title: ENGAGE: Guided Activity-Based Gaming in Neurorehabilitation after Stroke: A Pilot Study.
abstract: Introduction. Stroke is a leading cause of disability in healthy adults. The purpose of this pilot study was to assess the feasibility and outcomes of a novel video gaming repetitive practice paradigm, (ENGAGE) enhanced neurorehabilitation: guided activity-based gaming exercise. Methods. Sixteen individuals at least three months after stroke served as participants. All participants received concurrent outpatient therapy or took part in a stroke exercise class and completed at least 500 minutes of gaming. Primary baseline and posttest outcome measures included the Wolf motor function test (WMFT) and the Fugl-Meyer assessment (FMA). ENGAGE uses a game selection algorithm providing focused, graded activity-based repetitive practice that is highly individualized and directed. The Wilcoxon signed ranks test was used to determine statistical significance. Results. There were improvements in the WMFT (P = 0.003) and the FMA (P = 0.002) that exceeded established values of minimal clinically important difference. Conclusions. ENGAGE was feasible and an effective adjunct to concurrent therapy after stroke.
authors.affiliation: School of Health Sciences, Cleveland State University, 2121 Euclid Avenue, Cleveland, OH 44115, USA.
authors.forename: Ann
authors.initials: A
authors.lastname: Reinthal
authors.forename: Kathy
authors.initials: K
authors.lastname: Szirony
authors.forename: Cindy
authors.initials: C
authors.lastname: Clark
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Swiers
authors.forename: Michelle
authors.initials: M
authors.lastname: Kellicker
authors.forename: Susan
authors.initials: S
authors.lastname: Linder