Patient Engagement Is Related to Impairment Reduction During Digital Game-Based Therapy in Stroke

Putrino, David; Zanders, Helma; Hamilton, Taya; Rykman, Avrielle; Lee, Peter; Edwards, Dylan

doi:10.1089/g4h.2016.0108

Cited by 43 publications

(40 citation statements)

References 65 publications

(70 reference statements)

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“…Data on reported use were obtained from the interviews, the digital servers and the adherence diaries, all showing that most of the stroke survivors followed the instructions about the daily use of ActivABLES and used it at least 5 days a week. These results of compliance compare well with the findings of other studies investigating the use of technical applications for home-based exercise [30,87,88]. Reported use in our study was different, where the digital servers showed much less use in minutes than reported in the interviews and in the adherence diaries.…”

Section: Demandsupporting

confidence: 89%

“…The results of our study are partly in line with the findings of a meta-analysis from 2018 [35], where interactive games were shown to be effective in improving functional balance of stroke survivors, measured with BBS, but not effective in improving mobility, measured with TUG, like in our study. Enjoyment of exercise motivates stroke survivors to adhere to exercise and physical activity [88] and more variety is likely to increase enjoyment. One stroke survivor in our study was quite active already, aside from ActivABLES use, and followed his activity using an Apple Watch and he did not find a use for the collective feedback given by the ActivLAMP.…”

Section: Methodsmentioning

confidence: 99%

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Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study

Ólafsdóttir

Jónsdóttir

Bjartmarz

et al. 2020

BMC Health Serv Res

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Background: Technical applications can promote home-based exercise and physical activity of community-dwelling stroke survivors. Caregivers are often able and willing to assist with home-based exercise and physical activity but lack the knowledge and resources to do so. ActivABLES was established to promote home-based exercise and physical activity among community-dwelling stroke survivors, with support from their caregivers. The aim of our study is to investigate the feasibility of ActivABLES in terms of acceptability, demand, implementation and practicality. Methods: A convergent design of mixed methods research in which quantitative results were combined with personal experiences of a four-week use of ActivABLES by community-dwelling stroke survivors with support from their caregivers. Data collection before, during and after the four-week period included the Berg Balance Scale (BBS), Activities-Specific Balance Confidence Scale (ABC), Timed-Up-and-Go (TUG) and Five Times Sit to Stand Test (5xSST) and data from motion detectors. Semi-structured interviews were conducted with stroke survivors and caregivers after the four-week period. Descriptive statistics were used for quantitative data. Qualitative data was analysed with direct content analysis. Themes were identified related to the domains of feasibility: acceptability, demand, implementation and practicality. Data was integrated by examining any (dis)congruence in the quantitative and qualitative findings.

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Section: Demandsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study

Ólafsdóttir

Jónsdóttir

Bjartmarz

et al. 2020

BMC Health Serv Res

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show abstract

“…In neurological rehabilitation, level of engagement during rehabilitation is known to have a significant effect on active participation [112], which is thought to promote cortical plasticity [113] and improve outcomes in neurological patients [114]. As such, integrating gamification techniques into existing models of neurorehabilitation to increase participant engagement has become a priority in the last few years [115].…”

Section: Gamification and Virtual Realitymentioning

confidence: 99%

Robotic Rehabilitation and Spinal Cord Injury: a Narrative Review

et al. 2018

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Mobility after spinal cord injury (SCI) is among the top goals of recovery and improvement in quality of life. Those with tetraplegia rank hand function as the most important area of recovery in their lives, and those with paraplegia, walking. Without hand function, emphasis in rehabilitation is placed on accessing one's environment through technology. However, there is still much reliance on caretakers for many activities of daily living. For those with paraplegia, if incomplete, orthoses exist to augment walking function, but they require a significant amount of baseline strength and significant energy expenditure to use. Options for those with motor complete paraplegia have traditionally been limited to the wheelchair. While wheelchairs provide a modified level of independence, wheelchair users continue to face difficulties in access and mobility. In the past decade, research in SCI rehabilitation has expanded to include external motorized or robotic devices that initiate or augment movement. These robotic devices are used with 2 goals: to enhance recovery through repetitive, functional movement and increased neural plasticity and to act as a mobility aid beyond orthoses and wheelchairs. In addition, lower extremity exoskeletons have been shown to provide benefits to the secondary medical conditions after SCI such as pain, spasticity, decreased bone density, and neurogenic bowel. In this review, we discuss advances in robot-guided rehabilitation after SCI for the upper and lower extremities, as well as potential adjuncts to robotics.

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“…David also discussed some of the research that he has conducted in the field of gamification of rehabilitation for neurological conditions such as stroke. Gaming and overall enjoyment from participating in that research program served as modulators for improved outcomes [3]. Apathy toward the program correlated with poorer outcomes [4].…”

Section: Session 1: Thementioning

confidence: 99%

LiveWell RERC State of the Science Conference Report on ICT Access to Support Community Living, Health and Function for People with Disabilities

Morris

Jones

DeRuyter

et al. 2019

IJERPH

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This article summarizes the proceedings of the three session State of the Science (SOS) Conference that was conducted by the Rehabilitation Engineering Research Center for Community Living, Health and Function (LiveWell RERC) in June 2019 in Toronto, Canada. RERCs customarily convene an SOS conference toward the end of their five-year funding cycle in order to assess the current state and identify potential future research, development, and knowledge translation efforts needed to advance their field. The first two sessions focused on the current and future state of information and communication technology (ICT) for mobile health (mHealth) and mobile rehabilitation (mRehab). The third session was a wide-ranging discussion of pressing needs for future research and development in the field. Several “big ideas” resulted from the discussion among participants in the SOS Conference that should inform the structure and operation of future efforts, including: (1) identifying active ingredients of interventions, (2) incorporating effective behavior-change techniques into all interventions, (3) including measures of social determinants of health in evaluation studies, (4) incorporating user-customizable features into technology solutions, and (5) ensuring “discoverability” of research and development outputs by stakeholders via structured and continuous outreach, education and training. Substantive areas of work include gaming and esports, the gamification of interventions for health and fitness, the cultivation of community supports, and continuous outreach and education wherever a person with a disability may live.

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Patient Engagement Is Related to Impairment Reduction During Digital Game-Based Therapy in Stroke

Cited by 43 publications

References 65 publications

Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study

Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study

Robotic Rehabilitation and Spinal Cord Injury: a Narrative Review

LiveWell RERC State of the Science Conference Report on ICT Access to Support Community Living, Health and Function for People with Disabilities

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