Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial

Background: Xbox Kinect-based virtual reality, being a novel approach, has therapeutic benefits in rehabilitation and its use is encouraged in stroke rehabilitation of upper extremities. Objective: Primary aim of the current study is to investigate the additional effects of Xbox Kinect training in c...

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Main Authors: Qurat Ul Ain, Sara Khan, Saad Ilyas, Amna Yaseen, Iqbal Tariq, Tian Liu, Jue Wang
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/3/242
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author Qurat Ul Ain
Sara Khan
Saad Ilyas
Amna Yaseen
Iqbal Tariq
Tian Liu
Jue Wang
author_facet Qurat Ul Ain
Sara Khan
Saad Ilyas
Amna Yaseen
Iqbal Tariq
Tian Liu
Jue Wang
author_sort Qurat Ul Ain
collection DOAJ
description Background: Xbox Kinect-based virtual reality, being a novel approach, has therapeutic benefits in rehabilitation and its use is encouraged in stroke rehabilitation of upper extremities. Objective: Primary aim of the current study is to investigate the additional effects of Xbox Kinect training in combination with routine physiotherapy exercises based on each component of Fugl-Meyer Assessment Scale for Upper Extremity (FMA-UE). Moreover, effect of upper limb rehabilitation on cognitive functions was also assessed. Methods: This study was a parallel arm randomized control trial. Fifty-six participants were recruited and randomly allocated to either an Xbox Kinect training group (XKGT) or exercise training group (ETG). Measures of concern were recorded using FMA-UE, Box and Block Test (BBT), and Montreal Cognitive Assessment (MOCA). Evaluation was conducted at baseline and after completion of intervention at the sixth week. Results: There were significant differences from pre- to post-intervention scores of FMA-UE and BBT (<i>p</i> < 0.001) in both groups, whereas no difference was observed for MOCA (XKTG p value 0.417, ETG p value 0.113). At six-week follow-up there were significant differences between both groups in FMA-UE total score (<i>p</i> < 0.001), volitional movement within synergies (<i>p</i> < 0.001), wrist (<i>p</i> = 0.021), hand (<i>p</i> = 0.047), grasp (<i>p</i> = 0.006) and coordination/speed (<i>p</i> = 0.004), favoring the Xbox Kinect training group. Conclusion: To conclude, results indicate repetitive use of the hemiparetic upper extremity by Xbox Kinect-based upper limb rehabilitation training in addition to conventional therapy has a promising potential to enhance upper limb motor function for stroke patients.
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spelling doaj.art-c7807af2a11b41e7beb45ab7db14ed402023-12-11T18:17:45ZengMDPI AGHealthcare2227-90322021-02-019324210.3390/healthcare9030242Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control TrialQurat Ul Ain0Sara Khan1Saad Ilyas2Amna Yaseen3Iqbal Tariq4Tian Liu5Jue Wang6The Key Laboratory of Biomedical Information Engineering of Ministry of Education, Institute of Health and Rehabilitation Science, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, ChinaPhysiotherapy Department, Mukkabir College, Gujrat 50700, PakistanDepartment of Computer Science, Faculty of Information Technology, University of Central Punjab, Lahore 54000, PakistanRiphah College of Rehabilitation & Allied Health Sciences, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad 46000, PakistanRiphah College of Rehabilitation & Allied Health Sciences, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad 46000, PakistanThe Key Laboratory of Biomedical Information Engineering of Ministry of Education, Institute of Health and Rehabilitation Science, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, ChinaThe Key Laboratory of Biomedical Information Engineering of Ministry of Education, Institute of Health and Rehabilitation Science, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, ChinaBackground: Xbox Kinect-based virtual reality, being a novel approach, has therapeutic benefits in rehabilitation and its use is encouraged in stroke rehabilitation of upper extremities. Objective: Primary aim of the current study is to investigate the additional effects of Xbox Kinect training in combination with routine physiotherapy exercises based on each component of Fugl-Meyer Assessment Scale for Upper Extremity (FMA-UE). Moreover, effect of upper limb rehabilitation on cognitive functions was also assessed. Methods: This study was a parallel arm randomized control trial. Fifty-six participants were recruited and randomly allocated to either an Xbox Kinect training group (XKGT) or exercise training group (ETG). Measures of concern were recorded using FMA-UE, Box and Block Test (BBT), and Montreal Cognitive Assessment (MOCA). Evaluation was conducted at baseline and after completion of intervention at the sixth week. Results: There were significant differences from pre- to post-intervention scores of FMA-UE and BBT (<i>p</i> < 0.001) in both groups, whereas no difference was observed for MOCA (XKTG p value 0.417, ETG p value 0.113). At six-week follow-up there were significant differences between both groups in FMA-UE total score (<i>p</i> < 0.001), volitional movement within synergies (<i>p</i> < 0.001), wrist (<i>p</i> = 0.021), hand (<i>p</i> = 0.047), grasp (<i>p</i> = 0.006) and coordination/speed (<i>p</i> = 0.004), favoring the Xbox Kinect training group. Conclusion: To conclude, results indicate repetitive use of the hemiparetic upper extremity by Xbox Kinect-based upper limb rehabilitation training in addition to conventional therapy has a promising potential to enhance upper limb motor function for stroke patients.https://www.mdpi.com/2227-9032/9/3/242Box and Block TestFugl-Meyer Assessment Scale for Upper Extremitymotor functionrehabilitationstrokeupper extremity
spellingShingle Qurat Ul Ain
Sara Khan
Saad Ilyas
Amna Yaseen
Iqbal Tariq
Tian Liu
Jue Wang
Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial
Healthcare
Box and Block Test
Fugl-Meyer Assessment Scale for Upper Extremity
motor function
rehabilitation
stroke
upper extremity
title Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial
title_full Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial
title_fullStr Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial
title_full_unstemmed Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial
title_short Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial
title_sort additional effects of xbox kinect training on upper limb function in chronic stroke patients a randomized control trial
topic Box and Block Test
Fugl-Meyer Assessment Scale for Upper Extremity
motor function
rehabilitation
stroke
upper extremity
url https://www.mdpi.com/2227-9032/9/3/242
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