Document Detail


An affordable, computerised, table-based exercise system for stroke survivors.
MedLine Citation:
PMID:  20302419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Loss of hand function as a result of upper limb paresis after a stroke leads to reduced independence. Robotic-assisted therapy with virtual reality leads to improvements in motor function, but there is a need to improve the cost-benefit ratio of these therapies. This case series study investigated augmented reality computer games which provided a rewarded, goal-directed task to upper limb rehabilitation via a gravity supported reaching task.
METHODS: A computer game was developed to motivate chronic stroke survivors to undertake gravity supported reaching tasks performed on a table, and a focus group study investigated the application of this device for rehabilitation. From the focus group, a simple device was developed to improve the quality of the exercise and a further focus group study investigated a variety of computer games to determine motivations for undertaking rehabilitation exercises.
RESULTS: Of the four participants in the case study, two showed improvement in ability to play the game and in arm function. Participants enjoyed playing a range of computer games and felt that the system provided a worthwhile exercise. Motivation for undertaking exercise with the system included: intellectual stimulation during game play, feedback such as game score, gaining physical benefits from the exercise, the system tolerating varying levels of disability, ability to relate to the game and ability to use the system in social groups.
CONCLUSIONS: A low-cost device has been developed which increases the exercise of gravity supported reaching movements, provides goal-directed tasks with rewards and motivates the user to undertake extended rehabilitation.
Authors:
Marcus King; Leigh Hale; Anna Pekkari; Martin Persson; Malin Gregorsson; Mikaela Nilsson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Disability and rehabilitation. Assistive technology     Volume:  5     ISSN:  1748-3115     ISO Abbreviation:  Disabil Rehabil Assist Technol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-09     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101255937     Medline TA:  Disabil Rehabil Assist Technol     Country:  England    
Other Details:
Languages:  eng     Pagination:  288-93     Citation Subset:  IM    
Affiliation:
Industrial Research Ltd. Christchurch, New Zealand. m.king@irl.cri.nz
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Algorithms
Attitude to Computers
Computer Peripherals
Disability Evaluation
Exercise Therapy / economics,  methods*
Focus Groups
Health Status Indicators
Humans
Motivation
New Zealand
Paresis / etiology,  rehabilitation*
Questionnaires
Software
Stroke / complications,  economics,  rehabilitation*
Survivors
User-Computer Interface*
Video Games*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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