Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study
•Computer game assisted task specific exercises (CGATSE) is a contemporary approach to stroke rehabilitation.•CGATSE may be used in hospital and home environments in stroke rehabilitation.•CGATE improved arm motor function and quality of life in stroke rehabilitation. Computer game assisted task spe...
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Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2021-09, Vol.30 (9), p.105991-105991, Article 105991 |
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creator | Ozen, Selin Senlikci, Huma Boluk Guzel, Sukran Yemisci, Oya Umit |
description | •Computer game assisted task specific exercises (CGATSE) is a contemporary approach to stroke rehabilitation.•CGATSE may be used in hospital and home environments in stroke rehabilitation.•CGATE improved arm motor function and quality of life in stroke rehabilitation.
Computer game assisted task specific exercises (CGATSE) are rehabilitation gaming systems (RGS) used in stroke rehabilitation to facilitate patient performance of high intensity, task based, repetitive exercises aiming to enhance neuroplasticity. CGATSE maybe an appealing option in home based rehabilitation of stroke patients, especially during the COVID-19 pandemic. This study aimed to determine the effects of CGATSE on hemiplegic arm-hand function, cognitive function and quality of life in stroke.
Thirty stroke patients were randomized into two groups. All participants received twenty sessions of physical therapy. In addition, the therapy group undertook thirty minutes of CGATSE using the Rejoyce gaming system; while the control group undertook thirty minutes of occupational therapy (OT). Motor function was evaluated before and after treatment using the Fugl Meyer upper extremity (FMUE), Brunnstrom stages of stroke recovery (BSSR) arm and hand. The CGATSE group also completed the Rejoyce arm hand function test (RAHFT). Cognitive function was evaluated using the mini mental state examination, Montreal Cognitive Assessment (MoCA) and Stroke Specific Quality of Life (SS-QOL) scale.
The FMUE, BSSR arm and SSQOL improved in both groups (p |
doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2021.105991 |
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Computer game assisted task specific exercises (CGATSE) are rehabilitation gaming systems (RGS) used in stroke rehabilitation to facilitate patient performance of high intensity, task based, repetitive exercises aiming to enhance neuroplasticity. CGATSE maybe an appealing option in home based rehabilitation of stroke patients, especially during the COVID-19 pandemic. This study aimed to determine the effects of CGATSE on hemiplegic arm-hand function, cognitive function and quality of life in stroke.
Thirty stroke patients were randomized into two groups. All participants received twenty sessions of physical therapy. In addition, the therapy group undertook thirty minutes of CGATSE using the Rejoyce gaming system; while the control group undertook thirty minutes of occupational therapy (OT). Motor function was evaluated before and after treatment using the Fugl Meyer upper extremity (FMUE), Brunnstrom stages of stroke recovery (BSSR) arm and hand. The CGATSE group also completed the Rejoyce arm hand function test (RAHFT). Cognitive function was evaluated using the mini mental state examination, Montreal Cognitive Assessment (MoCA) and Stroke Specific Quality of Life (SS-QOL) scale.
The FMUE, BSSR arm and SSQOL improved in both groups (p < 0.05). BSSR of the hand improved only in the CGATSE group (p = 0.024). RAHFT scores improved in the CGATSE group (p = 0.008). MoCA scores significantly improved in the control group (p = 0.008).
CGATSE may be beneficial in providing continuation of care after stroke, especially during the Covid-19 pandemic when home based rehabilitation options are becoming increasingly important. Benefits of CGATSE in improving cognitive function is less clear. RGS aimed at improving motor function may be compared to gaming systems designed to target cognitive development and more detailed higher cortical function deficit tests can be used as outcome measures.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2021.105991</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Cognitive function ; Exercise ; Occupational therapy ; Physical therapy ; Stroke ; Stroke rehabilitation ; Telerehabilitation</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2021-09, Vol.30 (9), p.105991-105991, Article 105991</ispartof><rights>2021 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-57c9523ca7f6c35fcc18a8bfe0f136cbd5fb3ed1894b4e0ac9b145612c9cc6d3</citedby><cites>FETCH-LOGICAL-c381t-57c9523ca7f6c35fcc18a8bfe0f136cbd5fb3ed1894b4e0ac9b145612c9cc6d3</cites><orcidid>0000-0001-9852-0917</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1052305721003967$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids></links><search><creatorcontrib>Ozen, Selin</creatorcontrib><creatorcontrib>Senlikci, Huma Boluk</creatorcontrib><creatorcontrib>Guzel, Sukran</creatorcontrib><creatorcontrib>Yemisci, Oya Umit</creatorcontrib><title>Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study</title><title>Journal of stroke and cerebrovascular diseases</title><description>•Computer game assisted task specific exercises (CGATSE) is a contemporary approach to stroke rehabilitation.•CGATSE may be used in hospital and home environments in stroke rehabilitation.•CGATE improved arm motor function and quality of life in stroke rehabilitation.
Computer game assisted task specific exercises (CGATSE) are rehabilitation gaming systems (RGS) used in stroke rehabilitation to facilitate patient performance of high intensity, task based, repetitive exercises aiming to enhance neuroplasticity. CGATSE maybe an appealing option in home based rehabilitation of stroke patients, especially during the COVID-19 pandemic. This study aimed to determine the effects of CGATSE on hemiplegic arm-hand function, cognitive function and quality of life in stroke.
Thirty stroke patients were randomized into two groups. All participants received twenty sessions of physical therapy. In addition, the therapy group undertook thirty minutes of CGATSE using the Rejoyce gaming system; while the control group undertook thirty minutes of occupational therapy (OT). Motor function was evaluated before and after treatment using the Fugl Meyer upper extremity (FMUE), Brunnstrom stages of stroke recovery (BSSR) arm and hand. The CGATSE group also completed the Rejoyce arm hand function test (RAHFT). Cognitive function was evaluated using the mini mental state examination, Montreal Cognitive Assessment (MoCA) and Stroke Specific Quality of Life (SS-QOL) scale.
