Background: Approximately two thirds of stroke survivors maintain upper limb (UL) impairments and few among them attain complete UL recovery six months after stroke. Objectives: Our objective was to assess the efficacy of serious games, implemented on diverse technological systems, targeting UL recovery after stroke. In addition, we investigated whether adherence to neurorehabilitation principles influenced efficacy of games specifically designed for rehabilitation, regardless of the device used. Method: This systematic review was conducted according to PRISMA guidelines. Meta-analysis, using a random effects model, was performed to compare effects of interventions using serious games, to conventional treatment, for UL rehabilitation in adult stroke patients. Results: Meta-analysis of 42 trials, including 1760 participants, showed better improvements in favor of interventions using serious games when compared to conventional therapies, regarding UL function (SMD = 0,47; 95% CI = 0,24 to 0,70; P < 0.0001), activity (SMD = 0,25; 95% CI = 0,05 to 0,46; P = 0.02) and participation (SMD = 0,66; 95% CI = 0,29 to 1,03; P = 0.0005). Interventions using serious games that complied with at least 8 neurorehabilitation principles showed better overall effects. Conclusion: This meta-analysis showed that rehabilitation through serious games, targeting UL recovery after stroke, leads to better improvements, compared to conventional treatment, in three ICF-WHO components. Irrespective of the technological device used, higher adherence to a consolidated set of neurorehabilitation principles enhances efficacy of serious games. Future development of stroke-specific rehabilitation interventions should further take into consideration the consolidated set of neurorehabilitation principles.
Serious games for upper limb rehabilitation after stroke: a meta-analysis
2020-01-01
Journal of NeuroEngineering and Rehabilitation, Vol. 18, no.1, p. 1-19 (2021)
Aufsatz (Konferenz)
Elektronische Ressource
Englisch
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