Measured and Perceived Effects of Upper Limb Home-Based Exergaming Interventions on Activity after Stroke: A Systematic Review and Meta-Analysis

Axelle Gelineau, Anaick Perrochon, Louise Robin, Jean-Christophe Daviet and Stéphane Mandigout
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Axelle Gelineau: HAVAE Laboratory UR 20217, University of Limoges, 87000 Limoges, France
Anaick Perrochon: HAVAE Laboratory UR 20217, University of Limoges, 87000 Limoges, France
Louise Robin: HAVAE Laboratory UR 20217, University of Limoges, 87000 Limoges, France
Jean-Christophe Daviet: HAVAE Laboratory UR 20217, University of Limoges, 87000 Limoges, France
Stéphane Mandigout: HAVAE Laboratory UR 20217, University of Limoges, 87000 Limoges, France

IJERPH, 2022, vol. 19, issue 15, 1-19

Abstract: After discharge from the hospital to home, stroke patients may experience weakness and reduced movement in their hemiparetic arms that limits their ability to perform daily activities. Therapists can use exercise games (exergames) to maintain functional abilities and daily use of the arm at home. A systematic review and meta-analysis was conducted to determine the efficiency of upper limb home-based rehabilitation, using exergaming on activity abilities in stroke. Randomized controlled trials were reviewed in the CENTRAL, MEDLINE, CINAHL, EMBASE, and SCOPUS online databases. Clinical measures of observation and self-reporting were studied in post-intervention and follow-up. Nine studies were included in this systematic review (535 participants). The Physiotherapy Evidence Database (PEDro) score was 6.6/10 (SD 1.0, range 5–8), indicating good quality. This systematic review and meta-analysis showed that upper limb home-based exergaming interventions were no more effective in terms of activity than conventional therapy after stroke, according to the observational and subjective assessments in post-intervention and follow-up. Using this same approach, future studies should focus on evaluating home-based exergames through subgroup analysis to be able to propose recommendations.

Keywords: stroke; upper limb; exergames; activity; tele-health; e-health; home (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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