Multiple Sclerosis, Stroke
Conditions
Keywords
Arm rehabilitation, Serious games, stroke, Multiple sclerosis
Brief summary
The aims of the present study were to: * Investigate the feasibility of using a therapeutic gaming system (REHAB@HOME), based on Kinect, to augment upper extremity neurorehabilitation services. * Provide preliminary evidence of clinical efficacy of the approach in increasing arm activity and health related quality of life of persons post stroke or with MS. Main results suggest that the serious games approach was positively received in terms of user experience and motivation to use, with the participants showing also improvements in functional abilities of the treated arm.
Detailed description
The objective of this pilot study was to assess the feasibility of using a therapeutic gaming system (REHAB@HOME), based on Kinect, to augment upper extremity neurorehabilitation services. A secondary objective was to provide preliminary evidence of clinical efficacy of the approach in increasing arm activity and health related quality of life of persons post stroke or with multiple sclerosis (MS). A pilot single-blind randomized controlled trial was carried out in an inpatient and ambulatory care at a rehabilitation center. Twenty persons with multiple sclerosis (n=16) or chronic poststroke (n=4) receiving rehabilitation at the center, able to flex shoulder and elbow at least 45 degrees, participated in the study. An intervention group received Serious Games-based upper extremity therapy for a total of 12 sessions (4-5 sessions, lasting 40 minutes, per week) and the control played the same amount of time with commercial exergames of the Wii. Both groups received their usual rehabilitation services as well as game playing.
Interventions
BEHAVIORALSerious games
Participants played serious games developed for Kinect in the the EU FP7 STREP Project REHAB@HOME N. 306113
BEHAVIORALExergames
Participants played exergames existent in the Wii game console
Sponsors
University of Bremen
Fondazione Don Carlo Gnocchi Onlus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Persons Post stroke or with MS with resultant upper extremity motor deficits. * Range of motion of shoulder and elbow equal or higher than 45 degrees. * Able to comprehend and follow directions.
Exclusion criteria
* Wearing pace maker * Comorbidities affecting arm use * Not able to comprehend and follow directions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 9 Hole peg test | 10 months | Testing pre and post intervention |
| Box and Block test | 10 months | Testing pre and post intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short Form 12 | 10 months | Testing pre and post intervention |
| the EQ-5D visual analogue scale (EQ-VAS) | 10 months | Testing pre and post intervention |
Outcome results
None listed