A digital exercise and augmented reality training system improved mobility among stroke patients: A randomized control trial.

IF 1.4 4区医学 Q4 ENGINEERING, BIOMEDICAL Technology and Health Care Pub Date : 2024-01-01 DOI:10.3233/THC-220521

Ilanit Evron, Oren Schwartz, Anna Sajina, Liza Grosman-Rimon, Israel Dudkiewicz

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Abstract

Background: The Selfit system was developed to improve the mobility and gait-related functions of stroke patients by providing digital exercises and augmented reality training system.

Objective: To evaluate the effects of a digital exercise and augmented reality training system on mobility, gait-related functions and self-efficacy outcomes in stroke patients.

Methods: A randomized control trial was conducted on 25 men and women diagnosed with an early sub-acute stroke. Patients were randomly assigned to either the intervention (N= 11) or the control groups (N= 14). Patients in the intervention group received a digital exercise and augmented reality training using the Selfit system in addition to the standard physical therapy treatment. Patients in the control group were treated with a conventional physical therapy program. Timed Up and Go (TUG) test, 10-meter walk test, the Dynamic Gait Index (DGI), and the Activity-specific Balance Confidence (ABC) scale were completed before and after the intervention. Feasibility and satisfaction among patients and therapists were also assessed after the completion of the study.

Results: The intervention group practiced proportionally more time per session than the control group with a mean change of 19.7% following 6 sessions (p= 0.002). The intervention group showed better improvement in post-TUG score compared to the control group (p= 0.04). ABC, DGI, and the 10-meter walk test scores were not significantly different between the groups. Both therapists and participants demonstrated high satisfaction with the Selfit system.

Conclusion: The findings suggest that Selfit holds promise as an effective intervention for improving mobility and gait-related functions among patients with an early sub-acute stroke as compared to conventional physical therapy treatments.

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数字运动和增强现实训练系统改善了中风患者的行动能力：随机对照试验

背景开发Selfit系统的目的是通过提供数字化锻炼和增强现实训练系统来改善中风患者的活动能力和步态相关功能：评估数字运动和增强现实训练系统对脑卒中患者行动能力、步态相关功能和自我效能的影响：对 25 名被诊断为早期亚急性中风的男性和女性患者进行了随机对照试验。患者被随机分配到干预组（11 人）或对照组（14 人）。干预组患者除接受标准物理治疗外，还接受了数字运动和使用 Selfit 系统的增强现实训练。对照组患者则接受常规物理治疗项目。干预前后分别完成了定时起立行走（TUG）测试、10 米步行测试、动态步态指数（DGI）和特定活动平衡信心（ABC）量表。研究结束后，还对患者和治疗师的可行性和满意度进行了评估：结果：与对照组相比，干预组每次训练的时间比例更多，6 次训练后的平均变化为 19.7%（P= 0.002）。与对照组相比，干预组的 TUG 后得分有更好的提高（p= 0.04）。ABC、DGI 和 10 米步行测试得分在组间无明显差异。治疗师和参与者对 Selfit 系统的满意度都很高：研究结果表明，与传统物理治疗方法相比，Selfit 可有效改善早期亚急性中风患者的活动能力和步态相关功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL

CiteScore

2.10

自引率

6.20%

发文量

282

审稿时长

>12 weeks

期刊介绍： Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).