sEMG-controlled forearm bracelet and serious game-based rehabilitation for training manual dexterity in people with multiple sclerosis: a randomised controlled trial

被引:7
作者
Marcos-Anton, Selena [1 ,2 ,3 ]
Jardon-Huete, Alberto [4 ]
Ona-Simbana, Edwin Daniel [4 ]
Blazquez-Fernandez, Aitor [3 ]
Martinez-Rolando, Lidia [5 ]
Cano-de-la-Cuerda, Roberto [2 ]
机构
[1] Rey Juan Carlos Univ, Fac Hlth Sci, Int PhD Sch, Madrid 28008, Spain
[2] Rey Juan Carlos Univ, Fac Hlth Sci, Dept Phys Therapy Occupat Therapy Phys Med & Rehab, Alcorcon 28922, Madrid, Spain
[3] Asociac Leganes Esclerosis Multiple ALEM, Leganes 28915, Madrid, Spain
[4] Univ Carlos III Madrid, Dept Syst Engn & Automat, Robot Lab, Leganes 28911, Madrid, Spain
[5] Rey Juan Carlos Univ Hosp Mostoles, Madrid 28933, Spain
关键词
Multiple sclerosis; MYO Armband; Rehabilitation; Serious games; Strength; Upper limb; Virtual reality; FATIGUE SEVERITY SCALE; BLOCK TEST; IMPACT; RELIABILITY; VALIDATION; VALIDITY; QUESTIONNAIRE; FATIGABILITY; SATISFACTION; DISABILITY;
D O I
10.1186/s12984-023-01233-5
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
BackgroundMuscle strength and dexterity impairments are common among patients with multiple sclerosis (MS) producing limitations in activities of daily living related to the upper limb (UL). This study aimed to evaluate the effectiveness of serious games specifically developed for the MYO Armband & REG; capture sensor in improving forearm and wrist mobility, UL muscle strength, dexterity, fatigue, functionality, quality of life, satisfaction, adverse effects and compliance.MethodsA double-blinded (allocation concealment was performed by a blinded investigator and by blinding for assessors) randomised controlled trial was conducted. The sample was randomised into two groups: an experimental group that received treatment based on UL serious games designed by the research team and controlled by the MYO Armband & REG; gesture capture sensor, along with conventional rehabilitation and a control group that received the same conventional rehabilitation for the UL. Both groups received two 60-min sessions per week over an eight-week period. Wrist range of motion (goniometry), grip muscle strength (Jamar & REG; dynamometer), coordination and gross UL dexterity (Box and Block Test), fatigue (Fatigue Severity Scale), functionality (ABILHAND), quality of life (Multiple Sclerosis Impact Scale-29), adverse effects (Simulator Sickness Questionnaire, SSQ), perceived workload (NASA-Task load index), satisfaction (Client Satisfaction Questionnaire-8 (CSQ-8), Satisfaction with Technology Scale, System Usability Scale (SUS) and QUEST 2.0) and compliance (attendance) were assessed in both groups pre-treatment, post-treatment and during a follow-up period of 2 weeks without receiving any treatment.ResultsSignificant differences were observed in the experimental group compared to the control group in the assessment of forearm supination (p = .004) and grip strength (p = .004). Adverse effects were minimal (SSQ: 7/100 points) and perceived workload was low (NASA-Task Load Index: 25/100 points) in the experimental group. The MYO Armband & REG; technology proved to be useful for the participants (SUS: 80.66/100) and the satisfaction scales received high scores (QUEST 2.0: 59.4/70 points; Satisfaction with Technology: 84.36/100 points). There were significant differences between the groups in terms of attendance percentage (p = .029).ConclusionsAn experimental protocol using MYO Armband & REG;-based serious games designed for UL rehabilitation showed improvements in active wrist range of motion and handgrip strength in patients with MS, with high satisfaction, minimal adverse effects and workload and excellent compliance.Trial registration number: This randomised controlled trial has been registered at ClinicalTrials.gov Identifier: NCT04171908.
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页数:18
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