A Depth Camera–Based, Task-Specific Virtual Reality Rehabilitation Game for Patients With Stroke: Pilot Usability Study
| Autor: | Yangfan Xu, Wangxiang Mai, Meiqinzi Tong, Zhuoming Chen, Weixin Huang, Wai-Kit Ming, Yangyang Lin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Activities of daily living medicine.medical_treatment Biomedical Engineering Physical Therapy Sports Therapy and Rehabilitation Information technology law.invention rehabilitation 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine Stroke Balance (ability) Original Paper Rehabilitation business.industry rehabilitation game Usability medicine.disease T58.5-58.64 stroke Computer Science Applications Test (assessment) Psychiatry and Mental health Berg Balance Scale Physical therapy lower extremity virtual reality Public aspects of medicine RA1-1270 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | JMIR Serious Games, Vol 9, Iss 1, p e20916 (2021) JMIR Serious Games |
| ISSN: | 2291-9279 |
| Popis: | Background The use of virtual reality is popular in clinical rehabilitation, but the effects of using commercial virtual reality games in patients with stroke have been mixed. Objective We developed a depth camera–based, task-specific virtual reality game, Stomp Joy, for poststroke rehabilitation of the lower extremities. This study aims to assess its feasibility and clinical efficacy. Methods We carried out a feasibility test for Stomp Joy within representative user groups. Then, a clinical efficacy experiment was performed with a randomized controlled trial, in which 22 patients with stroke received 10 sessions (2 weeks) of conventional physical therapy only (control group) or conventional physical therapy plus 30 minutes of the Stomp Joy intervention (experimental group) in the clinic. The Fugl-Meyer Assessment for Lower Extremity (FMA-LE), Modified Barthel Index (MBI), Berg Balance Scale (BBS) score, single-leg stance (SLS) time, dropout rate, and adverse effects were recorded. Results This feasibility test showed that Stomp Joy improved interest, pressure, perceived competence, value, and effort using the Intrinsic Motivation Inventory. The clinical efficacy trial showed a significant time-group interaction effect for the FMA-LE (P=.006), MBI (P=.001), BBS (P=.004), and SLS time (P=.001). A significant time effect was found for the FMA-LE (P=.001), MBI (P Conclusions Stomp Joy is an effective depth camera–based virtual reality game for replacing part of conventional physiotherapy, achieving equally effective improvement in lower extremity function among stroke survivors. High-powered randomized controlled studies are now needed before recommending the routine use of Stomp Joy in order to confirm these findings by recruiting a large sample size. |
| Databáze: | OpenAIRE |
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