在家治疗慢性中风的资源高效,高剂量,游戏化神经康复计划:回顾真实世界的分析
Spencer A Arbuckle1, Anna Sophie Knill2,3, Michelle H Chan-Cortés1
1MindMaze, Lausanne, Switzerland.
JMIR serious games
|July 10, 2025
概括
游戏化家庭神经康复实现了高剂量训练,改善了患者的结果和满意度. 这种具有成本效益的方法克服了治疗师对中风恢复的局限性.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 医学指导方针建议高剂量神经康复用于中风恢复.
- 治疗师的可用性和输送成本是实施推剂量的重大障碍.
- 大多数中风患者都会接受低于最佳的神经康复剂量.
研究的目的:
- 探索游戏化的自我训练技术,用于在家进行神经康复.
- 用远程治疗师监督来分析现实世界增强的临床服务.
- 评估高剂量家庭神经康复的可行性和有效性.
主要方法:
- 对17名在家完成12-18周计划的患者进行了回顾性分析.
- 利用MindMotion GO游戏化治疗解决方案进行异步患者培训.
- 每周的电话康复课程与远程治疗师监控和管理.
- 评估了训练时间,临床结果 (上肢,步态,平衡),患者满意度和成本效益.
主要成果:
- 训练坚持度高,平均有39.7个主动训练小时,主要是异步 (82.2%).
- 在上肢功能 (Fugl-Meyer,P<.001) 和步态/平衡 (FGA,BBS,P<.001) 显著改善.
- 高患者满意度 (73.7%满意/非常满意) 和报告的主观改善.
- 具有成本效益的分娩:每名患者338美元与每名患者338美元. 1903美元用于亲自培训.
结论:
- 游戏化家庭神经康复有效地提供高剂量治疗.
- 培训可以与治疗师的存在脱而出,而不会影响坚持或结果.
- 这种资源高效的模型补充了基于诊所的方法,并解决了访问障碍.
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