A systematic review and meta-analysis of randomized controlled trials on the effect of serious games on people with dementia

Saragih, Ita Daryanti; Everard, Gauthier; Lee, Bih‐O

doi:10.1016/j.arr.2022.101740

Cited by 14 publications

(8 citation statements)

References 67 publications

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“…A multidisciplinary team (neurologist, physiotherapist, physical therapist, and nurse) in the clinic setting or rehabilitation center should be included in the robotic arm intervention. 57,58 Establishing clear protocols to govern the use of a robotic arm in patients with stroke will be helped by choosing a group of healthcare practitioners with a variety of related experience. [59][60][61] The protocols should be as comprehensive as possible and include well-targeted stroke treatment such as the exoskeleton robot to power a system of motors or pneumatic levers or restore locomotion 62,63 or end-effectors to interact with the environment (e.g., grasping, reaching targets).…”

Section: Discussionmentioning

confidence: 99%

“…Based on the results, robotic arm interventions should be combined with exercise rehabilitation with a session duration of 30–60 min. A multidisciplinary team (neurologist, physiotherapist, physical therapist, and nurse) in the clinic setting or rehabilitation center should be included in the robotic arm intervention 57,58 . Establishing clear protocols to govern the use of a robotic arm in patients with stroke will be helped by choosing a group of healthcare practitioners with a variety of related experience 59–61 .…”

Section: Discussionmentioning

confidence: 99%

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Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis

Lee

Saragih

Batubara

2023

The Kaohsiung J of Med Scie

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Several studies have reported the effects of robotic arms on improving upper limb function in patients with stroke. However, previous studies have reported inconsistent findings that may lead to incorrect applications of robotic arm use. Six databases were searched for relevant randomized controlled trials. Meta-analyses were performed for upper limb performance measures, including subgroup analysis of pooled upper limb rehabilitation data such as stroke stage and intervention delivery dose.Furthermore, the Cochrane risk-of-bias tool for randomized trials version 2 (RoB 2) and sensitivity analysis were used to assess methodology and determine publication bias. The final analysis included 18 studies. Robotic arms improved upper limb and hand function in patients with stroke. Subgroup analysis revealed that robotic arm interventions lasting 30-60 min per session significantly improved upper limb function. However, no significant improvement was observed in shoulder and elbow or wrist and hand movements. This review may help develop applicable rehabilitation robots and collaboration between clinicians.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis

Lee

Saragih

Batubara

2023

The Kaohsiung J of Med Scie

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“…These games enhance behavioral research inclusivity, rigor, and reproducibility (Long et al, 2023). Recent reviews and meta-analyses confirm the success of "serious games" in rehabilitating cognitively impaired adults and addressing neurological conditions like dementia, Alzheimer's, and schizophrenia (Abd-alrazaq et al, 2023;Francillette et al, 2021;Saragih et al, 2022). Extensive research, outlined in a review of 145 studies by Kokol et al (2019), highlights the promise of "serious games" focusing on beat perception and synchronization in children with developmental disorders.…”

Section: Gamified Rhythmic Trainingmentioning

confidence: 96%

Can You Beat the Music? Validation of a Gamified Rhythmic Training in Children with ADHD

Jamey,

Laflamme,

Foster

et al. 2024

Preprint

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Neurodevelopmental disorders like ADHD can affect rhythm perception and production, impacting the performance in attention and sensorimotor tasks. Improving rhythmic abilities through targeted training might compensate for these cognitive functions. We introduce a novel protocol for training rhythmic skills via a tablet-based serious game called Rhythm Workers (RW). This proof-of-concept study tested the feasibility of using RW in children with ADHD. We administered an at-home longitudinal protocol across Canada. A total of 27 children (7-13 years) were randomly assigned to either a finger-tapping rhythmic game (RW) or a control game with comparable auditory-motor demands but without beat-synchronization (active control condition). Participants played the game for 300 minutes over two weeks. We collected data (self-reported and logged onto the device) on game compliance and acceptance. Further, we measured rhythmic abilities using the Battery for the Assessment of Auditory Sensorimotor and Timing Abilities (BAASTA). The current findings show that both games were equally played in duration, rated similarly for overall enjoyment, and relied on similar motor activity (finger taps). The children who played RW showed improved general rhythmic abilities compared to controls; these improvements were also positively related to the playing duration. We also present preliminary evidence that executive functioning improved in those who played RW but not controls. These findings indicate that both games are well-matched. RW demonstrates efficacy in enhancing sensorimotor skills in children with ADHD, potentially benefiting executive functioning. A future RCT with extended training and sample size could further validate these skill transfer effects.

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“…Both immersive and non-immersive VR technologies offer great potential to promote well-being and to overcome age-related impairments such as mobility loss, cognitive decline and desocialization [8]. Numerous studies have shown, with moderate-to-strong evidence, that when associated with gaming-based interventions, VR training led to significant motor and cognitive improvements for older adults, patients with stroke and people with dementia [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Visual feedback and age affect upper limb reaching accuracy and kinematics in immersive virtual reality among healthy adults

Everard

Lejeune

Batcho

2023

International Journal of Rehabilitation Research

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This cross-sectional study aimed to evaluate the effect of visual feedback, age and movement repetition on the upper limb (UL) accuracy and kinematics during a reaching task in immersive virtual reality (VR). Fifty-one healthy participants were asked to perform 25 trials of a reaching task in immersive VR with and without visual feedback of their hand. They were instructed to place, as accurately and as fast as possible, a controller held in their non-dominant hand in the centre of a virtual red cube of 3 cm side length. For each trial, the end-point error (distance between the tip of the controller and the centre of the cube), a coefficient of linearity (CL), the movement time (MT), and the spectral arc length of the velocity signal (SPARC), which is a movement smoothness index, were calculated. Multivariate analyses of variance were conducted to assess the influence of visual feedback, age and trial repetition on the average end-point error, SPARC, CL and MT, and their time course throughout the 25 trials. Providing visual feedback of the hand reduced average end-point error (P < 0.001) and MT (P = 0.044), improved SPARC (P < 0.001) but did not affect CL (P = 0.07). Younger participants obtained a lower mean end-point error (P = 0.037), a higher SPARC (P = 0.021) and CL (P = 0.013). MT was not affected by age (P = 0.671). Trial repetition increased SPARC (P < 0.001) and CL (P < 0.001), and reduced MT (P = 0.001) but did not affect end-point error (P = 0.608). In conclusion, the results of this study demonstrated that providing visual feedback of the hand and being younger improves UL accuracy and movement smoothness in immersive VR. UL kinematics but not accuracy can be improved with more trial repetitions. These findings could guide the future development of protocols in clinical rehabilitation and research.

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A systematic review and meta-analysis of randomized controlled trials on the effect of serious games on people with dementia

Cited by 14 publications

References 67 publications

Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis

Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis

Can You Beat the Music? Validation of a Gamified Rhythmic Training in Children with ADHD

Visual feedback and age affect upper limb reaching accuracy and kinematics in immersive virtual reality among healthy adults

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