Article

OBJECTIVE: To evaluate the feasibility and safety of Xbox KinectTM training of
the upper extremity in subacute stroke rehabilitation.
DESIGN: A single-blind,
randomized controlled, pilot study. PATIENTS: Twenty consecutive patients with
stroke. METHODS: Participants were allocated randomly to 2 groups: the control
group received conventional therapy and the experimental group received
additional Xbox KinectTM training for 20 sessions.
Feasibility and safety were
evaluated by treatment attendance rate, patient feedback, proportion of adverse
events, and Borg Scale (Borg CR10). RESULTS: Twenty of 131 screened individuals
were recruited. Data for 19 patients (73.7% male; mean age 62 years (range
38-79)) were analysed. Treatment attendance ratio for total training time and
training time/session was 87% and 90%, respectively. All participants reported
that training with the Xbox KinectTM was enjoyable and beneficial. No serious
adverse events occurred. Fatigue was the most common adverse event. The mean Borg
CR10 score was 7.80, reflecting a very high level of fatigue. The experimental
group showed significantly greater improvement than the control group in the Box
and Blocks Test, Wolf Motor Function Test and Brunnstrom motor recovery stages.
CONCLUSION: Xbox KinectTM training appears feasible and safe in upper extremity
ehabilitation after stroke. It could enhance motor and functional recovery of the
affected upper extremity as an adjunctive method.

Langue : ANGLAIS