Background The objective of the present study was to assess whether computer game-based training in the home setting in the late phase after stroke could improve upper extremity motor function. Methods Twelve subjects with prior stroke were recruited; 11 completed the study. Design The study had a single subject design; there was a baseline test (A1), a during intervention test (B) once a week, a post-test (A2) measured directly after the treatment phase, plus a follow-up (C) 16–18 weeks after the treatment phase. Information on motor function (Fugl-Meyer), grip force (GrippitR) and arm function in activity (ARAT, ABILHAND) was gathered at A1, A2 and C. During B, only Fugl-Meyer and ARAT were measured. The intervention comprised five weeks of game-based computer training in the home environment. All games were designed to be controlled by either the affected arm alone or by both arms. Conventional formulae were used to calculate the mean, median and standard deviations. Wilcoxon’s signed rank test was used for tests of dependent samples. Continuous data were analyzed by methods for repeated measures and ordinal data were analyzed by methods for ordered multinomial data using cumulative logistic models. A p-value of?
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机译：背景技术本研究的目的是评估中风后后期在家中进行的基于计算机游戏的培训是否可以改善上肢运动功能。方法招募12例先前卒中患者。 11日完成研究。设计研究采用单一主题设计。有一个基线测试（A1），一个干预测试（B）每周一次，在治疗阶段之后直接进行测验后（A2），以及在治疗阶段之后的16-18周进行随访（C） 。在A1，A2和C处收集有关运动功能（Fugl-Meyer），握力（GrippitR）和手臂功能（ARAT，ABILHAND）的信息。在B期间，仅测量Fugl-Meyer和ARAT。干预包括在家庭环境中进行为期五周的基于游戏的计算机培训。所有游戏均设计为由受影响的手臂单独控制或由双手控制。常规公式用于计算平均值，中位数和标准差。 Wilcoxon的带符号秩检验用于相关样本的检验。连续数据通过重复测量的方法进行分析，序数数据通过使用累积逻辑模型的有序多项式数据的方法进行分析。 p ＜0.05的p值被认为具有统计学意义。结果参加该研究的六名女性和五名男性，平均年龄为58岁（范围26-66）。与基线相比，FMA-UE A-D（运动功能），ARAT，受影响侧的最大抓地力和平均抓地力在测试后和随访中显示出显着改善。在这项研究中，游戏时间和结果变化之间没有发现显着相关性。结论结果表明，基于计算机游戏的训练可能是改善卒中后晚期上肢功能的一种有前途的方法，因为在这项研究中，运动功能和活动能力得到了改变。
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