Effectiveness of an intensive, functional, gamified Rehabilitation program in improving upper limb motor function in people with stroke: A protocol of the EnteRtain randomized clinical trial

Ali, Amir; Arumugam, Ashokan; D, Senthil Kumaran

doi:10.1016/j.cct.2021.106381

Cited by 7 publications

(5 citation statements)

References 38 publications

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“…Sulfikar et al, 2021). We can reinforce this in the results obtained through the Likert scale of this study, where approximately 99% of the subjects felt motivated during the execution of the therapy.…”

supporting

confidence: 80%

Serious Game With Cycloergomerics Adapted For The Training Of Post-Stroke Hemiparetic Patients In Acute Phase: A Feasibility Study

Aquino¹,

Santos²,

Castilho³

et al. 2023

Collection of International Topics in Health Science- V1

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Cycloergometry associated with a Serious Game can contribute to the improvement of lower limb motor performance, aerobic capacity, balance, and in addition, increase motivation during therapy. This study is conducted to evaluate the feasibility of using adapted cycle ergometry associated with a serious game on hemiparetic patients due to stroke in the acute phase. It is a feasibility study with a cross-sectional design, with hospitalized patients aged 18 years or older and clinically stable. Pre-intervention: lower limb performance (Sit and Stand Test for five times) and functional mobility (Timed Up and Go Test) evaluated. A Likert scale was applied to verify the motivation, training ease performing, and the participants' perception of the resource's usefulness. The Serious Game was used on two consecutive days for 30 minutes each. Vital signs and perceived exertion (Borg Scale) were monitored during therapy. Sixty-five individuals, with a mean age of 62, 88 12, 23, participated in the research. Regarding motivation during the game, 98.5% of the participants reported feeling motivated during the activity. The resource was considered easy for 87.7% of the individuals, and 78.5% perceived its usefulness in therapy. There was no statistically significant difference in hemodynamic variables, demonstrating safety in the application of the game in the acute phase. The motivation, attention, engagement, and satisfaction with the use of the system during the sessions indicate a very interesting potential for use in this phase.

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supporting

confidence: 80%

Serious Game With Cycloergomerics Adapted For The Training Of Post-Stroke Hemiparetic Patients In Acute Phase: A Feasibility Study

Aquino¹,

Santos²,

Castilho³

et al. 2023

Collection of International Topics in Health Science- V1

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“…Severe gross and fine motor dysfunction is generally present in patients suffering from neurological diseases. The slow and partial recovery in upper limb function is the greatest challenge, and improving upper limb dysfunction is still a major research priority in this field ( 46 ). The 2008 EBRSR guideline ( 47 ) recommended VR technology as an effective method to improve patients' motor function during stroke recovery, clearly indicating that computer-assisted sensorimotor training could effectively reduce the functional limitations of the upper extremity.…”

Section: Discussionmentioning

confidence: 99%

Virtual reality for neurorehabilitation: A bibliometric analysis of knowledge structure and theme trends

Guo

Wei

et al. 2022

Front. Public Health

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BackgroundAs an emerging technology, virtual reality (VR) has been broadly applied in the medical field, especially in neurorehabilitation. The growing application of VR therapy promotes an increasing amount of clinical studies. In this paper, we present a bibliometric analysis of the existing studies to reveal the current research hotspots and guide future research directions.MethodsArticles and reviews on the related topic were retrieved from the Science Citation Index Expanded of Web of Science Core Collection database. VOSviewer and Citespace software were applied to systematically analyze information about publications, countries, institutions, authors, journals, citations, and keywords from the included studies.ResultsA total of 1,556 papers published between 1995 and 2021 were identified. The annual number of papers increased gradually over the past three decades, with a peak publication year in 2021 (n = 276). Countries and institutions from North America and Western European were playing leading roles in publications and total citations. Current hotspots were focused on the effectiveness of VR therapy in cognitive and upper limb motor rehabilitation. The clusters of keywords contained the four targeted neurological diseases of VR, while the burst keywords represented that the latest studies were directed toward more defined types of VR therapy and greater study design.ConclusionsOur study offers information regarding to the current hotspots and emerging trends in the VR for rehabilitation field. It could guide future research and application of VR therapy in neurorehabilitation.

