Remote rehabilitation training using the combination of an exergame and telerehabilitation application: A case report of an elderly chronic stroke survivor

Allegue, Dorra Rakia; Kairy, Dahlia; Higgins, Johanne; Archambault, Philippe; Michaud, François; Miller, William C.; Sweet, Shane N; Tousignant, Michel

doi:10.1109/icvr46560.2019.8994565

Cited by 2 publications

(3 citation statements)

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“…Firstly, the existing clinical assessment scales are an effective way to assess patients, and many researchers use them to evaluate patients. Such as [46], [19], [47] both used Fugl-Meyer assessment scale to assess patients' motor ability. And, the MAL scale was used in [46], the Berg Balance Scale and ARAT were used in [19].…”

Section: Assessmentmentioning

confidence: 99%

“…Such as [46], [19], [47] both used Fugl-Meyer assessment scale to assess patients' motor ability. And, the MAL scale was used in [46], the Berg Balance Scale and ARAT were used in [19]. Secondly, sensor-based assessment methods have the potential to complement existing assessment techniques [48].…”

Section: Assessmentmentioning

confidence: 99%

“…These showed that the game was very effective for home training of prosthetic control for the target population. A patient three years after a stroke using the combination of Jintronix©.exergame and Reacts© applications [46] for telerehabilitation training for 2 months. In the fourth week, the patient developed an abnormality of increased upper limb heaviness.…”

Section: Rehabilitation Sitementioning

confidence: 99%

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A Review on Serious Games for Exercise Rehabilitation

Ning¹,

Wang²,

Li³

et al. 2022

Preprint

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Disability is an important factor affecting today's society. At the same time, more and more sub-healthy people are sick due to reduced body functions and cognitive functions. Exercise rehabilitation is a kind of physical therapy, which can recover the motor ability, cognitive ability, and mental state of them through exercise. But the traditional exercise rehabilitation has some drawbacks so that people who need exercise rehabilitation cannot stick to it. Therefore, many researchers improved the drawbacks of traditional exercise rehabilitation by serious games for exercise rehabilitation. Although there were abundant achievements in the games, its relevant technologies and representative games are not be summarized systematically. To fill this gap, we introduced the significance of the convergence of exercise rehabilitation and serious games. Then, our paper sorted out the development of the games based on interaction mode between games and players. Besides, we analyzed the characteristics of different user groups and the specific functions of the games corresponding to them, and gave our classification based on this. Based on the classification, we reviewed related studies of the games in the past decade years and gave some suggestions on game design and development. Finally, we proposed serval research directions worth studying about the games' technology development, functional design and social popularization.

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Section: Assessmentmentioning

confidence: 99%

Section: Assessmentmentioning

confidence: 99%

Section: Rehabilitation Sitementioning

confidence: 99%

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A Review on Serious Games for Exercise Rehabilitation

Ning¹,

Wang²,

Li³

et al. 2022

Preprint

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Optimization of Upper Extremity Rehabilitation by Combining Telerehabilitation With an Exergame in People With Chronic Stroke: Protocol for a Mixed Methods Study

Allegue¹,

Kairy²,

Higgins³

et al. 2020

JMIR Res Protoc

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Background Exergames have the potential to provide an accessible, remote approach for poststroke upper extremity (UE) rehabilitation. However, the use of exergames without any follow-up by a health professional could lead to compensatory movements during the exercises, inadequate choice of difficulty level, exercises not being completed, and lack of motivation to pursue exercise programs, thereby decreasing their benefits. Combining telerehabilitation with exergames could allow continuous adjustment of the exercises and monitoring of the participant’s completion and adherence. At present, there is limited evidence regarding the feasibility or efficacy of combining telerehabilitation and exergames for stroke rehabilitation. Objective This study aims to (1) determine the preliminary efficacy of using telerehabilitation combined with exergames on UE motor recovery, function, quality of life, and motivation in participants with chronic stroke, compared with conventional therapy (the graded repetitive arm supplementary program; GRASP); (2) examine the feasibility of using the technology with participants diagnosed with stroke at home; and (3) identify the obstacles and facilitators for its use by participants diagnosed with stroke and stroke therapists and understand the shared decision-making process. Methods A mixed methods study protocol is proposed, including a randomized, blinded feasibility trial with an embedded multiple case study. The intervention consists of the provision of a remote rehabilitation program, during which participants will use the Jintronix exergame for UE training and the Reacts Application to conduct videoconferenced sessions with the therapists (physical or occupational therapists). We plan to recruit 52 participants diagnosed with stroke, randomly assigned to a control group (n=26; 2-month on-paper home exercise program: the GRASP with no supervision) and an experimental group (n=26; 2-month home program using the technology). The primary outcome is the Fugl-Meyer UE Assessment, a performance-based measure of UE impairment. The secondary outcomes are self-reported questionnaires and include the Motor Activity Log-28 (quality and frequency of use of the UE), Stroke Impact Scale-16 (the quality of life), and Treatment Self-Regulation Questionnaire (motivation). Feasibility data include process, resources, management, and scientific outcomes. Qualitative data will be collected by interviews with both participants and therapists. Results At present, data collection was ongoing with one participant who had completed the exergame- telerehabilitation based intervention. We expect to collect preliminary efficacy data of this technology on the functional and motor recovery of the UE, following a stroke; collect feasibility data with users at home (adherence, safety, and technical difficulties); and identify the obstacles and facilitators for the technology use and understand the shared decision-making process. Conclusions This paper describes the protocol underlying the study of a telerehabilitation-exergame technology to contribute to understanding its feasibility and preliminary efficacy for UE stroke rehabilitation. Trial Registration ClinicalTrials.gov NCT03759106; http://clinicaltrials.gov/show/NCT03759106. International Registered Report Identifier (IRRID) DERR1-10.2196/14629

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Remote rehabilitation training using the combination of an exergame and telerehabilitation application: A case report of an elderly chronic stroke survivor

Cited by 2 publications

References 10 publications

A Review on Serious Games for Exercise Rehabilitation

A Review on Serious Games for Exercise Rehabilitation

Optimization of Upper Extremity Rehabilitation by Combining Telerehabilitation With an Exergame in People With Chronic Stroke: Protocol for a Mixed Methods Study

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