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A low cost kinect-based virtual rehabilitation system for inpatient rehabilitation of the upper limb in patients with subacute stroke: A randomized, double-blind, sham-controlled pilot trial.
Medicine (Baltimore). 2018 Jun; 97(25):e11173.M

Abstract

BACKGROUND

We designed this study to prove the efficacy of the low-cost Kinect-based virtual rehabilitation (VR) system for upper limb recovery among patients with subacute stroke.

METHODS

A double-blind, randomized, sham-controlled trial was performed. A total of 23 subjects with subacute stroke (<3 months) were allocated to sham (n = 11) and real VR group (n = 12). Both groups participated in a daily 30-minute occupational therapy for upper limb recovery for 10 consecutive weekdays. Subjects received an additional daily 30-minute Kinect-based or sham VR. Assessment was performed before the VR, immediately and 1 month after the last session of VR. Fugl-Meyer Assessment (FMA) (primary outcome) and other secondary functional outcomes were measured. Accelerometers were used to measure hemiparetic upper limb movements during the therapy.

RESULTS

FMA immediately after last VR session was not different between the sham (46.8 ± 16.0) and the real VR group (49.4 ± 14.2) (P = .937 in intention to treat analysis). Significant differences of total activity counts (TAC) were found in hemiparetic upper limb during the therapy between groups (F2,26 = 4.43; P = .22). Real VR group (107,926 ± 68,874) showed significantly more TACs compared with the sham VR group (46,686 ± 25,814) but there was no statistical significance between real VR and control (64,575 ± 27,533).

CONCLUSION

Low-cost Kinect-based upper limb rehabilitation system was not more efficacious compared with sham VR. However, the compliance in VR was good and VR system induced more arm motion than control and similar activity compared with the conventional therapy, which suggests its utility as an adjuvant additional therapy during inpatient stroke rehabilitation.

Authors+Show Affiliations

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

29924029

Citation

Kim, Won-Seok, et al. "A Low Cost Kinect-based Virtual Rehabilitation System for Inpatient Rehabilitation of the Upper Limb in Patients With Subacute Stroke: a Randomized, Double-blind, Sham-controlled Pilot Trial." Medicine, vol. 97, no. 25, 2018, pp. e11173.
Kim WS, Cho S, Park SH, et al. A low cost kinect-based virtual rehabilitation system for inpatient rehabilitation of the upper limb in patients with subacute stroke: A randomized, double-blind, sham-controlled pilot trial. Medicine (Baltimore). 2018;97(25):e11173.
Kim, W. S., Cho, S., Park, S. H., Lee, J. Y., Kwon, S., & Paik, N. J. (2018). A low cost kinect-based virtual rehabilitation system for inpatient rehabilitation of the upper limb in patients with subacute stroke: A randomized, double-blind, sham-controlled pilot trial. Medicine, 97(25), e11173. https://doi.org/10.1097/MD.0000000000011173
Kim WS, et al. A Low Cost Kinect-based Virtual Rehabilitation System for Inpatient Rehabilitation of the Upper Limb in Patients With Subacute Stroke: a Randomized, Double-blind, Sham-controlled Pilot Trial. Medicine (Baltimore). 2018;97(25):e11173. PubMed PMID: 29924029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A low cost kinect-based virtual rehabilitation system for inpatient rehabilitation of the upper limb in patients with subacute stroke: A randomized, double-blind, sham-controlled pilot trial. AU - Kim,Won-Seok, AU - Cho,Sungmin, AU - Park,Seo Hyun, AU - Lee,Ji-Young, AU - Kwon,SuYeon, AU - Paik,Nam-Jong, PY - 2018/6/21/entrez PY - 2018/6/21/pubmed PY - 2018/7/6/medline SP - e11173 EP - e11173 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 25 N2 - BACKGROUND: We designed this study to prove the efficacy of the low-cost Kinect-based virtual rehabilitation (VR) system for upper limb recovery among patients with subacute stroke. METHODS: A double-blind, randomized, sham-controlled trial was performed. A total of 23 subjects with subacute stroke (<3 months) were allocated to sham (n = 11) and real VR group (n = 12). Both groups participated in a daily 30-minute occupational therapy for upper limb recovery for 10 consecutive weekdays. Subjects received an additional daily 30-minute Kinect-based or sham VR. Assessment was performed before the VR, immediately and 1 month after the last session of VR. Fugl-Meyer Assessment (FMA) (primary outcome) and other secondary functional outcomes were measured. Accelerometers were used to measure hemiparetic upper limb movements during the therapy. RESULTS: FMA immediately after last VR session was not different between the sham (46.8 ± 16.0) and the real VR group (49.4 ± 14.2) (P = .937 in intention to treat analysis). Significant differences of total activity counts (TAC) were found in hemiparetic upper limb during the therapy between groups (F2,26 = 4.43; P = .22). Real VR group (107,926 ± 68,874) showed significantly more TACs compared with the sham VR group (46,686 ± 25,814) but there was no statistical significance between real VR and control (64,575 ± 27,533). CONCLUSION: Low-cost Kinect-based upper limb rehabilitation system was not more efficacious compared with sham VR. However, the compliance in VR was good and VR system induced more arm motion than control and similar activity compared with the conventional therapy, which suggests its utility as an adjuvant additional therapy during inpatient stroke rehabilitation. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29924029/A_low_cost_kinect_based_virtual_rehabilitation_system_for_inpatient_rehabilitation_of_the_upper_limb_in_patients_with_subacute_stroke:_A_randomized_double_blind_sham_controlled_pilot_trial_ L2 - https://doi.org/10.1097/MD.0000000000011173 DB - PRIME DP - Unbound Medicine ER -