The Feasibility of a Customized, In-Home, Game-Based Stroke Exercise Program Using the Microsoft Kinect Sensor
DOI:
https://doi.org/10.5195/ijt.2015.6177Abstract
The objective of this study was to determine the feasibility of a 6-week, game-based, in-home telerehabilitation exercise program using the Microsoft Kinect® for individuals with chronic stroke. Four participants with chronic stroke completed the intervention based on games designed with the customized Mystic Isle software. The games were tailored to each participant’s specific rehabilitation needs to facilitate the attainment of individualized goals determined through the Canadian Occupational Performance Measure. Likert scale questionnaires assessed the feasibility and utility of the game-based intervention. Supplementary clinical outcome data were collected. All participants played the games with moderately high enjoyment. Participant feedback helped identify barriers to use (especially, limited free time) and possible improvements. An in-home, customized, virtual reality game intervention to provide rehabilitative exercises for persons with chronic stroke is practicable. However, future studies are necessary to determine the intervention’s impact on participant function, activity, and involvement.
References
Adamovich, S. V., Merians, A. S., Boian, R., Lewis, J. A., Tremaine, M., Burdea, G. S., ... & Poizner, H. (2005). A virtual reality-based exercise system for hand rehabilitation post-stroke. Presence: Teleoperators and Virtual Environments, 14, 161-174.
Bangor, A., Kortum, P., & Miller, J. (2009). Determining what individual SUS scores mean: Adding an adjective rating scale. Journal of Usability Studies, 4, 114-123.
Botner, E. M., Miller, W. C., & Eng, J. J. (2005). Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. Disability & Rehabilitation, 27, 156-163.
Centers for Disease Control and Prevention (CDC. (2007). Outpatient rehabilitation among stroke survivors--21 States and the District of Columbia, 2005. MMWR. Morbidity and Mortality Weekly Report, 56, 504.
Chen, C. Y., Neufeld, P. S., Feely, C. A., & Skinner, C. S. (1999). Factors influencing compliance with home exercise programs among patients with upper-extremity impairment. American Journal of Occupational Therapy, 53, 171-180.
Combs, S. A., Kelly, S. P., Barton, R., Ivaska, M., & Nowak, K. (2010). Effects of an intensive, task-specific rehabilitation program for individuals with chronic stroke: A case series. Disability & Rehabilitation, 32, 669-678.
Corbin, J., & Strauss, A. (Eds.). (2008). Basics of Qualitative Research: Techniques and procedures for Developing Grounded Theory. 3rd ed. California: Sage.
Creswell, J. W., Klassen, A. C., Plano Clark, V. L., & Smith, K. C. (2011). Best practices for mixed methods research in the health sciences. Report Commissioned by the NIH Office of Behavioral and Social Sciences Research.
Cup, E. H., Scholte op Reimer, W. J., Thijssen, M. C., & van Kuyk-Minis, M. A. (2003). Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clinical Rehabilitation, 17(4), 402-409.
Duncan, P. W., Propst, M., & Nelson, S. G. (1983). Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Physical Therapy, 63(10), 1606-10.
Duncan, P. W., Zorowitz, R., Bates, B., Choi, J. Y., Glasberg, J. J., Graham, G. D., ... & Reker, D. (2005). Management of adult stroke rehabilitation care a clinical practice guideline. Stroke, 36, e100-e143.
Egan, M., Kessler, D., Laporte, L., Metcalfe, V., & Carter, M. (2007). A pilot randomized controlled trial of community-based occupational therapy in late stroke rehabilitation. Topics in Stroke Rehabilitation, 14(5), 37-45.
Fern'ndez-Baena, A., Susín, A., & Lligadas, X. (2012, September). Biomechanical validation of upper-body and lower-body joint movements of kinect motion capture data for rehabilitation treatments. In Intelligent Networking and Collaborative Systems (INCoS), 2012 4th International Conference on (pp. 656-661). IEEE.
Forkan, R., Pumper, B., Smyth, N., Wirkkala, H., Ciol, M. A., & Shumway-Cook, A. (2006). Exercise adherence following physical therapy intervention in older adults with impaired balance. Physical Therapy, 86(3), 401-410.
Fugl-Meyer, A. R., Jaasko, L., Leyman, I., Olsson, S., & Stenlind, S. (1975). The post-stroke hemiplegic patient. Scandinavian Journal of Rehabilitation Medicine, 7, 13-31.
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., ... & Stroke, S. S. (2013). Heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation, 127(1), e6.
