Computer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Study

dc.contributor.authorOzen, Selin
dc.contributor.authorSenlikci, Huma Boluk
dc.contributor.authorGuzel, Sukran
dc.contributor.authorYemisci, Oya Umit
dc.contributor.orcID0000-0001-6771-3265en_US
dc.contributor.orcID0000-0002-7290-8558en_US
dc.contributor.orcID0000-0001-9852-0917en_US
dc.contributor.pubmedID34293643en_US
dc.contributor.researcherIDAAX-8965-2021en_US
dc.contributor.researcherIDABC-1305-2020en_US
dc.contributor.researcherIDAAG-3148-2021en_US
dc.date.accessioned2022-08-24T13:47:59Z
dc.date.available2022-08-24T13:47:59Z
dc.date.issued2021
dc.description.abstractObjectives: Computer game assisted task specific exercises (CGATSE) are rehabilitation gaming systems (RGS) used in stroke rehabilitation to facilitate patient performance of high intensity, task based, repetitive exercises aiming to enhance neuroplasticity. CGATSE maybe an appealing option in home based rehabilitation of stroke patients, especially during the COVID-19 pandemic. This study aimed to determine the effects of CGATSE on hemiplegic arm-hand function, cognitive function and quality of life in stroke. Materials and methods: Thirty stroke patients were randomized into two groups. All participants received twenty sessions of physical therapy. In addition, the therapy group undertook thirty minutes of CGATSE using the Rejoyce gaming system; while the control group undertook thirty minutes of occupational therapy (OT). Motor function was evaluated before and after treatment using the Fugl Meyer upper extremity (FMUE), Brunnstrom stages of stroke recovery (BSSR) arm and hand. The CGATSE group also completed the Rejoyce arm hand function test (RAHFT). Cognitive function was evaluated using the mini mental state examination, Montreal Cognitive Assessment (MoCA) and Stroke Specific Quality of Life (SS-QOL) scale. Results: The FMUE, BSSR arm and SSQOL improved in both groups (p < 0.05). BSSR of the hand improved only in the CGATSE group (p = 0.024). RAHFT scores improved in the CGATSE group (p = 0.008). MoCA scores significantly improved in the control group (p = 0.008). Conclusions: CGATSE may be beneficial in providing continuation of care after stroke, especially during the Covid-19 pandemic when home based rehabilitation options are becoming increasingly important. Benefits of CGATSE in improving cognitive function is less clear. RGS aimed at improving motor function may be compared to gaming systems designed to target cognitive development and more detailed higher cortical function deficit tests can be used as outcome measures.en_US
dc.identifier.issn1052-3057en_US
dc.identifier.issue9en_US
dc.identifier.scopus2-s2.0-85110600567en_US
dc.identifier.urihttp://hdl.handle.net/11727/7414
dc.identifier.volume30en_US
dc.identifier.wos000687318700021en_US
dc.language.isoengen_US
dc.relation.isversionof10.1016/j.jstrokecerebrovasdis.2021.105991en_US
dc.relation.journalJOURNAL OF STROKE & CEREBROVASCULAR DISEASESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectStrokeen_US
dc.subjectStroke rehabilitationen_US
dc.subjectTelerehabilitationen_US
dc.subjectExerciseen_US
dc.subjectPhysical therapyen_US
dc.subjectOccupational therapyen_US
dc.subjectCognitive functioen_US
dc.titleComputer Game Assisted Task Specific Exercises in the Treatment of Motor and Cognitive Function and Quality of Life in Stroke: A Randomized Control Studyen_US
dc.typearticleen_US

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