TY - JOUR AU - Allegue, Dorra raakia AU - Higgins, Johanne AU - Sweet, Shane N AU - Archambault, Philippe S AU - Michaud, Francois AU - Miller, William AU - Tousignant, Michel AU - Kairy, Dahlia PY - 2022 DA - 2022/6/22 TI -通过远程康复结合运动康复慢性中风幸存者的上肢:来自可行性临床试验的初步发现JO - JMIR康复辅助技术SP - e33745 VL - 9is - 2kw -中风KW -康复KW -虚拟现实KW -视频游戏KW -远程康复KW -上肢KW -动机KW -移动健康KW -个性化护理KW -中风康复AB -背景:运动游戏越来越多地被用于患有慢性上肢(UE)后遗症的中风幸存者中，以便出院后继续在家锻炼并保持活动水平。使用虚拟现实锻炼游戏结合远程康复应用(VirTele)可能是一种有趣的替代方案，可以恢复慢性中风幸存者的UE后遗症，同时允许与临床医生进行持续监测。目的:本研究旨在确定VirTele在慢性脑卒中幸存者家中使用的可行性，并探讨与常规治疗相比，VirTele对慢性脑卒中幸存者UE运动功能、使用数量和质量、生活质量和积极性的影响。方法:本研究为两臂可行性临床试验。符合条件的参与者被随机分配到实验组(接受VirTele治疗8周)和对照组(接受常规治疗8周)。可行性是通过临床医生完成的锻炼和干预日志来衡量的。结果测量包括Fugl-Meyer评估ue、运动活动日志-30、卒中影响量表-16和治疗自我调节问卷-15，在四个时间点给两组:时间点1 (T1;时间点2(干预后)、时间点3(干预后1个月)、时间点4 (T4; 2 months after the intervention). Results: A total of 11 survivors of stroke were randomized and allocated to an experimental or a control group. At the onset of the COVID-19 pandemic, participants pursued the allocated treatment for 3 months instead of 8 weeks. VirTele intervention dose was captured in terms of time spent on exergames, frequency of use of exergames, total number of successful repetitions, and frequency of videoconference sessions. Technical issues included the loss of passwords, internet issues, updates of the system, and problems with the avatar. Overall, most survivors of stroke found the technology easy to use and useful, except for 9% (1/11) of participants. For the Fugl-Meyer Assessment-UE and Motor Activity Log-30, both groups exhibited an improvement in >50% of the participants, which was maintained over time (from time point 3 to T4). Regarding Stroke Impact Scale-16 scores, the control group reported improvement in activities of daily life (3/5, 60%), hand function (5/5, 100%), and mobility (2/5, 40%), whereas the experimental group reported varied and inconclusive results (from T1 to T4). For the Treatment Self-Regulation Questionnaire-15, 75% (3/4) of the experimental group demonstrated an increase in the autonomous motivation score (from T1 to time point 2), whereas, in the control group, this improvement was observed in only 9% (1/11) of participants. Conclusions: The VirTele intervention constitutes another therapeutic alternative, in addition to conventional therapy, to deliver an intense personalized rehabilitation program for survivors of chronic stroke with UE sequelae. International Registered Report Identifier (IRRID): RR2-10.2196/14629 SN - 2369-2529 UR - https://rehab.www.mybigtv.com/2022/2/e33745 UR - https://doi.org/10.2196/33745 UR - http://www.ncbi.nlm.nih.gov/pubmed/35731560 DO - 10.2196/33745 ID - info:doi/10.2196/33745 ER -