Pilot study to test effectiveness of video game on reaching performance in stroke
Identifieur interne : 002A55 ( Main/Merge ); précédent : 002A54; suivant : 002A56Pilot study to test effectiveness of video game on reaching performance in stroke
Auteurs : Ana Maria Acosta [États-Unis] ; Hendrik A. Dewald [États-Unis] ; Jules P. A. Dewald [États-Unis]Source :
- Journal of Rehabilitation Research and Development [ 0748-7711 ] ; 2011.
Abstract
Robotic systems currently used in upper-limb rehabilitation following stroke rely on some form of visual feedback as part of the intervention program. We evaluated the effect of a video game environment (air hockey) on reaching in stroke with various levels of arm support. We used the Arm Coordination Training 3D system to provide variable arm support and to control the hockey stick. We instructed seven subjects to reach to one of three targets covering the workspace of the impaired arm during the reaching task and to reach as far as possible while playing the video game. The results from this study showed that across subjects, support levels, and targets, the reaching distances achieved with the reaching task were greater than those covered with the video game. This held even after further restricting the mapped workspace of the arm to the area most affected by the flexion synergy (effectively forcing subjects to fight the synergy to reach the hockey puck). The results from this study highlight the importance of designing video games that include specific reaching targets in the workspace compromised by the expression of the flexion synergy. Such video games would also adapt the target location online as a subject’s success rate increases.
Url:
PubMed: 21674392
PubMed Central: 3316474
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Dewald</name><affiliation wicri:level="2"><nlm:aff id="A2">Illinois Mathematics and Science Academy, Aurora, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Illinois Mathematics and Science Academy, Aurora</wicri:cityArea></affiliation></author><author><name sortKey="Dewald, Jules P A" sort="Dewald, Jules P A" uniqKey="Dewald J" first="Jules P. A." last="Dewald">Jules P. A. Dewald</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL; and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL; and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21674392</idno><idno type="pmc">3316474</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3316474</idno><idno type="RBID">PMC:3316474</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001192</idno><idno type="wicri:Area/Pmc/Curation">001192</idno><idno type="wicri:Area/Pmc/Checkpoint">001A34</idno><idno type="wicri:Area/Ncbi/Merge">001A89</idno><idno type="wicri:Area/Ncbi/Curation">001A89</idno><idno type="wicri:Area/Ncbi/Checkpoint">001A89</idno><idno type="wicri:doubleKey">0748-7711:2011:Acosta A:pilot:study:to</idno><idno type="wicri:Area/Main/Merge">002A55</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pilot study to test effectiveness of video game on reaching performance in stroke</title><author><name sortKey="Acosta, Ana Maria" sort="Acosta, Ana Maria" uniqKey="Acosta A" first="Ana Maria" last="Acosta">Ana Maria Acosta</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Dewald, Hendrik A" sort="Dewald, Hendrik A" uniqKey="Dewald H" first="Hendrik A." last="Dewald">Hendrik A. Dewald</name><affiliation wicri:level="2"><nlm:aff id="A2">Illinois Mathematics and Science Academy, Aurora, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Illinois Mathematics and Science Academy, Aurora</wicri:cityArea></affiliation></author><author><name sortKey="Dewald, Jules P A" sort="Dewald, Jules P A" uniqKey="Dewald J" first="Jules P. A." last="Dewald">Jules P. A. Dewald</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL; and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL; and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of Rehabilitation Research and Development</title><idno type="ISSN">0748-7711</idno><idno type="eISSN">1938-1352</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Robotic systems currently used in upper-limb rehabilitation following stroke rely on some form of visual feedback as part of the intervention program. We evaluated the effect of a video game environment (air hockey) on reaching in stroke with various levels of arm support. We used the Arm Coordination Training 3D system to provide variable arm support and to control the hockey stick. We instructed seven subjects to reach to one of three targets covering the workspace of the impaired arm during the reaching task and to reach as far as possible while playing the video game. The results from this study showed that across subjects, support levels, and targets, the reaching distances achieved with the reaching task were greater than those covered with the video game. This held even after further restricting the mapped workspace of the arm to the area most affected by the flexion synergy (effectively forcing subjects to fight the synergy to reach the hockey puck). The results from this study highlight the importance of designing video games that include specific reaching targets in the workspace compromised by the expression of the flexion synergy. Such video games would also adapt the target location online as a subject’s success rate increases.</p></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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