Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports
BackgroundBrightArm Compact is a new rehabilitation system for the upper extremities. It provides bimanual training with gradated gravity loading and mediates interactions with cognitively challenging serious games. ObjectiveThe aim of this study is to design and...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-04-01
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| Series: | JMIR Rehabilitation and Assistive Technologies |
| Online Access: | https://rehab.jmir.org/2022/2/e26990 |
| _version_ | 1797735156334723072 |
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| author | Grigore Burdea Nam Kim Kevin Polistico Ashwin Kadaru Namrata Grampurohit Jasdeep Hundal Simcha Pollack |
| author_facet | Grigore Burdea Nam Kim Kevin Polistico Ashwin Kadaru Namrata Grampurohit Jasdeep Hundal Simcha Pollack |
| author_sort | Grigore Burdea |
| collection | DOAJ |
| description |
BackgroundBrightArm Compact is a new rehabilitation system for the upper extremities. It provides bimanual training with gradated gravity loading and mediates interactions with cognitively challenging serious games.
ObjectiveThe aim of this study is to design and test a robotic rehabilitation table–based virtual rehabilitation system for functional impact of the integrative training in the early poststroke phase.
MethodsA new robotic rehabilitation table, controllers, and adaptive games were developed. The 2 participants underwent 12 experimental sessions in addition to the standard of care. Standardized measures of upper extremity function (primary outcome), depression, and cognition were administered before and after the intervention. Nonstandardized measures included game variables and subjective evaluations.
ResultsThe 2 case study participants attained high total arm repetitions per session (504 and 957) and achieved high grasp and finger-extension counts. Training intensity contributed to marked improvements in affected shoulder strength (225% and 100% increase), grasp strength (27% and 16% increase), and pinch strength (31% and 15% increase). The shoulder flexion range increased by 17% and 18% and elbow supination range by 75% and 58%. Improvements in motor function were at or above minimal clinically important difference for the Fugl-Meyer Assessment (11 and 10 points), Chedoke Arm and Hand Activity Inventory (11 and 14 points), and Upper Extremity Functional Index (19 and 23 points). Cognitive and emotive outcomes were mixed. Subjective rating by participants and training therapists were positive (average 4, SD 0.22, on a 5-point Likert scale).
ConclusionsThe design of the robotic rehabilitation table was tested on 2 participants in the early poststroke phase, and results are encouraging for upper extremity functional gains and technology acceptance.
Trial RegistrationClinicalTrials.gov NCT04252170; https://clinicaltrials.gov/ct2/show/NCT04252170 |
| first_indexed | 2024-03-12T12:54:56Z |
| format | Article |
| id | doaj.art-ccf7a3eeb8a64538b45ff3b0a73e5f7b |
| institution | Directory Open Access Journal |
| issn | 2369-2529 |
| language | English |
| last_indexed | 2024-03-12T12:54:56Z |
| publishDate | 2022-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Rehabilitation and Assistive Technologies |
| spelling | doaj.art-ccf7a3eeb8a64538b45ff3b0a73e5f7b2023-08-28T21:24:12ZengJMIR PublicationsJMIR Rehabilitation and Assistive Technologies2369-25292022-04-0192e2699010.2196/26990Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case ReportsGrigore Burdeahttps://orcid.org/0000-0001-5429-054XNam Kimhttps://orcid.org/0000-0002-6771-4601Kevin Polisticohttps://orcid.org/0000-0003-4151-8001Ashwin Kadaruhttps://orcid.org/0000-0002-5262-6211Namrata Grampurohithttps://orcid.org/0000-0001-9838-8581Jasdeep Hundalhttps://orcid.org/0000-0001-7647-8439Simcha Pollackhttps://orcid.org/0000-0001-8947-6096 BackgroundBrightArm Compact is a new rehabilitation system for the upper extremities. It provides bimanual training with gradated gravity loading and mediates interactions with cognitively challenging serious games. ObjectiveThe aim of this study is to design and test a robotic rehabilitation table–based virtual rehabilitation system for functional impact of the integrative training in the early poststroke phase. MethodsA new robotic rehabilitation table, controllers, and adaptive games were developed. The 2 participants underwent 12 experimental sessions in addition to the standard of care. Standardized measures of upper extremity function (primary outcome), depression, and cognition were administered before and after the intervention. Nonstandardized measures included game variables and subjective evaluations. ResultsThe 2 case study participants attained high total arm repetitions per session (504 and 957) and achieved high grasp and finger-extension counts. Training intensity contributed to marked improvements in affected shoulder strength (225% and 100% increase), grasp strength (27% and 16% increase), and pinch strength (31% and 15% increase). The shoulder flexion range increased by 17% and 18% and elbow supination range by 75% and 58%. Improvements in motor function were at or above minimal clinically important difference for the Fugl-Meyer Assessment (11 and 10 points), Chedoke Arm and Hand Activity Inventory (11 and 14 points), and Upper Extremity Functional Index (19 and 23 points). Cognitive and emotive outcomes were mixed. Subjective rating by participants and training therapists were positive (average 4, SD 0.22, on a 5-point Likert scale). ConclusionsThe design of the robotic rehabilitation table was tested on 2 participants in the early poststroke phase, and results are encouraging for upper extremity functional gains and technology acceptance. Trial RegistrationClinicalTrials.gov NCT04252170; https://clinicaltrials.gov/ct2/show/NCT04252170https://rehab.jmir.org/2022/2/e26990 |
| spellingShingle | Grigore Burdea Nam Kim Kevin Polistico Ashwin Kadaru Namrata Grampurohit Jasdeep Hundal Simcha Pollack Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports JMIR Rehabilitation and Assistive Technologies |
| title | Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports |
| title_full | Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports |
| title_fullStr | Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports |
| title_full_unstemmed | Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports |
| title_short | Robotic Table and Serious Games for Integrative Rehabilitation in the Early Poststroke Phase: Two Case Reports |
| title_sort | robotic table and serious games for integrative rehabilitation in the early poststroke phase two case reports |
| url | https://rehab.jmir.org/2022/2/e26990 |
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