Hartman-Maeir, A., Soroker, N., Ring, H., Avni, N., & Katz, N. (2007). Activities, participation and satisfaction one-year post stroke. Disability & Rehabilitation,29, 559-566.
Henderson, A., Korner-Bitensky, N., & Levin, M. (2007). Virtual reality in stroke rehabilitation: A systematic review of its effectiveness for upper limb motor recovery. Topics in Stroke Rehabilitation, 14(2), 52-61.
Hsieh, Y. W., Wu, C. Y., Lin, K. C., Chang, Y. F., Chen, C. L., & Liu, J. S. (2009). Responsiveness and validity of three outcome measures of motor function after stroke rehabilitation. Stroke, 40(4), 1386-91.
Jurkiewicz, M. T., Marzolini, S., & Oh, P. (2011). Adherence to a home-based exercise program for individuals after stroke. Topics in Stroke Rehabilitation, 18, 277-284.
Lange, B., Chang, C.. Y., Suma, E., Newman B., Rizzo, A. S., & Bolas, M. (2011). Development and evaluation of a low cost game-based rehabilitation tool using the Microsoft Kinect sensor. Paper presented at the 33rd Annual International Conference of the IEEE EMBS: Boston, MA.
Lange, B., Koenig, S., Chang, C. Y., McConnell, E., Suma, E., Bolas, M., & Rizzo, A. (2012). Designing informed game-based rehabilitation tasks leveraging advanced n virtual reality. Disability and Rehabilitation, 34, 1863-1870.
Law, M. C. 1998. Canadian Occupational Performance Measure. 1998. Slack Incorporated.
Lewis, J. R. (1995). IBM computer usability satisfaction questionnaires: psychometric evaluation and instructions for use. International Journal of Human‐Computer Interaction, 7, 57-78.
Lin, K. C., Fu, T., Wu, C. Y., Hsieg, Y. W., Chen, C. L., & Lee, P. C. (2010). Psychometric comparisons of the Stroke Impact Scale 3.0 and the Stroke-Specific Quality of Life Scale. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care, and Rehabilitation, 19, 435-443.
Mayo, N. E., Wood-Dauphinee, S., Cote, R., Durcan, L., & Carlton, J. (2002). Activity, participation, and quality of life 6 months poststroke. Archives of Physical Medicine & Rehabilitation, 83, 1035-1042.
Merians, A. S., Jack, D., Boian, R., Tremaine, M., Burdea, G. C., Adamovich, S. V., ... & Poizner, H. (2002). Virtual reality–augmented rehabilitation for patients following stroke. Physical therapy, 82, 898-915.
Pang, M. Y., Eng, J. J., Dawson, A. S., McKay, H. A., & Harris, J. E. (2005). A community‐based fitness and mobility exercise program for older adults with chronic stroke: A randomized, controlled trial. Journal of the American Geriatrics Society, 53, 1667-1674.
Payne, A., Greig, C., Young, A., & Mead, G. (2001). Views of stroke patients on physical fitness training. Age and Ageing, 30, 429-429.
Proffitt, R., & Lange, B. (2013). User centered design and development of a game for exercise in older adults. International Journal of Technology, Knowledge, and Society, 8, 95-112.
Przybylski, A. K., Rigby, C. S., & Ryan, R. M. (2010). A motivational model of video game engagement. Review of General Psychology, 14, 154-166.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68-78.
Saposnik, G., & Levin, M. (2011). Virtual reality in stroke rehabilitation a meta-analysis and implications for clinicians. Stroke, 42, 1380-1386.
Shaughnessy, M., Resnick, B. M., & Macko, R. F. (2006). Testing a model of post‐stroke exercise behavior. Rehabilitation Nursing, 31(1), 15-21.
Sheldon, K. M., & Filak, V. (2008). Manipulating autonomy, competence, and relatedness support in a game-learning contact: New evidence that all three needs matter. British Journal of Social Psychology, 47, 267-283.
Stewart, J. C., Yeh, S. C., Jung, Y., Yoon, H., Whitford, M., Chen, S. Y., … & Winstein, C. J. (2007). Intervention to enhance skilled arm and hand movements after stroke: A feasibility study using a new virtual reality system. Journal of Neuroengineering & Rehabilitation, 4(21), e1-6.
Williams, L. S., Weinberger, M., Harris, L. E., Clark, D. O., & Biller, J. (1999). Development of a stroke-specific quality of life scale. Stroke, 30, 1362-1369.
Woodson, A. M. (2008). Stroke. In M. V. Radomski & C. A. Trombly Latham (Eds.), Occupational Therapy for Physical Dysfunction (6th ed). Maryland: Lippincott Williams & Wilkins.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.