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Implementing technology enhanced real-time action observation therapy in persons with chronic stroke: A pilot study
Mary Roberts1, Ncs Hendrika Lietz1, Ncs Alyssa Portelli1
1Ambulatory Rehabilitation and Speech Language Pathology, Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Canton, MI, United States of America.
Physiotherapy Theory and Practice
|September 10, 2021
Summary
Technology-enhanced real-time action observation therapy (TERTAOT) improved motor function in chronic stroke survivors. This novel therapy, combined with conventional physical therapy, showed significant gains in gait, balance, and limb use over eight weeks.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Stroke survivors often experience chronic motor deficits, impacting daily function and quality of life.
- Conventional physical therapy has limitations in addressing persistent motor impairments.
- Novel therapeutic approaches are needed to enhance motor recovery in chronic stroke.
Purpose of the Study:
- To investigate the feasibility and efficacy of a novel technology-enhanced real-time action observation therapy (TERTAOT) for survivors of chronic stroke.
- To evaluate the impact of TERTAOT, combined with conventional physical therapy, on functional outcomes.
- To assess the potential of TERTAOT in improving gait, balance, and upper limb function.
Main Methods:
- A pilot study involving 17 chronic stroke survivors was conducted.
- Participants received 8 weeks of conventional physical therapy plus 30-minute TERTAOT sessions, three times weekly.
- TERTAOT utilized Kinect Xbox One for real-time mirror imaging of symmetrical bilateral movements.
- Functional outcomes were assessed using standardized tests (10MWT, 5TSTS, TUG, AOU, QOM) at baseline, 4, 8 weeks, and retention.
Main Results:
- Significant improvements were observed in the Ten Meter Walk Test (p=.001), Five Times Sit-to-Stand (p=.001), Timed Up and Go (p=.005), Motor Activity Log - Quality of Movement (p=.001), and Amount of Use (p=.017).
- No adverse events were reported, indicating good feasibility and safety.
- The therapy demonstrated significant positive effects on gait, balance, and upper limb function.
Conclusions:
- TERTAOT is a feasible and safe therapeutic option for outpatient settings.
- Combining TERTAOT with conventional physical therapy can lead to significant functional improvements in chronic stroke survivors.
- This novel approach shows promise for enhancing motor recovery and daily activity in stroke rehabilitation.
