Game-based, portable, upper extremity rehabilitation in chronic stroke
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Updated: Feb 14, 2026

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
Sarah O Schuck1, Amy Whetstone, Valerie Hill
1Department of Occupational Therapy, Xavier University, Cincinnati, OH, USA.
Purpose:
This case series pilot study evaluates the efficacy of the Core:Tx gaming device on 2 chronic stroke survivors.
Methods:
Intervention was provided 3 times a week for 3 weeks. Outcome measures, administered 1 week before and 1 week after intervention, included the Stroke Impact Scale (SIS), the Canadian Occupational Performance Measure (COPM), the Fugl-Meyer Assessment of Motor Recovery (Fugl-Meyer [FM]), and the Box and Block Test (BB).
Results:
Participant A exhibited an 11-point increase on the SIS, a 1.2-point change on each of the performance and satisfaction scores of the COPM, a 1-point increase on the FM, and no change on the BB. Participant B exhibited a 3-point increase on the SIS and no change on the COPM, FM, or BB.
Conclusions:
The participants experienced increased quality of life, a greater propensity to use their affected arm, and enhanced task performance without exhibiting motor changes. Additionally, the Core:Tx gaming device was reported by the participants to be a motivating modality in the therapy setting.
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