On-going rehabilitation is needed to maintain and improve the weaker upper extremity following stroke. Community rehabilitation programs for stroke individuals in the chronic stage are often difficult to be implement. Consequently, many individuals remain without structured interventional programs. Self-training programs, where individuals can independently continue to exercise at home, might answer this challenge. However, since exercising alone is boring and not motivating, individuals often stop the prescribed exercises and remain inactive. The use of video-games for self-training might answer this challenge.
Therefore, the investigators aimed to assess the feasibility of using video-games for self-training after stroke. Specifically the investigators aim to compare the (1) training time, (2) satisfaction and (3) effectiveness of a self-training program using video-games compared to a traditional self-training program.
This is a single-blind randomized controlled trial with four assessments; two before and two following the 5-week self training intervention.
Individuals are requested to perform the self training (video-games or traditional exercises) 60 minutes a day for 5 weeks.
- Self-training using video-games Other
Intervention Desc: Individuals will receive a video-game console and will be taught how to play the games. They will be requested to play 60 minutes a day for 5 weeks. ARM 1: Kind: Experimental Label: self-training using video-games
- Traditional self-training Other
Intervention Desc: Individuals will receive a manual and equipment and will be taught how to perform the exercises. They will be requested to perform the exercises 60 minutes a day for 5 weeks. ARM 1: Kind: Experimental Label: traditional self-training
- Allocation: Randomized
- Masking: Single Blind (Outcomes Assessor)
- Purpose: Treatment
- Intervention: Parallel Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||self-training time||week 9||No|
|Secondary||Dexterity of the weaker upper extremity (Box and Block Test)||week 0, week 4, week 9, week 13||No|
|Secondary||Action Research Arm Test||week 0, week 4, week 9, week 13||No|
|Secondary||The Functional Reach Test||week 0, week 4, week 9, week 13||No|
|Secondary||Satisfaction (Borg scale)||week 9||No|
|Primary||Change in Action Research Arm Test||week 0, week 4, week 9, week 13||No|
|Secondary||Change in Box and Block Test||week 0, week 4, week 9, week 13||No|
|Secondary||Change in The Functional Reach Test||week 4, week 9, week 13||No|
|Secondary||Daily enjoyment from the self-training||week 9||No|
|Secondary||Change in the Motor Activity Log (MAL)||week 0, week 4, week 9, week 13||No|
|Secondary||Daily exertion from the self-training||week 9||No|
|Secondary||Satisfaction from the self-training program||week 9||No|