AI Article Synopsis
- Stroke patients may have limited use of their affected arms after leaving the hospital, which affects daily activities.
- Exercise games (exergames) can help maintain arm function and encourage daily use during home rehabilitation.
- A review of studies found that exergaming was not more effective than conventional therapy for improving arm activity, suggesting future research should explore specific subgroups for better recommendations.
Article Abstract
After discharge from the hospital to home, stroke patients may experience weakness and reduced movement in their hemiparetic arms that limits their ability to perform daily activities. Therapists can use exercise games (exergames) to maintain functional abilities and daily use of the arm at home. A systematic review and meta-analysis was conducted to determine the efficiency of upper limb home-based rehabilitation, using exergaming on activity abilities in stroke Randomized controlled trials were reviewed in the CENTRAL, MEDLINE, CINAHL, EMBASE, and SCOPUS online databases. Clinical measures of observation and self-reporting were studied in post-intervention and follow-up. Nine studies were included in this systematic review (535 participants). The Physiotherapy Evidence Database (PEDro) score was 6.6/10 (SD 1.0, range 5-8), indicating good quality. This systematic review and meta-analysis showed that upper limb home-based exergaming interventions were no more effective in terms of activity than conventional therapy after stroke, according to the observational and subjective assessments in post-intervention and follow-up. Using this same approach, future studies should focus on evaluating home-based exergames through subgroup analysis to be able to propose recommendations.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329711 | PMC |
| http://dx.doi.org/10.3390/ijerph19159112 | DOI Listing |
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