Stroke
Conditions
Keywords
stroke, upper limb rehabilitation, neuro-rehabilitation
Brief summary
This 12-week randomized controlled trial involves two intervention groups (i.e., single-player game group, competition game group) and one control group (i.e., conventional checkerboard group). The main objective of this study is to examine the effects of game-based training on patient motivation, exercise duration, and functional outcomes in comparison with the control group.
Detailed description
A 12-week three-arm randomized controlled trial was conducted to compare the effects between the single-player game, competitive game and a control group (i.e. conventional training) on the motivation, exercise duration and functional improvement in a rehabilitation program. A mix of quantitative method (i.e., questionnaire) and qualitative methods (i.e., interview and observation) were used. The outcome measurements were: (1) motivation: Intrinsic Motivation Inventory (IMI), (2) participation: exercise duration, (3) functional improvement: nine-hole peg test (NHPT) and box and block test (BBT), and (4) user feedback.
Interventions
upper limb training with a LED-based interactive gaming board equipped with single-player games
upper limb training with traditional wooden checkerboard
upper limb training with two LED-based interactive gaming boards equipped with two-player competitive games
Sponsors
Study design
Intervention model description
3-arm randomized controlled trial
Eligibility
Inclusion criteria
1. Age≥65 years 2. Has neurological disorders (e.g. cerebrovascular accident) with the need of upper limb rehabilitation; 3. Able to stand or sit unsupported for 10 minutes; 4. Discharged from hospital and living in community; 5. Able to communicate either in English or Mandarin; and 6. Able to provide informed written consent.
Exclusion criteria
1. Has severe cognitive impairments (Mini-Mental State Examination (MMSE) score \<10), 2. With serious cardiorespiratory conditions, 3. With capacity but do not wish to sign the consent form.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline motivation at 12 weeks | week 1, week 12 | Intrinsic Motivation Inventory (IMI) - psychological measurement of motivation questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline function of manual dexterity at 12 weeks | week 1, week 12 | Measuring gross manual dexterity Block and Box Test (BBT) |
| Change from baseline function of finger dexterity at 12 weeks | week 1, week 12 | Measuring finger dexterity with Nine-Hole Peg Test (NHPT) |
| Exercise duration | week 1 to week 12 | Overall exercise duration over12 weeks |
Countries
Singapore