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学科主题: 临床医学
题名:
Motion games improve balance control in stroke survivors: A preliminary study based on the principle of constraint-induced movement therapy
作者: Ding, Qicheng1; Stevenson, Ian H.2; Wang, Ninghua3; Li, Wei3; Sun, Yao1; Wang, Qining1; Kording, Konrad4; Wei, Kunlin1
关键词: Virtual reality ; Stroke rehabilitation ; Balance control ; Constraint-induced movement therapy ; Motion games ; Nintendo Wii
刊名: DISPLAYS
发表日期: 2013-04-01
DOI: 10.1016/j.displa.2012.08.004
卷: 34, 期:2, 页:125-131
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Computer Science, Hardware & Architecture ; Engineering, Electrical & Electronic ; Instruments & Instrumentation ; Optics
研究领域[WOS]: Computer Science ; Engineering ; Instruments & Instrumentation ; Optics
关键词[WOS]: CORTICAL REORGANIZATION ; VIRTUAL-REALITY ; VISUAL FEEDBACK ; REHABILITATION ; POSTSTROKE ; TRIAL ; HAND
英文摘要:

Stroke patients with hemiparesis often exhibit an asymmetrical weight distribution, with the paretic leg providing less support and less weight-shift activity than the sound leg does. For upper-limb hemiparesis constraint-induced movement therapy (CIMT), where the sound limb is constrained and the patient is forced to use the paretic limb, has proven to be one of the most effective rehabilitation methods. However, this method has not been successfully modified for balance rehabilitation, since hard constraints on the lower limb are difficult to impose and can increase the risk of patient injuries. Here we introduce a novel approach that encourages stroke survivors to use the paretic leg for weight-shifting tasks during balance control training in a virtual reality setting. We recorded motion signals from each leg in real time and streamed modified versions of these signals to the Nintendo Wii Fit gaming system. By independently manipulating the influence of each leg during game play, we successfully forced the stroke survivors to increase the use of the paretic leg. Our preliminary clinical trial, including three patients with hemiparesis in the chronic phase, found that one-week of training improved patients′ ability to maneuver their center of pressure (COP) during a tracking task. More encouragingly, patient′s weight distributions became more symmetrical. These initial results suggest that manipulating control gains during VR rehabilitation may allow the principles of CIMT to be applied during balance training in stroke survivors. (c) 2012 Elsevier B.V. All rights reserved.

语种: 英语
所属项目编号: 61005082 ; 31000456 ; 61020106005
项目资助者: National Natural Science Foundation of China, the Fundamental Research Funds for the Central Universities
WOS记录号: WOS:000320349900009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50916
Appears in Collections:北京大学第一临床医学院_康复医学科_期刊论文

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作者单位: 1.Peking Univ, Dept Psychol, Beijing Engn Res Ctr Intelligent Rehabil Engn, Key Lab Machine Percept,Minist Educ, Beijing 100871, Peoples R China
2.Univ Calif Berkeley, Redwood Ctr Theoret Neurosci, Berkeley, CA 94720 USA
3.Peking Univ, Hosp 1, Dept Rehabil Med, Beijing 100871, Peoples R China
4.Northwestern Univ, Rehabil Inst Chicago, Dept Phys Med & Rehabil, Chicago, IL 60611 USA

Recommended Citation:
Ding, Qicheng,Stevenson, Ian H.,Wang, Ninghua,et al. Motion games improve balance control in stroke survivors: A preliminary study based on the principle of constraint-induced movement therapy[J]. DISPLAYS,2013,34(2):125-131.
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