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TitleGravity-supported exercise with computer gaming improves arm function in chronic stroke
Publication TypeJournal Article
Year of Publication2014
AuthorsJordan, K., Sampson M., and King M.
JournalArchives of Physical Medicine and Rehabilitation
Pagination1484 - 1489
Date Published2014
ISSN00039993 (ISSN)
Keywordsadult, aged, Arm, arm exercise, arm movement, arm skate, article, cerebrovascular accident, Chronic Disease, clinical article, computer gaming, Computers, Elbow, Exercise Therapy, Female, follow up, Fugl Meyer upper limb assessment score, functional assessment, Gravitation, gravity supported exercise, hemiparesis, human, Humans, Male, Middle Aged, Muscle Strength, Muscle, Skeletal, outcome assessment, Paresis, Pilot Projects, Rehabilitation, rehabilitation equipment, scoring system, Self Care, Shoulder, Stroke, survivor, treatment outcome, Upper extremity, Video Games, virtual reality
AbstractObjective To investigate the effect of 4 to 6 weeks of exergaming with a computer mouse embedded within an arm skate on upper limb function in survivors of chronic stroke. Design Intervention study with a 4-week postintervention follow-up. Setting In home. Participants Survivors (N=13) of chronic (≥6mo) stroke with hemiparesis of the upper limb with stable baseline Fugl-Meyer assessment scores received the intervention. One participant withdrew, and 2 participants were not reassessed at the 4-week follow-up. No participants withdrew as a result of adverse effects. Intervention Four to 6 weeks of exergaming using the arm skate where participants received either 9 (n=5) or 16 (n=7) hours of game play. Main Outcome Measure Upper limb component of the Fugl-Meyer assessment. Results There was an average increase in the Fugl-Meyer upper limb assessment score from the beginning to end of the intervention of 4.9 points. At the end of the 4-week period after the intervention, the increase was 4.4 points. Conclusions A 4- to 6-week intervention using the arm skate significantly improved arm function in survivors of chronic stroke by an average of 4.9 Fugl-Meyer upper limb assessment points. This research shows that a larger-scale randomized trial of this device is warranted and highlights the potential value of using virtual reality technology (eg, computer games) in a rehabilitation setting. © 2014 by the American Congress of Rehabilitation Medicine.

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