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Video Game Training - Upper Extremity

Introduction

Video game training (VGT) refers to the use of commercial video games (e.g. Nintendo Wii, Sony Playstation EyeToy) for post-stroke rehabilitation. 

VGT is potentially beneficial in that it is affordable, designed to be entertaining and fun, and can be used at home.  Prior to recommending the use of VGT for widespread clinical practice for upper limb rehabilitation, it is important to understand the current evidence regarding its effectiveness.

To date 1 high quality RCT, 1 fair quality RCT and 3 non-experimental studies have investigated the effect of video game training on upper-extremity rehabilitation.

Authors*: Adam Kagan BSc, Dr. Nicol Korner-Bitensky PhD OT

NOTE: *The authors and expert reviewers have no direct financial interest in any tools, tests or interventions presented in Stroke Engine.

NOTE: *The authors have no direct financial interest in any tools, tests or interventions presented in StrokEngine.

 

*high quality = PEDro score 6-10

*fair quality = PEDro score 4-5

*poor quality = PEDro score ≤ 3

The PEDro scale was developed by the Physiotherapy Evidence Database to determine the quality of clinical trials. The PEDro scale consists of a checklist of 10 scored yes-or-no questions pertaining to the internal validity and the statistical information provided. Please click on the link for more information: http://www.pedro.org.au/english/downloads/pedro-scale/

A randomized controlled trial (RCT) is an experimental design in which subjects are randomly assigned to a treatment group, or to a control (no treatment or alternative treatment) group. Effects of the experimental treatment are then compared statistically to results of the control treatment to determine effectiveness.

Patients between 1-6 months post-stroke are identified as in sub-acute stage of recovery.

*high quality = PEDro score 6-10

*fair quality = PEDro score 4-5

*poor quality = PEDro score ≤ 3

The PEDro scale was developed by the Physiotherapy Evidence Database to determine the quality of clinical trials. The PEDro scale consists of a checklist of 10 scored yes-or-no questions pertaining to the internal validity and the statistical information provided. Please click on the link for more information: http://www.pedro.org.au/english/downloads/pedro-scale/

A randomized controlled trial (RCT) is an experimental design in which subjects are randomly assigned to a treatment group, or to a control (no treatment or alternative treatment) group. Effects of the experimental treatment are then compared statistically to results of the control treatment to determine effectiveness.

Patients between 1-6 months post-stroke are identified as in sub-acute stage of recovery.

*high quality = PEDro score 6-10

*fair quality = PEDro score 4-5

*poor quality = PEDro score ≤ 3

The PEDro scale was developed by the Physiotherapy Evidence Database to determine the quality of clinical trials. The PEDro scale consists of a checklist of 10 scored yes-or-no questions pertaining to the internal validity and the statistical information provided. Please click on the link for more information: http://www.pedro.org.au/english/downloads/pedro-scale/

Patients longer than 6 months post-stroke are identified as in chronic stage of recovery.

Patients longer than 6 months post-stroke are identified as in chronic stage of recovery.

Patients longer than 6 months post-stroke are identified as in chronic stage of recovery.

Patients longer than 6 months post-stroke are identified as in chronic stage of recovery.

Patients longer than 6 months post-stroke are identified as in chronic stage of recovery.