title: Effectiveness of commercial video gaming on fine motor control in chronic stroke within community-level rehabilitation.
abstract: OBJECTIVE
  The purpose of this study was to investigate the effectiveness of commercial gaming as an intervention for fine motor recovery in chronic stroke.
  
  
  METHODS
  Ten chronic phase post-stroke participants (mean time since CVA = 39 mos; mean age = 72 yrs) completed a 16-session program using the Nintendo Wii for 15 min two times per week with their more affected hand (10 right handed). Functional recovery (Jebsen Hand Function Test (JHFT), Box and Block Test (BBT), Nine Hole Peg Test (NHPT)), and quality of life (QOL; Stroke Impact Scale (SIS)) were measured at baseline (pre-testing), after 8 sessions (mid-testing) and after 16 sessions (post-testing).
  
  
  RESULTS
  Significant improvements were found with the JHFT, BBT and NHPT from pre-testing to post-testing (p = 0.03, p = 0.03, p = 0.01, respectively). As well, there was an increase in perceived QOL from pre-testing to post-testing, as determined by the SIS (p = 0.009).
  
  
  CONCLUSIONS
  Commercial gaming may be a viable resource for those with chronic stroke. Future research should examine the feasibility of this as a rehabilitation tool for this population.
  
  
  CONCLUSIONS
  Stroke survivors often live with lasting effects from their injury, however, those with chronic stroke generally receive little to no rehabilitation due to a perceived motor recovery plateau. Virtual reality in the form of commercial gaming is a novel and motivating way for clients to complete rehabilitation. The Nintendo Wii may be a feasible device to improve both functional ability and perceived quality of life in chronic stroke survivors.
authors.affiliation: a Faculty of Human Kinetics and.
authors.forename: Kate
authors.initials: K
authors.lastname: Paquin
authors.affiliation: a Faculty of Human Kinetics and.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Ali
authors.affiliation: a Faculty of Human Kinetics and.
authors.forename: Kelly
authors.initials: K
authors.lastname: Carr
authors.affiliation: b Faculty of Nursing , University of Windsor , Windsor , Ontario , Canada.
authors.forename: Jamie
authors.initials: J
authors.lastname: Crawley
authors.affiliation: a Faculty of Human Kinetics and.
authors.forename: Cheri
authors.initials: C
authors.lastname: McGowan
authors.affiliation: a Faculty of Human Kinetics and.
authors.forename: Sean
authors.initials: S
authors.lastname: Horton
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D011597:Psychomotor Performance / Q000502:physiology; D011788:Quality of Life; D020127:Recovery of Function; D012111:Residence Characteristics; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology*; D014584:User-Computer Interface; D018910:Video Games
keywords: Community; gaming; stroke; virtual reality