Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke?
Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2016-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0163413&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849435331758129152 |
|---|---|
| author | Paul Rinne Michael Mace Tagore Nakornchai Karl Zimmerman Susannah Fayer Pankaj Sharma Jean-Luc Liardon Etienne Burdet Paul Bentley |
| author_facet | Paul Rinne Michael Mace Tagore Nakornchai Karl Zimmerman Susannah Fayer Pankaj Sharma Jean-Luc Liardon Etienne Burdet Paul Bentley |
| author_sort | Paul Rinne |
| collection | DOAJ |
| description | Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using a novel wireless grip-controller, adapted for neurodisability. We screened all newly-diagnosed hemiplegic stroke patients presenting to a stroke centre over 6 months. Subjects were compared on their ability to control a tablet or smartphone cursor using: finger-swipe, tap, joystick, screen-tilt, and an adapted handgrip. Cursor control was graded as: no movement (0); less than full-range movement (1); full-range movement (2); directed movement (3). In total, we screened 345 patients, of which 87 satisfied recruitment criteria and completed testing. The commonest reason for exclusion was cognitive impairment. Using conventional controls, the proportion of patients able to direct cursor movement was 38-48%; and to move it full-range was 55-67% (controller comparison: p>0.1). By comparison, handgrip enabled directed control in 75%, and full-range movement in 93% (controller comparison: p<0.001). This difference between controllers was most apparent amongst severely-disabled subjects, with 0% achieving directed or full-range control with conventional controls, compared to 58% and 83% achieving these two levels of movement, respectively, with handgrip. In conclusion, hand, or arm, training Apps played on conventional mobile devices are likely to be accessible only to mildly-disabled stroke patients. Technological adaptations such as grip-control can enable more severely affected subjects to engage with self-training software. |
| format | Article |
| id | doaj-art-dbca324c2e78451683c1862d6c8f0cfa |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-dbca324c2e78451683c1862d6c8f0cfa2025-08-20T03:26:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011110e016341310.1371/journal.pone.0163413Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke?Paul RinneMichael MaceTagore NakornchaiKarl ZimmermanSusannah FayerPankaj SharmaJean-Luc LiardonEtienne BurdetPaul BentleyMotor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using a novel wireless grip-controller, adapted for neurodisability. We screened all newly-diagnosed hemiplegic stroke patients presenting to a stroke centre over 6 months. Subjects were compared on their ability to control a tablet or smartphone cursor using: finger-swipe, tap, joystick, screen-tilt, and an adapted handgrip. Cursor control was graded as: no movement (0); less than full-range movement (1); full-range movement (2); directed movement (3). In total, we screened 345 patients, of which 87 satisfied recruitment criteria and completed testing. The commonest reason for exclusion was cognitive impairment. Using conventional controls, the proportion of patients able to direct cursor movement was 38-48%; and to move it full-range was 55-67% (controller comparison: p>0.1). By comparison, handgrip enabled directed control in 75%, and full-range movement in 93% (controller comparison: p<0.001). This difference between controllers was most apparent amongst severely-disabled subjects, with 0% achieving directed or full-range control with conventional controls, compared to 58% and 83% achieving these two levels of movement, respectively, with handgrip. In conclusion, hand, or arm, training Apps played on conventional mobile devices are likely to be accessible only to mildly-disabled stroke patients. Technological adaptations such as grip-control can enable more severely affected subjects to engage with self-training software.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0163413&type=printable |
| spellingShingle | Paul Rinne Michael Mace Tagore Nakornchai Karl Zimmerman Susannah Fayer Pankaj Sharma Jean-Luc Liardon Etienne Burdet Paul Bentley Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? PLoS ONE |
| title | Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? |
| title_full | Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? |
| title_fullStr | Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? |
| title_full_unstemmed | Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? |
| title_short | Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? |
| title_sort | democratizing neurorehabilitation how accessible are low cost mobile gaming technologies for self rehabilitation of arm disability in stroke |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0163413&type=printable |
| work_keys_str_mv | AT paulrinne democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT michaelmace democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT tagorenakornchai democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT karlzimmerman democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT susannahfayer democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT pankajsharma democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT jeanlucliardon democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT etienneburdet democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke AT paulbentley democratizingneurorehabilitationhowaccessiblearelowcostmobilegamingtechnologiesforselfrehabilitationofarmdisabilityinstroke |