Telerehabilitation Upper Extremity for Neurological Disorders "Telerehab"

Completed

Phase 1 Results N/A

Trial Description

The aims of the present study were to:
- Investigate the feasibility of using a therapeutic gaming system (REHAB@HOME), based on Kinect, to augment upper extremity neurorehabilitation services.
- Provide preliminary evidence of clinical efficacy of the approach in increasing arm activity and health related quality of life of persons post stroke or with MS.
Main results suggest that the serious games approach was positively received in terms of user experience and motivation to use, with the participants showing also improvements in functional abilities of the treated arm.

Detailed Description

The objective of this pilot study was to assess the feasibility of using a therapeutic gaming system (REHAB@HOME), based on Kinect, to augment upper extremity neurorehabilitation services. A secondary objective was to provide preliminary evidence of clinical efficacy of the approach in increasing arm activity and health related quality of life of persons post stroke or with multiple sclerosis (MS).
A pilot single-blind randomized controlled trial was carried out in an inpatient and ambulatory care at a rehabilitation center. Twenty persons with multiple sclerosis (n=16) or chronic poststroke (n=4) receiving rehabilitation at the center, able to flex shoulder and elbow at least 45 degrees, participated in the study.
An intervention group received Serious Games-based upper extremity therapy for a total of 12 sessions (4-5 sessions, lasting 40 minutes, per week) and the control played the same amount of time with commercial exergames of the Wii. Both groups received their usual rehabilitation services as well as game playing.

Conditions

Interventions

  • Serious games Behavioral
    Other Names: virtual reality games
    Intervention Desc: Participants played serious games developed for Kinect in the the EU FP7 STREP Project REHAB@HOME N. 306113
    ARM 1: Kind: Experimental
    Label: Serious games
    Description: The experimental group received Serious Games-based upper extremity therapy through Kinect
  • Exergames Behavioral
    Other Names: Wii game console
    Intervention Desc: Participants played exergames existent in the Wii game console
    ARM 1: Kind: Experimental
    Label: Exergames
    Description: The control played the same amount of time with commercial exergames of the Wii

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Safety/Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary 9 Hole peg test 10 months No
Primary Box and Block test 10 months No
Secondary Short Form 12 10 months No
Secondary the EQ-5D visual analogue scale (EQ-VAS) 10 months No

Sponsors