Objective:
To
compare the efficacy of novel interactive, motion
capture-rehabilitation software to usual care stroke rehabilitation on
physical function.
Design:
Randomized controlled clinical trial.
Setting:
Two subacute hospital rehabilitation units in Australia.
Participants:
In all, 73 people less than six months after stroke with reduced mobility and
clinician determined capacity to improve.
Interventions:
Both
groups received functional retraining and individualized programs for
up to an hour, on weekdays for 8–40 sessions (dose matched). For the
intervention group, this individualized program used motivating virtual
reality rehabilitation and novel gesture controlled interactive motion
capture software. For usual care, the individualized program was
delivered in a group class on one unit and by rehabilitation assistant
1:1 on the other.
Main measures:
Primary
outcome was standing balance (functional reach). Secondary outcomes
were lateral reach, step test, sitting balance, arm function, and
walking.
Results:
Participants
(mean 22 days post-stroke) attended mean 14 sessions. Both groups
improved (mean (95% confidence interval)) on primary outcome functional
reach (usual care 3.3 (0.6 to 5.9), intervention 4.1 (−3.0 to 5.0) cm)
with no difference between groups (
P = 0.69) on this or any
secondary measures. No differences between the rehabilitation units were
seen except in lateral reach (less affected side) (
P = 0.04). No adverse events were recorded during therapy.
Conclusion:
Interactive,
motion capture rehabilitation for inpatients post stroke produced
functional improvements that were similar to those achieved by usual
care stroke rehabilitation, safely delivered by either a physical
therapist or a rehabilitation assistant.
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