Purpose
To
describe a novel 3-dimensional (3D) exergames system and the results of
a clinical feasibility study of stroke survivors needing in-home
rehabilitation.
Materials and methods
The
customisable Personalized In-home eXErgames for Rehabilitation (PIXER)
system captures the user’s image, generates a live model, and
incorporates it into a virtual exergame. PIXER provides a recording
system for home exercise programs (HEPs) by adapting virtual objects,
customizes the exergame and creates a digital diary. Ten persons with
stroke, performed HEPs with PIXER for 1 month, and without PIXER for 2
additional months. In-game performance data, measures of physical
functioning (PF) including Stroke Impact Scale (SIS), Timed Up & Go
(TUG) and Goal Attainment (GA) Scale obtained at baseline, 1- and
3 months were evaluated.
Results
Seventy
percent of participants completed the 1-month timepoint, 50% completed
all timepoints. In-game data: Number of repetitions completed; Anomalies
reported; and Percentage of bubbles hit showed positive trends.
Compared to baseline, all SIS physical functioning (PF) scores were
higher at 1 month, TUG scores showed no overall improvement and GA scale
scores were 77% at 3 months.
Conclusion
It
is feasible for community-dwelling patients to perform HEP after stroke
using PIXER, a novel, exergames system, and potentially improve their
function.
IMPLICATIONS FOR REHABILITATION
Home
Exercises performed using a novel, 3-dimensional, customizable
exergames (CEXE) system is feasible for community-dwelling patients
after stroke.
In-game performance data
obtained in this clinical pilot study showed positive trends of
improvement in several study participants.
CEXE has potential to improve(not recover!) functional outcomes for community-dwelling adults with stroke.
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