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Trunk exercise programme post-stroke using a virtual reality video game-based system: a mixed methods feasibility study

Trunk exercise programme post-stroke using a virtual reality video game-based system: a mixed methods feasibility study
Trunk exercise programme post-stroke using a virtual reality video game-based system: a mixed methods feasibility study

Background:
Trunk control post-stroke can be affected by muscle weakness, reduced position sense and poor coordination leading to decreases in balance and functional ability. Virtual reality (VR) technology in stroke rehabilitation has been demonstrated to improve function and activity. However, the feasibility of using VR to deliver post-stroke trunk exercises is unknown.

Objective:
To investigate the feasibility of conducting trunk exercise using VR video game-based system (Valedo®) by measuring adherence, safety, acceptability and participation. In addition, changes in pre-post measures of trunk impairment, balance and upper and lower limb motor function were assessed.

Methods:
The intervention consisted of 18 sessions of VR video games trunk training program (3 days/week, 45 min./day) over 6 weeks. The exercises consisted of specific upper and lower trunk exercises including lateral flexion, rotation, flexion and extension.

The feasibility of using the Valedo® system was measured by means of adherence, safety, acceptability (post intervention semi structure interview) and participation in each session (Pittsburgh Rehabilitation Participation Scale (PRPS)). Pre- and post-intervention testing included the Trunk Impairment Scale (TIS), Streamlined Wolf Motor Function Test (SWMFT), Fugl-Meyer Assessment Motor Function (FMA), Berg Balance Scale (BBS).

Results:
Five chronic stroke survivors participated in the intervention. Post intervention results showed adherence was excellent, no adverse events occurred, acceptability was high and the PRPS revealed very good to excellent participation. The clinical outcome measures demonstrated the following improvements (shown as an average change in percentage): TIS (24%), SWMFT (5.5%), BBS (14%), FMA upper limb (1.6%) and FMA lower limb (3%).

Conclusion:
Results suggest that it is feasible to utilise VR video game-based system for trunk rehabilitation post-stroke. A wider scale study is warranted, to determine feasibility and large sample size of randomised controlled trial investigating the effectiveness of trunk exercises using VR video games for improving trunk and balance ability post- stroke.
Alhwoaimel, Norah
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Hughes, Ann-Marie
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Warner, Martin
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Burridge, Jane
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Brown, Simon
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Verheyden, Geert.
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Thijs, Liselot
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Wee, Seng Kwee
876fdc2f-4b84-4aba-bf50-f3417ae532c2
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52
Alhwoaimel, Norah
2bbf3fd2-1b5b-4f87-b357-47a182893249
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Warner, Martin
0d9ce533-67ba-4b3f-b798-53ab1a4f4ca7
Burridge, Jane
0110e9ea-0884-4982-a003-cb6307f38f64
Brown, Simon
81f6a7a5-379f-4b86-8b55-39f9799c23c8
Verheyden, Geert.
65d3e411-9892-4f78-8a40-1131b2798abc
Thijs, Liselot
7e98df02-b544-47aa-8511-b407dfc3bc51
Wee, Seng Kwee
876fdc2f-4b84-4aba-bf50-f3417ae532c2
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52

Alhwoaimel, Norah, Hughes, Ann-Marie, Warner, Martin, Burridge, Jane, Brown, Simon, Verheyden, Geert., Thijs, Liselot, Wee, Seng Kwee and Turk, Ruth (2019) Trunk exercise programme post-stroke using a virtual reality video game-based system: a mixed methods feasibility study. 3rd Saudi Physical Therapy Association Conference (SPTA) 2019, Riyadh International Convention & Exhibition Center, Riyadh, Saudi Arabia. 06 - 08 Sep 2019.

Record type: Conference or Workshop Item (Other)

Abstract


Background:
Trunk control post-stroke can be affected by muscle weakness, reduced position sense and poor coordination leading to decreases in balance and functional ability. Virtual reality (VR) technology in stroke rehabilitation has been demonstrated to improve function and activity. However, the feasibility of using VR to deliver post-stroke trunk exercises is unknown.

Objective:
To investigate the feasibility of conducting trunk exercise using VR video game-based system (Valedo®) by measuring adherence, safety, acceptability and participation. In addition, changes in pre-post measures of trunk impairment, balance and upper and lower limb motor function were assessed.

Methods:
The intervention consisted of 18 sessions of VR video games trunk training program (3 days/week, 45 min./day) over 6 weeks. The exercises consisted of specific upper and lower trunk exercises including lateral flexion, rotation, flexion and extension.

The feasibility of using the Valedo® system was measured by means of adherence, safety, acceptability (post intervention semi structure interview) and participation in each session (Pittsburgh Rehabilitation Participation Scale (PRPS)). Pre- and post-intervention testing included the Trunk Impairment Scale (TIS), Streamlined Wolf Motor Function Test (SWMFT), Fugl-Meyer Assessment Motor Function (FMA), Berg Balance Scale (BBS).

Results:
Five chronic stroke survivors participated in the intervention. Post intervention results showed adherence was excellent, no adverse events occurred, acceptability was high and the PRPS revealed very good to excellent participation. The clinical outcome measures demonstrated the following improvements (shown as an average change in percentage): TIS (24%), SWMFT (5.5%), BBS (14%), FMA upper limb (1.6%) and FMA lower limb (3%).

Conclusion:
Results suggest that it is feasible to utilise VR video game-based system for trunk rehabilitation post-stroke. A wider scale study is warranted, to determine feasibility and large sample size of randomised controlled trial investigating the effectiveness of trunk exercises using VR video games for improving trunk and balance ability post- stroke.

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More information

Published date: 8 September 2019
Venue - Dates: 3rd Saudi Physical Therapy Association Conference (SPTA) 2019, Riyadh International Convention & Exhibition Center, Riyadh, Saudi Arabia, 2019-09-06 - 2019-09-08

Identifiers

Local EPrints ID: 434711
URI: http://eprints.soton.ac.uk/id/eprint/434711
PURE UUID: 5c55029e-85f1-4853-90f9-ac14ebd5eb46
ORCID for Ann-Marie Hughes: ORCID iD orcid.org/0000-0002-3958-8206
ORCID for Jane Burridge: ORCID iD orcid.org/0000-0003-3497-6725
ORCID for Simon Brown: ORCID iD orcid.org/0000-0001-9646-3285
ORCID for Ruth Turk: ORCID iD orcid.org/0000-0001-6332-5353

Catalogue record

Date deposited: 07 Oct 2019 16:30
Last modified: 10 Nov 2021 03:19

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Contributors

Author: Norah Alhwoaimel
Author: Martin Warner
Author: Jane Burridge ORCID iD
Author: Simon Brown ORCID iD
Author: Geert. Verheyden
Author: Liselot Thijs
Author: Seng Kwee Wee
Author: Ruth Turk ORCID iD

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