TY - JOUR
T1 - Personalized 3D exergames for in-home rehabilitation after stroke
T2 - a pilot study
AU - Desai, Kevin
AU - Prabhakaran, Balakrishnan
AU - Ifejika, Nneka
AU - Annaswamy, Thiru M.
N1 - Funding Information:
This study was partly funded by a pilot study grant from the Mobility Foundation at the University of Texas Southwestern Medical Centre, Dallas, TX, USA. This material is based upon work supported by the US Army Research Office (ARO) Grant W911NF-17-1-0299. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the ARO. We acknowledge the contributions to this project made by Una Makris, Cody Wolfe, Aleksander Boressen, Yu-Yen Cheng and Sagnik Dakshit.
Publisher Copyright:
©, This work was authored as part of the Contributor's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
PY - 2023
Y1 - 2023
N2 - Purpose: To describe a novel 3-dimensional (3D) exergames system and the results of a clinical feasibility study of stroke survivors needing in-home rehabilitation. Materials and methods: The customisable Personalized In-home eXErgames for Rehabilitation (PIXER) system captures the user’s image, generates a live model, and incorporates it into a virtual exergame. PIXER provides a recording system for home exercise programs (HEPs) by adapting virtual objects, customizes the exergame and creates a digital diary. Ten persons with stroke, performed HEPs with PIXER for 1 month, and without PIXER for 2 additional months. In-game performance data, measures of physical functioning (PF) including Stroke Impact Scale (SIS), Timed Up & Go (TUG) and Goal Attainment (GA) Scale obtained at baseline, 1- and 3 months were evaluated. Results: Seventy percent of participants completed the 1-month timepoint, 50% completed all timepoints. In-game data: Number of repetitions completed; Anomalies reported; and Percentage of bubbles hit showed positive trends. Compared to baseline, all SIS physical functioning (PF) scores were higher at 1 month, TUG scores showed no overall improvement and GA scale scores were 77% at 3 months. Conclusion: It is feasible for community-dwelling patients to perform HEP after stroke using PIXER, a novel, exergames system, and potentially improve their function.IMPLICATIONS FOR REHABILITATION Home Exercises performed using a novel, 3-dimensional, customizable Personalized In-home eXErgames for Rehabilitation (PIXER) system is feasible for community-dwelling patients after stroke. In-game performance data obtained in this clinical pilot study showed positive trends of improvement in several study participants. PIXER has potential to improve functional outcomes for community-dwelling adults with stroke.
AB - Purpose: To describe a novel 3-dimensional (3D) exergames system and the results of a clinical feasibility study of stroke survivors needing in-home rehabilitation. Materials and methods: The customisable Personalized In-home eXErgames for Rehabilitation (PIXER) system captures the user’s image, generates a live model, and incorporates it into a virtual exergame. PIXER provides a recording system for home exercise programs (HEPs) by adapting virtual objects, customizes the exergame and creates a digital diary. Ten persons with stroke, performed HEPs with PIXER for 1 month, and without PIXER for 2 additional months. In-game performance data, measures of physical functioning (PF) including Stroke Impact Scale (SIS), Timed Up & Go (TUG) and Goal Attainment (GA) Scale obtained at baseline, 1- and 3 months were evaluated. Results: Seventy percent of participants completed the 1-month timepoint, 50% completed all timepoints. In-game data: Number of repetitions completed; Anomalies reported; and Percentage of bubbles hit showed positive trends. Compared to baseline, all SIS physical functioning (PF) scores were higher at 1 month, TUG scores showed no overall improvement and GA scale scores were 77% at 3 months. Conclusion: It is feasible for community-dwelling patients to perform HEP after stroke using PIXER, a novel, exergames system, and potentially improve their function.IMPLICATIONS FOR REHABILITATION Home Exercises performed using a novel, 3-dimensional, customizable Personalized In-home eXErgames for Rehabilitation (PIXER) system is feasible for community-dwelling patients after stroke. In-game performance data obtained in this clinical pilot study showed positive trends of improvement in several study participants. PIXER has potential to improve functional outcomes for community-dwelling adults with stroke.
KW - Rehabilitation
KW - computer games
KW - exercise therapy
KW - stroke
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U2 - 10.1080/17483107.2021.1913518
DO - 10.1080/17483107.2021.1913518
M3 - Article
C2 - 33899662
AN - SCOPUS:85104836100
SN - 1748-3107
VL - 18
SP - 704
EP - 713
JO - Disability and Rehabilitation: Assistive Technology
JF - Disability and Rehabilitation: Assistive Technology
IS - 5
ER -