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
Hauptverfasser: Ozen, Selin, Senlikci, Huma Boluk, Guzel, Sukran, Yemisci, Oya Umit
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container_end_page 105991
container_issue 9
container_start_page 105991
container_title Journal of stroke and cerebrovascular diseases
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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 &lt; 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. 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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 &lt; 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. 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source ScienceDirect Journals (5 years ago - present)
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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