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Updated: Feb 7, 2026
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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Published on: March 8, 2018
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Enhanced Upper Extremity Functions with a Single Session of Action-Observation-Execution and Accelerated Skill
Shambhu Prasad Adhikari1,2, Jarugool Tretriluxana1, Pakaratee Chaiyawat1
1Faculty of Physical Therapy, Mahidol University, Thailand.
Stroke Research and Treatment
|July 17, 2018
Summary
Action-observation-execution (AOE) with the accelerated skill acquisition program (ASAP) improved hand dexterity in subacute stroke patients. These gains in motor function and global recovery persisted for at least one week post-intervention.
Area of Science:
- Neurorehabilitation
- Motor Learning
- Stroke Recovery
Background:
- Action-observation-execution (AOE) primes physical training.
- Subacute stroke affects dexterity and motor function.
- Accelerated Skill Acquisition Program (ASAP) is a novel intervention.
Purpose of the Study:
- To examine the immediate effect of AOE combined with ASAP on hand dexterity in subacute stroke.
- To compare the efficacy of AOE with ASAP versus usual care.
- To assess the persistence of effects for one week.
Main Methods:
- 12 subacute stroke individuals were allocated into two groups.
- Experimental group received 30 minutes AOE + 60 minutes ASAP.
- Control group received 30 minutes AOE + 60 minutes usual care.
- Assessments included WMFT, SIS, and motivation scales at baseline, post-training, and 1-week follow-up.
Main Results:
- AOE significantly improved hand function and reduced movement time.
- AOE with ASAP showed significant improvements in motor function and global recovery.
- Grip strength, functional ability, and hand functions improved significantly in the experimental group.
- Motivation improved in both groups.
Conclusions:
- AOE combined with ASAP effectively enhances dexterity in subacute stroke.
- The improvements in motor function and dexterity were sustained for at least one week.
- This combined intervention shows promise for improving dexterity in subacute stroke patients.
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