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The efficacy of interactive, motion capture-based rehabilitation on functional outcomes in an inpatient stroke population

OBJECTIVE: To compare the efficacy of novel interactive, motion
capture-rehabilitation software to usual care stroke rehabilitation on physical
function. DESIGN: Randomized controlled clinical trial.
SETTING: Two subacute
hospital rehabilitation units in Australia. PARTICIPANTS: In all, 73 people less
than six months after stroke with reduced mobility and clinician determined
capacity to improve. INTERVENTIONS: Both groups received functional retraining
and individualized programs for up to an hour, on weekdays for 8-40 sessions
(dose matched). For the intervention group, this individualized program used
motivating virtual reality rehabilitation and novel gesture controlled
interactive motion capture software. For usual care, the individualized program
was delivered in a group class on one unit and by rehabilitation assistant 1:1 on
the other. MAIN MEASURES: Primary outcome was standing balance (functional
reach). Secondary outcomes were lateral reach, step test, sitting balance, arm
function, and walking. RESULTS: Participants (mean 22 days post-stroke) attended
mean 14 sessions. Both groups improved (mean (95% confidence interval)) on
primary outcome functional reach (usual care 3.3 (0.6 to 5.9), intervention 4.1
(-3.0 to 5.0) cm) with no difference between groups ( P = 0.69) on this or any
secondary measures. No differences between the rehabilitation units were seen
except in lateral reach (less affected side) ( P = 0.04). No adverse events were
recorded during therapy. CONCLUSION: Interactive, motion capture rehabilitation
for inpatients post stroke produced functional improvements that were similar to
those achieved by usual care stroke rehabilitation, safely delivered by either a
physical therapist or a rehabilitation assistant.

Langue : ANGLAIS

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