Borich, Michael R. Boyd, Lara A. affil: Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada sug: subj: Stroke Complications Arm Physiopathology Paralysis Rehabilitation Motor Activity Motor Skills Education Arm Exercises Gamification Stroke Rehabilitation Task Performance and Analysis Human Stroke Patients Physical Activity Rehabilitation, Cognitive Individualized Medicine Treatment Outcomes Movement Functional Status Virtual Reality Clinical Assessment Tools Motor Skills Evaluation Male Female Funding Source Male Female ab: Background: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: Findings indicate that gamified motor training positively affects paretic arm motor behavior in individuals with mild to severe chronic stroke. pubtype: Academic Journal doctype: equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|