Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke
- Authors
- Choi, Yoon-Hee; Ku, Jeonghun; Lim, Hyunmi; Kim, Yeo Hyung; Paik, Nam-Jong
- Issue Date
- 2016
- Publisher
- IOS Press
- Keywords
- Ischemic stroke; m-health; stroke; rehabilitation; upper limb dysfunction
- Citation
- Restorative Neurology and Neuroscience, v.34, no.3, pp 455 - 463
- Pages
- 9
- Journal Title
- Restorative Neurology and Neuroscience
- Volume
- 34
- Number
- 3
- Start Page
- 455
- End Page
- 463
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/18651
- DOI
- 10.3233/RNN-150626
- ISSN
- 0922-6028
1878-3627
- Abstract
- Background: Virtual reality (VR) has the potential to provide intensive, repetitive, and task-oriented training, and game-based therapy can enhance patients' motivation and enjoyment. Objective: The objective of the present study was to develop a mobile game-based upper extremity VR program for patients who have experienced stroke, and to evaluate the feasibility and effectiveness of the program. Methods: This randomized, double-blind, controlled trial included 24 patients with ischemic stroke. The intervention group (n =12) received 30 min of conventional occupational therapy (OT) and 30 min of the mobile upper extremity rehabilitation program using a smartphone and a tablet PC (MoU-Rehab). The controls (n =12) received conventional OT alone for 1 h per day. Rehabilitation consisted of 10 sessions of therapy, 5 days per week, for 2 weeks. The outcome measures (Fugl Meyer Assessment of the upper extremity [FMA-UE], Brunnstrom stage [B -stage] for the arm and the hand, manual muscle testing [MMT], modified Barthel index [MBI], EuroQo1-5 Dimension [EQ-5D], and Beck Depression Inventory [BDI]) were assessed at the beginning and end of treatment, and at 1 month. User satisfaction was evaluated by a questionnaire. Results: A greater improvement in the FMA-UE, B -stage, and MMT was found after treatment with the MoU-Rehab than with conventional therapy. The extent of improvements in the MBI, EQ-5D, and BDI was not significantly different between the two groups. Patients in the experimental group completed the 2 -weeks treatment without adverse effects, and they were generally satisfied with MoU-Rehab. Conclusion: This mobile game-based VR rehabilitation program appears to be feasible and effective for promoting upper limb recovery after ischemic stroke.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Physical Medicine and Rehabilitation > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/18651)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.