Abstract
Objective A large number of patients need critical physical rehabilitation after the stroke. This study aimed to review and report the result of published studies, in which newly emerged games were employed for physical rehabilitating in poststroke patients. Materials and Methods This systematic review study was performed based on the PRISMA method. A comprehensive search of PubMed, Scopus, IEEE Xplore Digital Library, and ISI Web of Science was conducted from January 1, 2014, to November 9, 2020, to identify related articles. Studies have been entered in this review based on inclusion and exclusion criteria, in which new games have been used for physical rehabilitation. Results Of the 1326 retrieved studies, 60 of them met our inclusion criteria. Virtual reality-oriented games were the most popular type of physical rehabilitation approach for poststroke patients. “The Nintendo Wii Fit” game was used more than other games. The reviewed games were mostly operated to balance training and limb mobilization. Based on the evaluation results of the utilized games, only in three studies, applied games were not effective. In other studies, games had effective outcomes for target body members. Conclusions The results indicate that modern games are efficient in poststroke patients' physical rehabilitation and can be used alongside conventional methods.
Highlights
Stroke is one of the diseases that can lead to disability and affect people’s daily activities and lead to reduced performance [1]
In this systematic review, most studies have used existing games in rehabilitation and do not develop games for the purpose of research that we can refer to the Nintendo Wii Fit, Microsoft Xbox 360 Kinect games, Peggle, IREX, and HTC Vive games
If there is no significant difference in all evaluation measures before and after the intervention, we label them “No effective.”
Summary
Stroke is one of the diseases that can lead to disability and affect people’s daily activities and lead to reduced performance [1]. Disability-adjusted life years (DALYs) lost was 102 million, and the number of stroke survivors was 33 million [2]. Most people with poststroke disability experience changes in emotional function, limb movement, balance, and muscle strength, and there is a risk of falling for these patients in performing ordinary activities, all of which affect the quality of life of survivors [4]. E main treatment solution to reduce functional defects after stroke is rehabilitation [5]. Poststroke physical rehabilitation in common is a gradual process that can take months or even years, and these patients require multiple sessions of treatment
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