Leap motion controlled videogame-based therapy for rehabilitation of elderly patients with subacute stroke: a feasibility pilot study
Leap motion controlled videogame-based therapy for rehabilitation of elderly patients with subacute stroke: a feasibility pilot study
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DOI：
10.1179/1074935714z.0000000036
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发表时间：
2015-08-01
影响因子：
2.2
通讯作者：
Paolucci, Stefano
中科院分区：
文献类型：
--
作者：
Iosa, Marco;Morone, Giovanni;Paolucci, Stefano
背景：跳跃运动控制器（LMC）是一种捕捉双手运动和控制虚拟环境的新型光电系统。与以前的设备不同，它不使用发光或标记，而是通过光电跟踪手指的细微运动。目的：本初步研究探讨了将为电子游戏开发的LMC应用于老年亚急性脑卒中患者神经康复的可行性。方法：选取4例中风亚急性期的老年患者（71.50+/- 4.51岁）进行交叉试验，在常规治疗的基础上增加6次30分钟的LMC视频游戏治疗。测量包括参与训练，用匹兹堡康复参与量表评估，手的能力和抓握力分别用Abilhand量表和测力仪评估。结果：在LMC训练期间没有观察到不良反应或痉挛增加。在LMC试验期间，有三名患者参加了会议，其中一名患者非常好。在此期间，患者的手部能力（P=0.028）和抓握力（P=0.006）均有显著提高。结论：这项可行性试点研究是第一个使用跳跃运动控制器进行基于视频游戏的治疗。本研究提供了一个概念证明，LMC可以是一个合适的工具，甚至对老年亚急性脑卒中患者。事实上，LMC训练是在高水平的积极参与下进行的，没有不良影响，并且有助于增加手部能力的恢复。
Background: The leap motion controller (LMC) is a new optoelectronic system for capturing motion of both hands and controlling a virtual environment. Differently from previous devices, it optoelectronically tracks the fine movements of fingers neither using glows nor markers.Objective: This pilot study explored the feasibility of adapting the LMC, developed for videogames, to neurorehabilitation of elderly with subacute stroke.Methods: Four elderly patients (71.50+/- 4.51 years old) affected by stroke in subacute phase were enrolled and tested in a cross-over pilot trial in which six sessions of 30 minutes of LMC videogame-based therapy were added on conventional therapy. Measurements involved participation to the sessions, evaluated by means of the Pittsburgh Rehabilitation Participation Scale, hand ability and grasp force evaluated respectively by means of the Abilhand Scale and by means of the dynamometer.Results: Neither adverse effects nor spasticity increments were observed during LMC training. Participation to the sessions was excellent in three patients and very good in one patient during the LMC trial. In this period, patients showed a significantly higher improvement in hand abilities (P=0.028) and grasp force (P=0.006).Conclusions: This feasibility pilot study was the first one using leap motion controller for conducting a videogame-based therapy. This study provided a proof of concept that LMC can be a suitable tool even for elderly patients with subacute stroke. LMC training was in fact performed with a high level of active participation, without adverse effects, and contributed to increase the recovery of hand abilities.