Efficacy of a Virtual Reality Commercial Gaming Device in Upper Limb Recovery after Stroke: A Randomized, Controlled Study
Efficacy of a Virtual Reality Commercial Gaming Device in Upper Limb Recovery after Stroke: A Randomized, Controlled Study
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DOI：
10.1080/10749357.2016.1139796
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发表时间：
2016-01-01
影响因子：
2.2
通讯作者：
Tjan, Soon-Yin
中科院分区：
文献类型：
--
作者：
Kong, Keng-He;Loh, Yong-Joo;Tjan, Soon-Yin
目的：比较虚拟现实商业游戏设备任天堂 Wii (NW) 与常规疗法和常规护理在促进中风后上肢康复方面的功效。设计：随机、对照、单盲研究。地点：三级康复中心。参与者：中风发病 6 周内住院康复计划的 105 名受试者。干预措施：受试者被随机分配到三组上肢锻炼中的一组：（1）NW 游戏； (2)常规治疗； (3)控制。 NW 游戏和常规治疗每周提供四次，持续 3 周。 主要结果测量：主要结果测量是上肢功能的 Fugl-Meyer 评估 (FMA)。次要结果测量包括行动研究手臂测试、功能独立测量和中风影响量表。这些措施在基线、干预完成（第 3 周）以及干预完成后 4 周和 8 周时进行评估。主要结局指标是干预完成时 FMA 评分的变化。结果：平均年龄为 57.5 +/- 9.8 岁，受试者在中风后平均 13.7 +/- 8.9 天入组。平均基线 FMA 评分为 16.4 +/- 14.2。在干预结束时以及干预完成后4周和8周时，所有3组之间的FMA评分没有差异。次要结果指标也有类似的发现。结论：与对照相比，在 3 周内通过 NW 游戏或常规疗法进行 12 次强化上肢锻炼并不能有效增强上肢运动恢复。
Objective: To compare the efficacy of a virtual reality commercial gaming device, Nintendo wii (NW) with conventional therapy and customary care in facilitating upper limb recovery after stroke.Design: Randomized, controlled, single-blinded study.Setting: Tertiary rehabilitation center.Participants: 105 subjects admitted to in inpatient rehabilitation program within 6 weeks of stroke onset.Interventions: Subjects were randomly assigned to one of three groups of upper limb exercises: (1) NW gaming; (2) conventional therapy; (3) control. NW gaming and conventional therapy were provided fourtimes a week for 3 weeks.Main outcome measure(s): The main outcome measure was Fugl-Meyer assessment (FMA) of upper limb function. Secondary outcome measures included Action Research Arm Test, Functional Independence Measure, and Stroke Impact Scale. These measures were assessed at baseline, completion of intervention (week 3) and at 4 weeks and 8 weeks after completion of intervention. The primary outcome measure was the change in FMA scores at completion of intervention.Results: The mean age was 57.5 +/- 9.8 years, and subjects were enrolled at a mean of 13.7 +/- 8.9 days after stroke. The mean baseline FMA score was 16.4 +/- 14.2. There was no difference in FMA scores between all 3 groups at the end of intervention, and at 4 and 8 weeks after completion of intervention. Similar findings were also noted for the secondary outcome measures.Conclusion(s): Twelve sessions of augmented upper limb exercises via NW gaming or conventional therapy over a 3-week period was not effective in enhancing upper limb motor recovery compared to control.