Safety and Feasibility of Integrating Video Gaming Technology in Acute Early Stroke Recovery

Abstract

<h3>Research Objectives</h3> This study aims to examine the safety and feasibility of implementing an additional hour of time-on-task upper limb training using video game technology (VGT) or conventional Occupational Therapy (COT) in the early phase post-stroke. <h3>Design</h3> This is a randomized controlled, single-site trial. After a rollup period, sixty participants will be randomized to either a therapy group (VGT or COT) versus standard of care. Patients receive an additional hour of time-on-task upper limb training 5 days a week for the duration of their hospital stay. <h3>Setting</h3> Hospital acute stroke unit or acute rehabilitation unit. <h3>Participants</h3> Patients are eligible if they had stroke within the previous four weeks and have upper extremity weakness. <h3>Interventions</h3> VGT therapy includes the MindPod Dolphin, immersive gaming software that promotes motor recovery and bimanual arm trainer. COT includes Graded Repetitive Arm Supplementary Program. <h3>Main Outcome Measures</h3> Primary outcomes are safety and feasibility of adding an additional hour of VGT or COT into acute stroke units as measured by successful completion of the extra session. Secondary outcomes include time on task and session duration. <h3>Results</h3> In the rollup period, 14 patients were enrolled. They had an average age of 57 years. Initially, patients spent an average of 15 minutes time-on-task during 23 minute session; after protocol iteration they achieved 43 minutes during 80 minutes sessions. There have been no safety issues and motor endpoints and perceived exertion are measured. Study is ongoing. <h3>Conclusions</h3> This study is examining the safety and feasibility of integrating VGT for an additional hour of upper limb training in the early phase of post-stroke care. <h3>Author(s) Disclosures</h3> Authors have no disclosures.