Abstract
The aim of this study was to realize an intergame analysis of upper limb biomechanics of stroke patients in real and virtual environment. Methods: The sample consisted of 11 hemiparetic patients, mean age of 51 ± 7 years. Participants made 15 attempts in two dart games (real and virtual). Elbow kinematics was video recorded during the dart throwing phase. Analysis was conducted using Kinovea software, paired Student’s t-test and Classification Regression Trees. Results: Patients exhibited a higher elbow extension angle (p = 0.008) and greater velocity in the real game (p = 0.005). In the virtual game patients had longer throwing time (p = 0.021) and better performance (fewer absolute errors) (p < 0.0001). The decision tree showed that there was a balance between the frequency of patients who played the virtual and real game and displayed elbow extension angles above 157°. Similar frequencies between velocity = 29 cm/s and >87 cm/s for the virtual and real games were found. In regard to dart throwing time, there was greater frequency of patients with time =1.37 s for the real game and >1.37 s for the virtual game. Conclusion: The patients can evolve satisfactorily in terms of angulation, velocity and time during virtual game training. Thus, we propose that the virtual dart game may be a useful tool in the neurorehabilitation of patients with chronic stroke, in line with therapeutic objectives and the patient’s clinical condition.
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Acknowledgements
This study was supported in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001 and by the National Council for Scientific and Technological Development (CNPq) [grant numbers 477291/2013-9].
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Costa, H. et al. (2020). Intergame Analysis of Upper Limb Biomechanics of Stroke Patients in Real and Virtual Environment. In: Henriques, J., Neves, N., de Carvalho, P. (eds) XV Mediterranean Conference on Medical and Biological Engineering and Computing – MEDICON 2019. MEDICON 2019. IFMBE Proceedings, vol 76. Springer, Cham. https://doi.org/10.1007/978-3-030-31635-8_73
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DOI: https://doi.org/10.1007/978-3-030-31635-8_73
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