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Video game-based trunk exercise for rehabilitation of people with chronic stroke: a mixed methods feasibility study

Video game-based trunk exercise for rehabilitation of people with chronic stroke: a mixed methods feasibility study
Video game-based trunk exercise for rehabilitation of people with chronic stroke: a mixed methods feasibility study
Aim: to assess the feasibility of video game-based trunk exercises using the Valedo® system in a chronic stroke population.

Method: ten chronic stroke survivors (eight males and two females, mean age 63 ± 15 years) were asked to complete 18 intervention sessions, each lasting 45 min., over 6–8 weeks. Feasibility was evaluated quantitatively using the Psychosocial Impact of Assistive Devices Scale (PIADS) as well as through recruitment, retention, adherence, and safety measures. Qualitative data on feasibility were collected through post-intervention semi-structured interviews. Descriptive analysis was used to summarize participant characteristics, recruitment, retention, and adherence. Qualitative data were analyzed using thematic analysis of the interviews.

Results: twelve stroke survivors were recruited from Southampton (United Kingdom) and Riyadh (Kingdom of Saudi Arabia), with two participants dropping out after the baseline assessment session. The remaining ten participants completed the study with a mean adherence of 96.11% to the planned sessions. No serious adverse effects were reported, however, four participants did experience trunk muscle tightness and fatigue. Post-intervention interviews revealed that participants encountered some physical and cognitive challenges while playing the Valedo video games. However, they felt that the implementation of trunk exercises using video games was safe, as the exercises were performed in a secure environment and in safe positions.

Conclusions: the findings suggest that the Valedo system is feasible for delivering trunk exercises to chronic stroke survivors. Several factors should be considered when implementing this type of intervention in the future.
stroke rehabilitation;, video games, game-based rehabilitation, virtual reality, trunk exercise, trunk control, trunk impairment, stroke rehabilitation
1424-8220
Alhwoaimel, Norah A.
cce1565a-56b7-434c-acac-dd9f83d3a471
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Warner, Martin
f4dce73d-fb87-4f71-a3f0-078123aa040c
Alenazi, Aqueel M.
2607d2ad-0a5b-4315-a82f-2498ddae6f44
Alshehri, Mohammed
2e6ac367-f424-4aed-826e-dc3d6a680760
Alqahtani, Bader A.
73b900c9-d33d-44a5-8806-2850d944be42
Alhowimel, Ahmed S.
a94b95e2-1275-415d-bf4a-c96cbb709b29
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Brown, Simon
81f6a7a5-379f-4b86-8b55-39f9799c23c8
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52
Alhwoaimel, Norah A.
cce1565a-56b7-434c-acac-dd9f83d3a471
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Warner, Martin
f4dce73d-fb87-4f71-a3f0-078123aa040c
Alenazi, Aqueel M.
2607d2ad-0a5b-4315-a82f-2498ddae6f44
Alshehri, Mohammed
2e6ac367-f424-4aed-826e-dc3d6a680760
Alqahtani, Bader A.
73b900c9-d33d-44a5-8806-2850d944be42
Alhowimel, Ahmed S.
a94b95e2-1275-415d-bf4a-c96cbb709b29
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Brown, Simon
81f6a7a5-379f-4b86-8b55-39f9799c23c8
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52

Alhwoaimel, Norah A., Hughes, Ann-Marie, Warner, Martin, Alenazi, Aqueel M., Alshehri, Mohammed, Alqahtani, Bader A., Alhowimel, Ahmed S., Wagland, Richard, Brown, Simon and Turk, Ruth (2024) Video game-based trunk exercise for rehabilitation of people with chronic stroke: a mixed methods feasibility study. Sensors, 24 (21), [6830]. (doi:10.3390/s24216830).

Record type: Article

Abstract

Aim: to assess the feasibility of video game-based trunk exercises using the Valedo® system in a chronic stroke population.

Method: ten chronic stroke survivors (eight males and two females, mean age 63 ± 15 years) were asked to complete 18 intervention sessions, each lasting 45 min., over 6–8 weeks. Feasibility was evaluated quantitatively using the Psychosocial Impact of Assistive Devices Scale (PIADS) as well as through recruitment, retention, adherence, and safety measures. Qualitative data on feasibility were collected through post-intervention semi-structured interviews. Descriptive analysis was used to summarize participant characteristics, recruitment, retention, and adherence. Qualitative data were analyzed using thematic analysis of the interviews.

Results: twelve stroke survivors were recruited from Southampton (United Kingdom) and Riyadh (Kingdom of Saudi Arabia), with two participants dropping out after the baseline assessment session. The remaining ten participants completed the study with a mean adherence of 96.11% to the planned sessions. No serious adverse effects were reported, however, four participants did experience trunk muscle tightness and fatigue. Post-intervention interviews revealed that participants encountered some physical and cognitive challenges while playing the Valedo video games. However, they felt that the implementation of trunk exercises using video games was safe, as the exercises were performed in a secure environment and in safe positions.

Conclusions: the findings suggest that the Valedo system is feasible for delivering trunk exercises to chronic stroke survivors. Several factors should be considered when implementing this type of intervention in the future.

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Accepted/In Press date: 19 October 2024
Published date: 24 October 2024
Keywords: stroke rehabilitation;, video games, game-based rehabilitation, virtual reality, trunk exercise, trunk control, trunk impairment, stroke rehabilitation

Identifiers

Local EPrints ID: 495981
URI: http://eprints.soton.ac.uk/id/eprint/495981
ISSN: 1424-8220
PURE UUID: 2500e7aa-ba8a-47b4-9b20-1fb163fae023
ORCID for Ann-Marie Hughes: ORCID iD orcid.org/0000-0002-3958-8206
ORCID for Martin Warner: ORCID iD orcid.org/0000-0002-1483-0561
ORCID for Richard Wagland: ORCID iD orcid.org/0000-0003-1825-7587
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: 28 Nov 2024 17:45
Last modified: 30 Nov 2024 02:46

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Contributors

Author: Norah A. Alhwoaimel
Author: Martin Warner ORCID iD
Author: Aqueel M. Alenazi
Author: Mohammed Alshehri
Author: Bader A. Alqahtani
Author: Ahmed S. Alhowimel
Author: Richard Wagland ORCID iD
Author: Simon Brown ORCID iD
Author: Ruth Turk ORCID iD

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