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User perceptions of gaming interventions for improving upper extremity motor function in persons with chronic stroke

Finding ways to engage patients with stroke in repetitive intervention protocols
long-term is poorly understood, particularly from the patients' perspective.
Limited information exists that combines clinical expertise as well as user
feedback on improving gaming interaction.
The purpose of this study was to
utilize input from focus groups of gaming intervention users with chronic stroke
to identify characteristics of gaming that influence user/patient engagement in
the activity. Two focus groups (n = 10) were conducted with each group
participant playing two different gaming systems. Following exposure to the two
systems, guided group interview sessions occurred that consisted of open-ended
questions encompassing areas of overall gaming system preference, aspects that
were liked or disliked, background appearance, music options, feedback provided,
as well as recommendations for change. Findings revealed that participants
enjoyed playing the gaming systems. Three primary themes emerged differentiating
the systems: (1) musical encouragement; (2) focus and attention; and (3)
motivation provided by performance feedback. It was concluded that when selecting
a gaming system for upper extremity rehabilitation, a clinician should select a
system that provides user-relevant music options with a modifiable background
appearance for progression from basic to more challenging, providing appropriate
feedback in an effort to encompass to a variety of user performance levels.

Langue : ANGLAIS

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