JNER: Kinect-based exercise training to prevent stroke and falls: a randomized controlled trial

Remote rehabilitation and interactive body motion detection technologies using Kinect and Wii-Fit are becoming more and more popular
.

During the COVID-19 pandemic, stroke survivors have limited access to outpatient rehabilitation

Falls are more common in stroke patients than in age-matched healthy older adults

This research proposes a new task-specific rapid movement training (RMT) plan, which requires stroke survivors to exercise quickly and reach out to targets in different directions

In this study, the aim was to study the effectiveness of RMT after 20 training sessions and compare it with the effectiveness of traditional balance training (CBT) for chronic stroke survivors
.

To measure the effects of RMT and CBT training on the balance recovery response of stroke survivors

This article was published in " Journal of NeuroEngineering and Rehabilitation "

This study is a randomized controlled trial.
Researchers who did not participate in the evaluation used the random number generator on the computer to randomly assign the recruited participants to the RMT or CBT group
.

Both the RMT group and the CBT group received 20 training sessions, and the trainer did not participate in the evaluation

This study is a randomized controlled trial.

Research Process

Research Process

The patient wears a seat belt throughout the RMT
.

The other end of the wire harness is fixed in an omnidirectional movable wire harness frame

The patient wears a seat belt throughout the RMT

The CBT group performed a series of balance exercises developed by physical therapists in a clinical setting for chronic stroke patients

All participants were evaluated by the same evaluator using standardized clinical tests before and after the intervention

Patient's EMG results

Patient's EMG resultPatient EMG result

Sixteen patients were randomly assigned to the RMT group, and 14 patients were randomly assigned to the CBT group
.

The balance and motor function of the two groups were significantly improved, although there was a lack of significant main group effects in all clinical scoring analyses
.
After training, the gait control of the two groups seems to have an improvement trend, and the TUG performance has been moderately improved (P = 0.
07)
.
For the RMT group only, participants showed significant improvements in BBS (P = 0.
001), TUG (P = 0.
011) and FMA (P = 0.
015)
.
On the other hand, the CBT group only had a significant improvement in BBS (P = 0.
005)
.

Sixteen patients were randomly assigned to the RMT group, and 14 patients were randomly assigned to the CBT group
.
The balance and motor function of the two groups were significantly improved, although there was a lack of significant main group effects in all clinical scoring analyses
.
After training, the gait control of the two groups seems to have an improvement trend, and the TUG scores have been moderately improved (P = 0.
07).
Only for the RMT group, the participants showed a significant improvement in BBS (P = 0.
001), TUG (P = 0.
011) and FMA (P = 0.
015)
.
On the other hand, the CBT group only had a significant improvement in BBS (P = 0.
005)
.
For the RMT group only, participants showed significant improvements in BBS (P = 0.
001), TUG (P = 0.
011) and FMA (P = 0.
015)
.
On the other hand, the CBT group only had a significant improvement in BBS (P = 0.
005)
.

RMT can improve the overall balance of chronic stroke survivors
.
Chronic stroke survivors in the RMT group significantly improved their BBS, TUG, and FMA scores after 20 training sessions
.
The improvements to BBS, TUG and FMA in this article show that RMT and CBT have improved the overall balance and reduced the risk of falls
.
The stepping rectus femoris reaction time of the two groups of chronic stroke survivors also became faster
.
Although the paresis and non-paresis limbs were subjected to the same training 20 times, the participants in the RMT group did not change their preference for walking legs after the training
.
The CBT training in this study includes more task-oriented functional training, including throwing and catching plastic balls or small bean bags, and sitting to standing
.
RMT itself is more focused on improving reaction time and range of motion, starting from different aspects of balance rehabilitation
.
, RMT stroke participants improved their reaction time and range of motion throughout the training process
.

RMT can improve the overall balance of chronic stroke survivors
.
Chronic stroke survivors in the RMT group significantly improved their BBS, TUG, and FMA scores after 20 training sessions
.
The improvements to BBS, TUG and FMA in this article show that RMT and CBT have improved the overall balance and reduced the risk of falls
.
The stepping rectus femoris reaction time of the two groups of chronic stroke survivors also became faster
.
Although the paresis and non-paresis limbs were subjected to the same training 20 times, the participants in the RMT group did not change their preference for walking legs after the training
.
The CBT training in this study includes more task-oriented functional training, including throwing and catching plastic balls or small bean bags, and sitting to standing
.
RMT itself is more focused on improving reaction time and range of motion, starting from different aspects of balance rehabilitation
.
, RMT stroke participants improved their reaction time and range of motion throughout the training process
.
RMT can improve the overall balance of chronic stroke survivors
.
Chronic stroke survivors in the RMT group significantly improved their BBS, TUG, and FMA scores after 20 training sessions
.
The improvements to BBS, TUG and FMA in this article show that RMT and CBT have improved the overall balance and reduced the risk of falls
.
RMT can improve the overall balance of chronic stroke survivors
.
Chronic stroke survivors in the RMT group significantly improved their BBS, TUG, and FMA scores after 20 training sessions
.
The improvements to BBS, TUG and FMA in this article show that RMT and CBT have improved the overall balance and reduced the risk of falls
.

Research results show that RMT is as effective as traditional balance training rehabilitation
.
The results of the study provide support for the introduction of RMT for balance training in stroke rehabilitation, and may be applied to remote rehabilitation at home
.

Research results show that RMT is as effective as traditional balance training rehabilitation
.
The results of the study provide support for the introduction of RMT for balance training in stroke rehabilitation, and may be applied to remote rehabilitation at home
.

Junata, M.
, Cheng, K.
CC.
, Man, HS  et al.
Kinect-based rapid movement training to improve balance recovery for stroke fall prevention: a randomized controlled trial .
  J NeuroEngineering Rehabil 18,  150 (2021).
https: //doi.
org/10.
1186/s12984-021-00922-3  

Junata, M.
, Cheng, K.
CC.
, Man, HS  et al.
Kinect-based rapid movement training to improve balance recovery for stroke fall prevention: a randomized controlled trial .
  J NeuroEngineering Rehabil 18,  150 (2021).
https: //doi.
org/10.
1186/s12984-021-00922-3   Junata, M.
, Cheng, K.
CC.
, Man, HS  et al.
Kinect-based rapid movement training to improve balance recovery for stroke fall prevention: a randomized controlled trial .
  Kinect-based rapid movement training to improve balance recovery for stroke fall prevention: a randomized controlled trial J NeuroEngineering Rehabil 18,  150 (2021).
https://doi.
org/10.
1186/s12984-021-00922-3  https://doi.
org/10.
1186/s12984-021-00922-3

 

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