''Playstation eyetoy games'' improve upper extremity-related motor functioning in subacute stroke: a randomized controlled clinical trial

To evaluate the effects of ''Playstation EyeToy Games'' on upper extremity motor recovery and upper extremity-related motor functioning of patients with subacute stroke. The authors designed a randomized, controlled, assessor-blinded, 4-week trial, with follow-up at 3 months. A t...

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Bibliographic Details
Published in:European journal of physical and rehabilitation medicine 2008-09, Vol.44 (3), p.237-244
Main Authors: Yavuzer, G, Senel, A, Atay, M B, Stam, H J
Format: Article
Language:English
Subjects:
Aged
Female
Follow-Up Studies
Humans
Male
Middle Aged
Motor Activity - physiology
Paresis - etiology
Paresis - physiopathology
Paresis - rehabilitation
Psychomotor Performance - physiology
Recovery of Function - physiology
Single-Blind Method
Stroke - complications
Stroke - physiopathology
Stroke Rehabilitation
Treatment Outcome
Upper Extremity - physiopathology
Video Games
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Summary:To evaluate the effects of ''Playstation EyeToy Games'' on upper extremity motor recovery and upper extremity-related motor functioning of patients with subacute stroke. The authors designed a randomized, controlled, assessor-blinded, 4-week trial, with follow-up at 3 months. A total of 20 hemiparetic inpatients (mean age 61.1 years), all within 12 months post-stroke, received 30 minutes of treatment with ''Playstation EyeToy Games'' per day, consisting of flexion and extension of the paretic shoulder, elbow and wrist as well as abduction of the paretic shoulder or placebo therapy (watching the games for the same duration without physical involvement into the games) in addition to conventional program, 5 days a week, 2-5 hours/day for 4 weeks. Brunnstrom's staging and self-care sub-items of the functional independence measure (FIM) were performed at 0 month (baseline), 4 weeks (post-treatment), and 3 months (follow-up) after the treatment. The mean change score (95% confidence interval) of the FIM self-care score (5.5 [2.9-8.0] vs 1.8 [0.1-3.7], P=0.018) showed significantly more improvement in the EyeToy group compared to the control group. No significant differences were found between the groups for the Brunnstrom stages for hand and upper extremity. ''Playstation EyeToy Games'' combined with a conventional stroke rehabilitation program have a potential to enhance upper extremity-related motor functioning in subacute stroke patients.
ISSN:1973-9087