The efficacy of Wii-based Movement Therapy for upper limb rehabilitation in the chronic poststroke period: a randomized controlled trial

International Journal of Stroke : Official Journal of the International Stroke Society
Penelope A McNultyChristine T Shiner

Abstract

More effective and efficient rehabilitation is urgently needed to address the prevalence of unmet rehabilitation needs after stroke. This study compared the efficacy of two poststroke upper limb therapy protocols. We tested the hypothesis that Wii-based movement therapy would be as effective as modified constraint-induced movement therapy for post-stroke upper-limb motor rehabilitation. Forty-one patients, 2-46 months poststroke, completed a 14-day program of Wii-based Movement Therapy or modified Constraint-induced Movement Therapy in a dose-matched, assessor-blinded randomized controlled trial, conducted in a research institute or patient's homes. Primary outcome measures were the Wolf Motor Function Test timed-tasks and Motor Activity Log Quality of Movement scale. Patients were assessed at prebaseline (14 days pretherapy), baseline, post-therapy, and six-month follow-up. Data were analyzed using linear mixed models and repeated measures analysis of variance. There were no differences between groups for either primary outcome at any time point. Motor function was stable between prebaseline and baseline (P > 0·05), improved with therapy (P < 0·001); and improvements were maintained at six-months (P > 0·05). Wolf Motor Functio...Continue Reading

References

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Citations

Jun 1, 2016·Frontiers in Neurology·Christine T ShinerPenelope A McNulty
Apr 5, 2018·The Journal of Spinal Cord Medicine·Jeffrey P JaramilloB Jenny Kiratli
Nov 21, 2017·The Cochrane Database of Systematic Reviews·Kate E LaverMaria Crotty
Jan 1, 2020·Topics in Stroke Rehabilitation·Elena V Donoso BrownJeanne M Hoffman
Jul 15, 2017·American Journal of Physical Medicine & Rehabilitation·Karen Sui Geok Chua, Christopher Wee Keong Kuah
Apr 29, 2016·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Mohammad EtoomCalogero Foti
May 26, 2020·Disability and Rehabilitation. Assistive Technology·Sandeep K SubramanianCole S Hirschhauser
Mar 2, 2019·Journal of Neuroengineering and Rehabilitation·Iratxe Unibaso-MarkaidaSilvia Martínez-Rodríguez
Mar 7, 2020·Biomedical Engineering Online·Camila L A GomesEnio W A Cacho
Nov 25, 2020·Journal of Neuroengineering and Rehabilitation·Mattias ErhardssonKatharina S Sunnerhagen
Aug 20, 2019·Archives of Physical Medicine and Rehabilitation·Chung-Shan HungYa-Yun Lee
Aug 18, 2020·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Dorothea Sze Min OngRanganath Vallabhajosyula
Feb 2, 2021·Neurorehabilitation and Neural Repair·Benjamin J VarleyAngelica G Thompson-Butel
Jun 29, 2021·Topics in Stroke Rehabilitation·Iratxe Unibaso-Markaida, Ioseba Iraurgi

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