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Can interactive, motion-capture-based rehabilitation in an inpatient stroke population increase physical activity levels for people undergoing rehabilitation for stroke?

Citation

Jovic, E and Bird, ML and Cannell, JA and Rathjen, A and Lane, K and Tyson, AM and Callisaya, M and Schmidt, M and Smith, S and Ahuja, KDK, Can interactive, motion-capture-based rehabilitation in an inpatient stroke population increase physical activity levels for people undergoing rehabilitation for stroke?, 27th Annual Scientific Meeting of the Stroke Society of Australasia, 23 - 25 August 2017, Queenstown, New Zealand (2017) [Conference Extract]

Abstract

Background: High intensity targeted practice aids functional recovery for stroke survivors, however clients spend much of their time in rehabilitation being inactive. Interactive, motion-capture-based rehabilitation provides an option for therapy that may be more engaging and motivating.

Aims: To determine if interactive, motion-capture-based rehabilitation can increase the activity levels of stroke survivors in inpatient rehabilitation compared to usual care, particularly during therapy time.

Methods: Patients (n 66) admitted to two subacute rehabilitation units with recent (<6 months) stroke were randomly allocated into usual care or an intervention group. The intervention group used the Jintronix system (http://www.jintronix.com/), utilising a motion-capture camera to allow body movements to drive gameplay, completing prescribed games targeting their rehabilitation needs. The control underwent group exercises on one unit and 1:1 therapy with a rehabilitation assistant on the other unit. Both groups wore ActivPAL (PAL Technologies, Glasgow, UK) activity monitors continuously for seven days. Activity levels were quantified by percentage of time spent upright and compared using t-tests.

Results: During therapy time, the intervention group spent more time in upright positioning (UP) performing standing and stepping tasks (55 %UP), than the usual care group (45 %UP) (p 0.01). Activity levels for awake hours of the day were similar between the groups (usual care 14 %UP, intervention 12 %UP, p 0.24).

Conclusions: These results demonstrate that using the technology platform increased the amount of time in standing activity during therapy. The implications of this for reducing sedentary time and improving functional mobility warrant further investigation.

Item Details

Item Type:Conference Extract
Keywords:stroke rehabilitation
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Physiotherapy
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Disability and Functional Capacity
UTAS Author:Bird, ML (Dr Marie-Louise Bird)
UTAS Author:Cannell, JA (Mr John Cannell)
UTAS Author:Rathjen, A (Ms Amy Rathjen)
UTAS Author:Tyson, AM (Mrs Anna Tyson)
UTAS Author:Callisaya, M (Dr Michele Callisaya)
UTAS Author:Schmidt, M (Mr Matthew Schmidt)
UTAS Author:Ahuja, KDK (Dr Kiran Ahuja)
ID Code:121244
Year Published:2017
Deposited By:Health Sciences
Deposited On:2017-09-19
Last Modified:2017-09-19
Downloads:0

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