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Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study.
J Stroke Cerebrovasc Dis. 2021 Sep; 30(9):105991.JS

Abstract

OBJECTIVES

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.

MATERIALS AND METHODS

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.

RESULTS

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).

CONCLUSIONS

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.

Authors+Show Affiliations

Department of Physical and Rehabilitation Medicine, Baskent University Faculty of Medicine, Maresal Fevzi Cakmak Cad. 5. Sok. No: 48, Bahcelievler, Ankara, 06490, Turkey. Electronic address: drselinozen@gmail.com.Department of Physical and Rehabilitation Medicine, Baskent University Faculty of Medicine, Maresal Fevzi Cakmak Cad. 5. Sok. No: 48, Bahcelievler, Ankara, 06490, Turkey.Department of Physical and Rehabilitation Medicine, Baskent University Faculty of Medicine, Maresal Fevzi Cakmak Cad. 5. Sok. No: 48, Bahcelievler, Ankara, 06490, Turkey.Department of Physical and Rehabilitation Medicine, Baskent University Faculty of Medicine, Maresal Fevzi Cakmak Cad. 5. Sok. No: 48, Bahcelievler, Ankara, 06490, Turkey.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

34293643

Citation

Ozen, Selin, et al. "Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: a Randomized Control Study." Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association, vol. 30, no. 9, 2021, p. 105991.
Ozen S, Senlikci HB, Guzel S, et al. Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study. J Stroke Cerebrovasc Dis. 2021;30(9):105991.
Ozen, S., Senlikci, H. B., Guzel, S., & Yemisci, O. U. (2021). Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study. Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association, 30(9), 105991. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105991
Ozen S, et al. Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: a Randomized Control Study. J Stroke Cerebrovasc Dis. 2021;30(9):105991. PubMed PMID: 34293643.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study. AU - Ozen,Selin, AU - Senlikci,Huma Boluk, AU - Guzel,Sukran, AU - Yemisci,Oya Umit, Y1 - 2021/07/19/ PY - 2021/04/29/received PY - 2021/06/18/revised PY - 2021/07/01/accepted PY - 2021/7/23/pubmed PY - 2021/8/27/medline PY - 2021/7/22/entrez KW - Cognitive function KW - Exercise KW - Occupational therapy KW - Physical therapy KW - Stroke KW - Stroke rehabilitation KW - Telerehabilitation SP - 105991 EP - 105991 JF - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association JO - J Stroke Cerebrovasc Dis VL - 30 IS - 9 N2 - OBJECTIVES: 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. MATERIALS AND METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. SN - 1532-8511 UR - https://www.unboundmedicine.com/medline/citation/34293643/Computer_Game_Assisted_Task_Specific_Exercises_in_the_Treatment_of_Motor_and_Cognitive_Function_and_Quality_of_Life_in_Stroke:_A_Randomized_Control_Study. L2 - https://linkinghub.elsevier.com/retrieve/pii/S1052-3057(21)00396-7 DB - PRIME DP - Unbound Medicine ER -