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“…Considering a 20% drop-out rate, a total of 60 participants in each group was deemed adequate for the study. 28…”

Section: Sample Sizementioning

confidence: 99%

“…More information about the device, EG/CG intervention, and the details of progression are available in the "Template for Intervention Description and Replication checklist" table included in our protocol and in the preliminary study. 28,29 The games and tasks were chosen based on the interests, context, and motor capacity of the participants. In addition to the EG/CG intervention, all participants received the same conventional therapy in all 4 participating centers.…”

Section: Interventionmentioning

confidence: 99%

“…26,27 An innovative, custom-built, interactive arm rehabilitation device called the "ArmAble™" (BeAble Health Pvt Ltd., IIT Hyderabad, Telangana, India) has been recently developed, which provides intensive, repetitive, functional task-based gaming therapy while incorporating motor learning and neuroplasticity principles. 28,29 The ArmAble™ is a portable "Plug & Play" device consisting of a computer monitor, a gaming software, and a platform with a game console. The game console allows the participants to move their arm in the anteroposterior and/or mediolateral directions while playing interactive functional games.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of an Intensive, Functional, and Gamified Rehabilitation Program on Upper Limb Function in People With Stroke (EnteRtain): A Multicenter Randomized Clinical Trial

Ali,

Kumaran,

Unni

et al. 2024

Neurorehabil Neural Repair

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Background1 Despite a growing interest in gaming rehabilitation for upper limb (UL) recovery post-stroke, studies investigating the effects of game-based rehabilitation incorporating functional games are lacking. Objective To investigate the efficacy of an intensive, functional, gamified rehabilitation program compared to task-based training on UL motor function in acute/sub-acute stroke survivors. Methods This randomized, multicenter, single-blind, clinical trial comprises 120 participants with unilateral stroke who were randomized to receive either gamified training (n = 64) using the ArmAble™ [experimental group (EG)] or task-based training (n = 56) in conjunction with conventional therapy for 2 hours per day, 6 days per week for 2 weeks, followed by UL rehabilitation for another 4 weeks at home. Primary outcomes evaluated by a blinded assessor included the Fugl-Meyer Assessment-Upper Extremity (FM-UE), and Action Research Arm Test (ARAT). Data were analyzed using a linear mixed-effect regression model. Results The mean (standard deviation) age of the participants was 54.4 ± 11.7 years (78.1% men) in the EG and 57.7 ± 10.9 years (73.2% men) in the comparator group (CG). The median (interquartile range) time since stroke was 30.0 (54.0) days in the EG and 22.5 (45.0) days in the CG. Following the 2-week intervention, a statistically significant improvement was observed in the EG for the FM-UE [between-group mean differences (95% confidence interval): −3.9 (−6.5, −1.3); P = .003]; but not for the ARAT [−2.9 (−5.8, 0.0); P = .051]. Gains at 6 weeks were significantly greater in the EG for both FM-UE [−3.9 (−6.5, −1.3); P = .003]; and ARAT [−3.0 (−5.9, −0.0); P = .046]. Conclusion Gamified rehabilitation using the ArmAble™ device has shown immediate and short-term improvement in UL function after acute/sub-acute stroke. Clinical Trials Registry Number: CTRI/2020/09/027651

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Effectiveness of an intensive, functional, gamified Rehabilitation program in improving upper limb motor function in people with stroke: A protocol of the EnteRtain randomized clinical trial

Cited by 7 publications

References 38 publications

Serious Game With Cycloergomerics Adapted For The Training Of Post-Stroke Hemiparetic Patients In Acute Phase: A Feasibility Study

Serious Game With Cycloergomerics Adapted For The Training Of Post-Stroke Hemiparetic Patients In Acute Phase: A Feasibility Study

Virtual reality for neurorehabilitation: A bibliometric analysis of knowledge structure and theme trends

Effectiveness of an Intensive, Functional, and Gamified Rehabilitation Program on Upper Limb Function in People With Stroke (EnteRtain): A Multicenter Randomized Clinical Trial

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