Gaming-based virtual reality therapy for the rehabilitation of upper extremity function after stroke
10.3760/cma.j.issn.0254-1424.2016.06.001
- VernacularTitle:虚拟现实游戏训练对脑卒中患者偏瘫上肢功能恢复的影响
- Author:
Xiaoxiao HAN
;
Jiangqiong KE
;
Songhe JIANG
;
Danying ZHANG
- Publication Type:Journal Article
- Keywords:
Stroke;
Hemiplegia;
Games;
Virtual reality;
Upper extremity function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2016;38(6):401-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of playing virtual reality games on the recovery of hemiplegic upper extremities after stroke.Methods Thirty stroke patients with hemiplegic upper extremities were randomly assigned to a treatment group (n=15) or a control group (n=15).Both groups received routine medication and conventional physical therapy,while the treatment group was additionally given (Nintendo) gaming-based virtual reality therapy.Before and after 2 weeks of treatment,the patients in both groups were evaluated using the Fugl-Meyer Assessment for the Upper Extremities (FMA-UE),Brunnstrom staging and co-contraction ratios (CRs).Surface electromyogram signals from the biceps brachii and triceps brachii were also recorded during maximum isometric voluntary flexion and extension of the affected elbow.Results No significant differences in any of the measurements were observed between the 2 groups before or after the intervention.Both groups demonstrated significant increases in their average FMA-UE score,Brunnstrom staging and CRs.Conclusions Virtual reality gaming using a Wii controller is as effective as conventional therapy in enhancing upper extremity motor function and elbow flexion and extension after stroke.