The FMUE, BSSR arm and SSQOL improved in both groups (p < 0.05). BSSR of the hand improved only in the CGATSE group (p = 0.024). RAHFT scores improved in the CGATSE group (p = 0.008). MoCA scores significantly improved in the control group (p = 0.008).
CGATSE may be beneficial in providing continuation of care after stroke, especially during the Covid-19 pandemic when home based rehabilitation options are becoming increasingly important. Benefits of CGATSE in improving cognitive function is less clear. RGS aimed at improving motor function may be compared to gaming systems designed to target cognitive development and more detailed higher cortical function deficit tests can be used as outcome measures.</description><subject>Cognitive function</subject><subject>Exercise</subject><subject>Occupational therapy</subject><subject>Physical therapy</subject><subject>Stroke</subject><subject>Stroke rehabilitation</subject><subject>Telerehabilitation</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqVkcFu1DAQhiMEUkvpO_iIkLLYyTqbcFtWbUFahEr3bjnjMcw2sRfbWbF9E94Wp8uRCyePxp8_jecvineCLwQXzfv9Yh9T8I8IGLAP_qijobioeCUyILtOvCguhayrspVCvMw1l1VZc7m6KF7HuOdcCNnKy-L3xo-HKWFgd3pEto6RYkLDdjo-socDAlkCdvMLA1DEyMix9APZLqBOI7rEvGVffPKBaWfYxn93lOiI7HZykMi75_b9pAdKp5ndksVZ8vA8_Qe2Zt8y4Ud6wvm5y-0hX07m9KZ4ZfUQ8frveVXsbm92m0_l9uvd5816W0LdilTKFXSyqkGvbAO1tACi1W1vkVtRN9AbafsajWi7Zb9ErqHrxVI2ooIOoDH1VfH2rD0E_3PCmNRIEXAYtEM_RVVJmTcoqmaZ0Y9nFIKPMaBVh0CjDicluJpjUXv1r1jUHIs6x5Il27ME85-OhEFFIHSAhgJCUsbT_-j-AJ5qp7w</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Ozen, Selin</creator><creator>Senlikci, Huma Boluk</creator><creator>Guzel, Sukran</creator><creator>Yemisci, Oya Umit</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9852-0917</orcidid></search><sort><creationdate>202109</creationdate><title>Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study</title><author>Ozen, Selin ; Senlikci, Huma Boluk ; Guzel, Sukran ; Yemisci, Oya Umit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-57c9523ca7f6c35fcc18a8bfe0f136cbd5fb3ed1894b4e0ac9b145612c9cc6d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cognitive function</topic><topic>Exercise</topic><topic>Occupational therapy</topic><topic>Physical therapy</topic><topic>Stroke</topic><topic>Stroke rehabilitation</topic><topic>Telerehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozen, Selin</creatorcontrib><creatorcontrib>Senlikci, Huma Boluk</creatorcontrib><creatorcontrib>Guzel, Sukran</creatorcontrib><creatorcontrib>Yemisci, Oya Umit</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozen, Selin</au><au>Senlikci, Huma Boluk</au><au>Guzel, Sukran</au><au>Yemisci, Oya Umit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><date>2021-09</date><risdate>2021</risdate><volume>30</volume><issue>9</issue><spage>105991</spage><epage>105991</epage><pages>105991-105991</pages><artnum>105991</artnum><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>•Computer game assisted task specific exercises (CGATSE) is a contemporary approach to stroke rehabilitation.•CGATSE may be used in hospital and home environments in stroke rehabilitation.•CGATE improved arm motor function and quality of life in stroke rehabilitation.
Computer game assisted task specific exercises (CGATSE) are rehabilitation gaming systems (RGS) used in stroke rehabilitation to facilitate patient performance of high intensity, task based, repetitive exercises aiming to enhance neuroplasticity. CGATSE maybe an appealing option in home based rehabilitation of stroke patients, especially during the COVID-19 pandemic. This study aimed to determine the effects of CGATSE on hemiplegic arm-hand function, cognitive function and quality of life in stroke.
Thirty stroke patients were randomized into two groups. All participants received twenty sessions of physical therapy. In addition, the therapy group undertook thirty minutes of CGATSE using the Rejoyce gaming system; while the control group undertook thirty minutes of occupational therapy (OT). Motor function was evaluated before and after treatment using the Fugl Meyer upper extremity (FMUE), Brunnstrom stages of stroke recovery (BSSR) arm and hand. The CGATSE group also completed the Rejoyce arm hand function test (RAHFT). Cognitive function was evaluated using the mini mental state examination, Montreal Cognitive Assessment (MoCA) and Stroke Specific Quality of Life (SS-QOL) scale.
The FMUE, BSSR arm and SSQOL improved in both groups (p < 0.05). BSSR of the hand improved only in the CGATSE group (p = 0.024). RAHFT scores improved in the CGATSE group (p = 0.008). MoCA scores significantly improved in the control group (p = 0.008).
CGATSE may be beneficial in providing continuation of care after stroke, especially during the Covid-19 pandemic when home based rehabilitation options are becoming increasingly important. Benefits of CGATSE in improving cognitive function is less clear. RGS aimed at improving motor function may be compared to gaming systems designed to target cognitive development and more detailed higher cortical function deficit tests can be used as outcome measures.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.jstrokecerebrovasdis.2021.105991</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9852-0917</orcidid></addata></record> |
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subjects | Cognitive function Exercise Occupational therapy Physical therapy Stroke Stroke rehabilitation Telerehabilitation |
title | Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study |
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