title: Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke.
abstract: This article reports on the perceptions of 14 adults with chronic stroke who participated in a pilot study to determine the utility, acceptability, and potential efficacy of using an adapted CyWee Z handheld game controller to play a variety of computer games aimed at improving upper-limb function. Four qualitative in-depth interviews and two focus groups explored participant perceptions. Data were thematically analyzed with the general inductive approach. Participants enjoyed playing the computer games with the technology. The perceived benefits included improved upper-limb function, concentration, and balance; however, six participants reported shoulder and/or arm pain or discomfort, which presented while they were engaged in play but appeared to ease during rest. Participants suggested changes to the games and provided opinions on the use of computer games in rehabilitation. Using an adapted CyWee Z controller and computer games in upper-limb rehabilitation for people with chronic stroke is an acceptable and potentially beneficial adjunct to rehabilitation. The development of shoulder pain was a negative side effect for some participants and requires further investigation.
authors: The REAL Neurology Research Group, Centre for Physiotherapy Research, University of Otago, Dunedin, New Zealand. leigh.hale@otago.ac.nz
authors: Leigh A
authors: LA
authors: Hale
authors: Jessica A
authors: JA
authors: Satherley
authors: Nicole J
authors: NJ
authors: McMillan
authors: Stephan
authors: S
authors: Milosavljevic
authors: Juha M
authors: JM
authors: Hijmans
authors: Marcus J
authors: MJ
authors: King
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009068:Movement; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care; D010358:Patient Participation; D010465:Perception; D010865:Pilot Projects; D011597:Psychomotor Performance / Q000502:physiology; D036301:Qualitative Research; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D034941:Upper Extremity / Q000503:physiopathology*; D014584:User-Computer Interface; D018910:Video Games / Q000523:psychology*