Computer game-based upper extremity training in the home environment in stroke persons: a single subject design
Angelique Slijper, Karin E Svensson, Per Backlund
1Rehabilitation Medicine, The Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Per Dubbsgatan 14 3rd floor, SU/Sahlgrenska, Göteborg SE-413 45, Sweden. Ks.sunnerhagen@neuro.gu.se.
Journal of Neuroengineering and Rehabilitation
|March 15, 2014
Summary
Computer game-based training can enhance upper extremity motor function in stroke survivors. This home-based intervention showed significant improvements in motor skills and activity capacity post-stroke.
Area of Science:
- Neurorehabilitation
- Stroke Recovery
- Digital Therapeutics
Background:
- Stroke frequently results in upper extremity motor deficits.
- Late-phase stroke rehabilitation often requires innovative approaches.
- Home-based interventions offer accessibility and convenience for patients.
Purpose of the Study:
- To evaluate the efficacy of computer game-based training for improving upper extremity motor function in the late phase after stroke.
- To assess the impact of home-based gaming on motor function, grip strength, and arm activity capacity.
Main Methods:
- A single-subject design study with 11 participants who completed the intervention.
- Intervention involved 5 weeks of home-based computer game training using arm-controlled games.
- Outcome measures included Fugl-Meyer (FMA-UE), ARAT, ABILHAND, and grip force, assessed at baseline, post-intervention, and follow-up.
Main Results:
- Significant improvements were observed in upper extremity motor function (FMA-UE), arm activity (ARAT), and grip force at post-test and follow-up compared to baseline.
- No significant correlation was found between gaming duration and functional improvements.
- The intervention was well-tolerated, with 11 of 12 participants completing the study.
Conclusions:
- Computer game-based training is a promising, accessible approach for improving upper extremity function in the chronic phase post-stroke.
- Home-based digital interventions can lead to meaningful gains in motor function and daily activity capacity.
- Further research with larger sample sizes is warranted to confirm these findings.
