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Related Experiment Video

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Self-training to improve UE function at the chronic stage post-stroke: a pilot randomized controlled trial.

Debbie Rand1, Harold Weingarden2, Ronit Weiss1

  • 1a Department of Occupational Therapy, Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.

Disability and Rehabilitation
|October 30, 2016
PubMed
Summary

Both video-game and traditional self-training programs significantly improved upper extremity (UE) function in chronic stroke survivors. Video-game training showed higher compliance for long-term UE rehabilitation.

Keywords:
Stroke rehabilitationchronic strokevirtual reality

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Area of Science:

  • Neurorehabilitation
  • Stroke Recovery
  • Assistive Technology

Background:

  • Consistent practice of the weaker upper extremity (UE) is crucial for functional recovery after chronic stroke.
  • Self-training programs offer a viable approach to enhance UE function and daily use.

Purpose of the Study:

  • To compare the effectiveness of video-game-based versus traditional self-training programs for improving UE function and daily use in individuals with chronic stroke.

Main Methods:

  • A pilot, single-blinded randomized clinical trial involving individuals with chronic stroke.
  • Participants engaged in either video-game or traditional self-training for 1 hour/day, 6 times/week, over 5 weeks.
  • Outcomes included the Action Research Arm Test (ARAT), Motor Activity Log (MAL), and Box and Block Test, assessed pre-intervention, post-intervention, and at follow-up.

Main Results:

  • Both video-game and traditional self-training led to significant improvements in UE functional ability (ARAT) with large effect sizes.
  • Significant improvements in the quantity of daily UE use (MAL) were observed from pre-intervention to follow-up, with medium-large effect sizes.
  • No significant between-group differences were detected, but video-game training demonstrated higher compliance during follow-up.

Conclusions:

  • Self-training, including video-game or traditional methods, is beneficial for UE functional improvement in the chronic stage post-stroke and should be encouraged.
  • The choice of self-training program should align with client abilities and preferences for optimal adherence.
  • Video-game-based self-training may offer a more sustainable and compliant option for long-term UE rehabilitation in chronic stroke survivors.