Serious games for upper limb rehabilitation after stroke: a meta-analysis

Doumas, Ioannis; Everard, Gauthier; Dehem, Stéphanie; Lejeune, Thierry

doi:10.1186/s12984-021-00889-1

Cited by 65 publications

(61 citation statements)

References 89 publications

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“…21,49 The effectiveness of a number of rehabilitation methods has been evaluated in systematic reviews. [50][51][52] Study limitations: The patients were monitored in a short time period. In the future, when monitoring the same cohort of patients, it is expected to evaluate the long-term results of the study of the effect of the biofeedback method on the stability of the posture of stroke survivors.…”

Section: Discussionmentioning

confidence: 99%

Changes in kinesiostabilogram parameters and movement speed of stroke patients while increasing their physical activity due to the use of biofeedback method

et al. 2021

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Balance disorders are complications of stroke survivors. Aim of this study was the establish effectiveness of the biofeedback approach. In this intervention study 245 patients with early diagnosis of acute disturbance of cerebral circulation (ADCC) were examined. Patients able to move independently were treated by standard conservative ADCC therapy on an outpatient approach, but they continued to have problems with coordination of movement in upright position. Then they were submitted to an increasing physical activity based on five sessions of biofeedback, i.e., a complex rehabilitation of patients with motor pathology "Trust-M" according to TU 9442-001-63704475-2010. Mobility rates were assessed using a web camera. Patients' quality of life was evaluated by SF-36 questionnaire and the Hospital Anxiety and Depression Scale (HADS). All parameters were recorded before and after 5 sessions of biofeedback. After treatment, the stability indicators improved and all patients showed a significant increase in motion rate and quality of life. At the same time, the severity of pain and of depression and anxiety decreased. Negative correlations of average strength between the quadrant and patient HADS scaling rates were obtained. In conclusion, our work shows effectiveness of the biofeedback technique for correcting coordination in stroke survivors.

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Section: Discussionmentioning

confidence: 99%

Changes in kinesiostabilogram parameters and movement speed of stroke patients while increasing their physical activity due to the use of biofeedback method

et al. 2021

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“…Many studies (Table 1) have assessed the efficacy of TR on different deficits in chronic stroke and the most agreed-upon conclusion was that there is no inferiority in comparison with usual care on patient autonomy, activities of daily living and motor function [5,11,19,20]. However, there are no clear recommendations made in this field because of the heterogeneity of existing data.…”

Section: Who Can Benefit From Tr?mentioning

confidence: 99%

“…One of the most used ways to replace traditional exercises that take place in a physiotherapy room is through serious games. These games are designed to target functionality and performance in order to accomplish their purpose of enhancing the user's various skills [19]. Moreover, when developing such games for rehabilitation, the programmer, by respecting the relearning process and constant feedback necessities [19], may create an intelligent application that can be in some cases a better substitute of human guidance because the equipment such as video camera and sensors can become flawless assessors and tireless helpers.…”

Section: How Can Technology Contribute To Rehabilitation Progress?mentioning

confidence: 99%

“…These games are designed to target functionality and performance in order to accomplish their purpose of enhancing the user's various skills [19]. Moreover, when developing such games for rehabilitation, the programmer, by respecting the relearning process and constant feedback necessities [19], may create an intelligent application that can be in some cases a better substitute of human guidance because the equipment such as video camera and sensors can become flawless assessors and tireless helpers. Furthermore, the permanent online storage of acquired data permits previously written algorithms to process and analyze information based on current experience [13].…”

Section: How Can Technology Contribute To Rehabilitation Progress?mentioning

confidence: 99%

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Telerehabilitation—A Viable Option for the Recovery of Post-Stroke Patients

Ciortea

Motoașcă²,

Ungur

et al. 2021

Applied Sciences

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As the number of stroke survivors is continuously growing, with an important number suffering from consequent functional deficits, the rehabilitation field is facing more complex demands. Technological progress gives us the opportunity to remotely assist patients while they exercise at home through telerehabilitation (TR), addressing the problems of limited medical resources and staff, difficult transportation, or living a long distance from rehabilitation centers. In addition, TR is a way to provide continuity in long-term post-stroke recovery during the COVID-19 pandemic, which limits traveling and human interaction. While the implementation of TR is increasing, the biggest challenges are to raise patients’ acceptability of the new method and their motivation and engagement during the program. In this review, we aimed to find methods to address these challenges by identifying the patients who benefit the most from this therapy and efficiently organizing the space and technology used for telerehabilitation. User-friendly technologies and devices along with therapists’ constant support and feedback are some of the most important aspects that make TR an efficient intervention and an alternative to conventional therapy.

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“…Gamification and Game-Based Learning (GBL) are known for their potential in increasing the motivation and provide rich learning experiences [9][10][11]. The long-term engagement with therapeutic interventions is the norm, and researchers have been incorporating best-practices in game design to achieve engaging experiences [12,13].…”

Section: Introductionmentioning

confidence: 99%

Digital Technologies for Innovative Mental Health Rehabilitation

et al. 2021

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Schizophrenia is a chronic mental illness, characterized by the loss of the notion of reality, failing to distinguish it from the imaginary. It affects the patient in life’s major areas, such as work, interpersonal relationships, or self-care, and the usual treatment is performed with the help of anti-psychotic medication, which targets primarily the hallucinations, delirium, etc. Other symptoms, such as the decreased emotional expression or avolition, require a multidisciplinary approach, including psychopharmacology, cognitive training, and many forms of therapy. In this context, this paper addresses the use of digital technologies to design and develop innovative rehabilitation techniques, particularly focusing on mental health rehabilitation, and contributing for the promotion of well-being and health from a holistic perspective. In this context, serious games and virtual reality allows for creation of immersive environments that contribute to a more effective and lasting recovery, with improvements in terms of quality of life. The use of machine learning techniques will allow the real-time analysis of the data collected during the execution of the rehabilitation procedures, as well as enable their dynamic and automatic adaptation according to the profile and performance of the patients, by increasing or reducing the exercises’ difficulty. It relies on the acquisition of biometric and physiological signals, such as voice, heart rate, and game performance, to estimate the stress level, thus adapting the difficulty of the experience to the skills of the patient. The system described in this paper is currently in development, in collaboration with a health unit, and is an engineering effort that combines hardware and software to develop a rehabilitation tool for schizophrenic patients. A clinical trial is also planned for assessing the effectiveness of the system among negative symptoms in schizophrenia patients.

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Serious games for upper limb rehabilitation after stroke: a meta-analysis

Cited by 65 publications

References 89 publications

Changes in kinesiostabilogram parameters and movement speed of stroke patients while increasing their physical activity due to the use of biofeedback method

Changes in kinesiostabilogram parameters and movement speed of stroke patients while increasing their physical activity due to the use of biofeedback method

Telerehabilitation—A Viable Option for the Recovery of Post-Stroke Patients

Digital Technologies for Innovative Mental Health Rehabilitation

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