Eliciting Upper Extremity Purposeful Movements Using Video Games

Rand, Debbie; Givon, Noa; Weingarden, Harold; Nota, Ayala; Zeilig, Gabi

doi:10.1177/1545968314521008

Cited by 74 publications

(23 citation statements)

References 38 publications

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“…Positively, as severity of impairment reduced, participants demonstrated a greater proportion of active and functional movements performed throughout the day. This supports a recent study that showed those with more UL motor capability performed more active and purposeful repetitions of movement (Rand et al, 2014).…”

Section: Discussionsupporting

confidence: 91%

“…Only two studies have been completed using both accelerometry and direct observation to study paretic UL movement after stroke. These two studies have only investigated people with stroke in the chronic phase during treatment sessions and found a moderate-high correlation between the number of repetitions observed during purposeful exercises and recorded via accelerometry during therapy (Connell et al, 2014;Rand, Givon, Weingarden, Nota, & Zeilig, 2014). Thus far, no studies have compared the accuracy of accelerometry to measure paretic UL use with direct observation during the early subacute phase poststroke.…”

Section: Introductionmentioning

confidence: 99%

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An accelerometry and observational study to quantify upper limb use after stroke during inpatient rehabilitation

Chin

Hayward

Soh

et al. 2019

Physiotherapy Res Intl

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Objectives The objectives of the study are to characterize paretic upper limb (UL) use in people with different levels of impairment 4 weeks poststroke and to compare accelerometry and direct observational approaches. Methods Twelve stroke inpatients (five mild, three moderate, and four severe UL impairment) were recruited from a rehabilitation hospital. UL use was measured using accelerometry (24 hr) and direct observation (12 hr of behavioural mapping). Accelerometry variables included duration of use, use ratio, magnitude ratio, bilateral magnitude, and variation ratio. Direct observation recorded the duration of use and type of UL movement (e.g., functional vs. non‐functional). Results From accelerometry data, people with mild, moderate, and severe UL impairments used their paretic UL 59%, 45%, and 22% of a 24 hr‐day, respectively. People with severe UL impairment had the lowest paretic UL use duration (median 1.49 hr/day), magnitude ratio, and variation ratio compared with people with mild and moderate UL impairment. From 12 hr of observational data, people with mild impairment were using their UL for 37.8% of the observed time, whereas the people with moderate and severe impairment were using their UL 15.8% and 4.9%, respectively. UL movements for the mild cohort were mainly functional, whereas UL movements of the moderate and severe cohorts were mainly non‐functional. UL movements were predominantly active for the mild and moderate cohorts but passive for the severe cohort. Duration of paretic UL use from accelerometry and observation data were highly correlated (ICC > 0.8), but the absolute percentage error between methods ranged from 34.2% to 42.7%. Conclusions Paretic UL use within the first 4 weeks poststroke differs across levels of impairment in this exploratory study. Accelerometry and observation findings of paretic UL use were correlated and may be needed in different situations as they capture different information.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

An accelerometry and observational study to quantify upper limb use after stroke during inpatient rehabilitation

Chin

Hayward

Soh

et al. 2019

Physiotherapy Res Intl

View full text Add to dashboard Cite

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“…Rand et al [15] used accelerometers to compare the amounts of purposeful movements elicited in a group of patients with stroke using video games and a control group receiving traditional therapy. They found that playing video games resulted in more purposeful repetitions (median 271) than traditional training (median 48).…”

Section: Introductionmentioning

confidence: 99%

Is upper limb virtual reality training more intensive than conventional training for patients in the subacute phase after stroke? An analysis of treatment intensity and content

et al. 2016

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BackgroundVirtual reality (VR) training is thought to improve upper limb (UL) motor function after stroke when utilizing intensive training with many repetitions. The purpose of this study was to compare intensity and content of a VR training intervention to a conventional task-oriented intervention (CT).MethodsA random sample of 50 video recordings was analyzed of patients with a broad range of UL motor impairments (mean age 61y, 22 women). Patients took part in the VIRTUES trial and were randomized to either VR or CT and stratified according to severity of paresis. A standardized scoring form was used to analyze intensity, i.e. active use of the affected UL expressed in % of total time, total active time and total duration of a training session in minutes, content of training and feedback. Two raters collected data independently. Linear regression models as well as descriptive and graphical methods were used.ResultsPatients in the VR group spent significantly more time actively practicing with an activity rate of 77.6 (8.9) % than patients in the CT 67.3 (13.9) %, (p = .003). This difference was attributed to the subgroup of patients with initially severe paresis (n = 22). While in VR severely impaired patients spent 80.7 % (4.4 %) of the session time actively; they reached 60.6 (12.1) % in CT. VR and CT also differed in terms of tasks and feedback provided.ConclusionOur results indicate that patients with severely impaired UL motor function spent more time actively in VR training, which may influence recovery. The upcoming results of the VIRTUES trial will show whether this is correlated with an increased effect of VR compared to CT.Trial registrationClinicalTrials.gov NCT02079103, February 27, 2014.Electronic supplementary materialThe online version of this article (doi:10.1186/s12883-016-0740-y) contains supplementary material, which is available to authorized users.

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“…The use of games in rehabilitation is also increasing, as they have been shown to increase patient engagement and therapy effectiveness [8][9][10]. There are a number of devices under development that provide some of these features [11][12][13], but to the best of the authors knowledge there are no commercially available devices that provide grip force control training.…”

Section: Introductionmentioning

confidence: 99%

A Gamified Approach for Hand Rehabilitation Device

et al. 2018

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Abstract-This work details developments made in a system for hand rehabilitation, that aims to improve recovery of fine motor control, mostly for those recovering from stroke. The system consists of an instrumented device that is used to interact with a variety of games designed to improve fine motor control, enhancing rehabilitation practices. These games were tested with actual disabled individuals and therapists, having received overall positive feedback.

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Eliciting Upper Extremity Purposeful Movements Using Video Games

Abstract: Video games elicited more UE purposeful repetitions and higher acceleration of movement compared with traditional therapy in individuals with chronic stroke.

Cited by 74 publications

References 38 publications

An accelerometry and observational study to quantify upper limb use after stroke during inpatient rehabilitation

An accelerometry and observational study to quantify upper limb use after stroke during inpatient rehabilitation

Is upper limb virtual reality training more intensive than conventional training for patients in the subacute phase after stroke? An analysis of treatment intensity and content

A Gamified Approach for Hand Rehabilitation Device

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