Commercially-Available Interactive Video Games for Individuals With Chronic Mobility and Balance Deficits Post-Stroke
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Balance (Berg Balance Scale)
研究概览
简要总结
More than half of individuals post-stroke have residual movement disabilities, including reduced mobility, balance, and increased risk of falling. There is a need for innovative, long-term and economically-feasible interventions for those with chronic stroke. Recently, a focus has been placed on the use of virtual reality and interactive gaming as a low cost and effective manner of treating movement disorders. Yet few studies have investigated interactive gaming platforms effect on balance following stroke. The proposed study is a randomized, single-blind, control group cross-over study for individuals with chronic stroke designed to examine an innovative therapeutic approach by investigating the effects of commercially-available gaming systems on balance, mobility and fear of falling in a sample of individuals with chronic motor deficits following stroke.
详细描述
Objective
To determine if playing active video games results in improved balance and motor performance.
Design: Randomized-matched, single-blind, control group cross-over study Setting: Laboratory Patients: Participants with chronic hemiparesis post-stroke were randomly assigned to a gaming group or normal activity control group.
Interventions: Gaming systems provided an interactive interface of real-time movement of either themselves or an avatar on the screen. Participants played games 1 hour/day, 4 days/week, for 5 weeks, totaling 20 hours of game-play. The intervention was strictly game-play without physical therapy. All games were played in standing position and trainers supervised to protect against loss of balance.
Measurements: Both groups were tested prior to and following the 5 weeks (post-test) and 3 months following the completion of the intervention/control. Outcome measures included: Fugl-Meyer Motor Exam, Single Leg Stance time, symmetrical weight bearing, Berg Balance Scale, Dynamic Gait Index, Timed Up and Go, Six Minute Walk, 3 Meter Walk, step length differential, and perception of recovery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Greater than 6 months following stroke
- •Ability to walk 10 feet with or without assistance
- •18 years of age or older
- •Clinical presentation of unilateral hemiplegia post-stroke
- •Ability to follow simple two-step instructions
排除标准
- •Unable to ambulate 150 feet prior to stroke
- •History of serious chronic obstructive pulmonary disease or oxygen dependence
- •Severe weight bearing pain
- •Lower-extremity amputation
- •Non-healing ulcers on the lower extremity
- •Renal dialysis or end stage liver disease
- •Legal blindness or deafness or severe visual or hearing impairment
- •A history of significant psychiatric illness defined by diagnosis of bipolar affective disorder, psychosis, or schizophrenia
- •Life expectancy less than one year
- •Severe arthritis or orthopaedic problems that limit passive ranges of motion of lower extremity: Knee flexion contracture of -10 degrees, Knee flexion ROM < 90 degrees, hip flexion contracture > 25 degrees, ankle plantar flexion contracture > 15 degrees
- •History of deep venous thrombosis or pulmonary embolism within 6 months
- •Uncontrollable diabetes: diabetic coma, frequent insulin reactions
- •Severe hypertension with systolic > 200mmHg and diastolic > 110mmHg at rest
- •Intracranial hemorrhage related to aneurysm rupture or an arteriovenous malformation (hemorrhagic infarctions will not be excluded)
- •History of severe seizure disorder; other neurological conditions such as multiple sclerosis or Parkinson's Disease
- •Pain that is scored greater than 5 out of 10 on a visual analog scale and limits daily activity
- •Any health problems judged by their screening physician to put the client at significant risk of harm during the study
研究组 & 干预措施
Immediate Treatment Group
干预措施: Commercially-Available Interactive Video Games (Other)
Delayed Treatment Group
结局指标
主要结局
Balance (Berg Balance Scale)
时间窗: change from pre to post and change from pre to follow-up (3 months)
Do determine the influence of active gaming on balance in individuals with chronic stroke
次要结局
- balance (Berg Balance Scale)(post (5 weeks))
- Participant Perception(Post test (5 weeks))
研究者
Stacy Fritz
Associate Professor
University of South Carolina