A FEASIBILITY STUDY USING INTERACTIVE COMMERCIAL OFF-THE-SHELF COMPUTER GAMING IN UPPER LIMB REHABILITATION IN PATIENTS AFTER STROKE
A FEASIBILITY STUDY USING INTERACTIVE COMMERCIAL OFF-THE-SHELF COMPUTER GAMING IN UPPER LIMB REHABILITATION IN PATIENTS AFTER STROKE
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DOI：
10.2340/16501977-0528
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发表时间：
2010-05-01
影响因子：
3.5
通讯作者：
He, Kong Keng
中科院分区：
文献类型：
--
作者：
Joo, Loh Yong;Yin, Tjan Soon;He, Kong Keng
背景：商业现成的电脑游戏设备已经进入了康复领域，目的是使治疗性锻炼变得有趣和情境化。任天堂Wii就是这样一种设备。已发表的临床研究评估其在卒中后虚弱患者康复中的可接受性、潜在益处和副作用的数量很少。目的：本研究的目的是评估使用任天堂Wii作为中风后上肢无力患者常规康复辅助的可行性。方法：20例中风后3个月内出现上肢无力的住院康复患者在常规康复的基础上，在2周内通过任天堂Wii进行6次上肢锻炼。结果测量包括问卷调查、Fugl-Meyer上肢运动功能评估和上肢疼痛视觉模拟量表。结果：共16名受试者完成研究。所有16人都认为任天堂Wii游戏很有趣，即使不比传统疗法更好，也可以与之媲美。Fugl-Meyer评估和运动指数得分虽小但有统计学意义的改善。结论：任天堂Wii似乎是一种可行的辅助设备，以增加常规治疗的亚急性卒中患者的上肢力量和功能的中度损伤队列。
Background: Commercial off-the-shelf computer gaming devices have been making inroads into the rehabilitation arena, with the objective of making therapeutic exercise fun and contextual. One such device is the Nintendo Wii. Published clinical studies evaluating its acceptance, potential benefits and side-effects in the rehabilitation of patients with post-stroke weakness are few in number.Objective: The aim of this study is to assess the feasibility of using the Nintendo Wii as an adjunct to conventional rehabilitation of patients with post-stroke upper limb weakness.Methods: Twenty rehabilitation inpatients within 3 months after a stroke with upper limb weakness received 6 sessions of upper limb exercises via a Nintendo Wii over 2 weeks in addition to conventional rehabilitation. Outcome measures include a questionnaire, Fugl-Meyer Assessment of Upper Limb Motor Function and visual analogue scale of upper limb pain.Results: A total of 16 subjects completed the study. All 16 found Nintendo Wii gaming enjoyable and comparable to, if not better than, conventional therapy. There were small but statistically significant improvements in the Fugl-Meyer Assessment and Motricity Index scores.Conclusion: Nintendo Wii appears to be a feasible adjunctive device to augment conventional therapy in a cohort of subacute stroke patients with moderate impairments of upper limb strength and function.