ENGAGE : Guided Activity-Based Gaming in Neurorehabilitation after Stroke: A Pilot Study

Abstract EN

Introduction.

Stroke is a leading cause of disability in healthy adults.

The purpose of this pilot study was to assess the feasibility and outcomes of a novel video gaming repetitive practice paradigm, (ENGAGE) enhanced neurorehabilitation: guided activity-based gaming exercise.

Methods.

Sixteen individuals at least three months after stroke served as participants.

All participants received concurrent outpatient therapy or took part in a stroke exercise class and completed at least 500 minutes of gaming.

Primary baseline and posttest outcome measures included the Wolf motor function test (WMFT) and the Fugl-Meyer assessment (FMA).

ENGAGE uses a game selection algorithm providing focused, graded activity-based repetitive practice that is highly individualized and directed.

The Wilcoxon signed ranks test was used to determine statistical significance.

Results.

There were improvements in the WMFT (P=0.003) and the FMA (P=0.002) that exceeded established values of minimal clinically important difference.

Conclusions.

ENGAGE was feasible and an effective adjunct to concurrent therapy after stroke.