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Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke

The Kinect-based virtual reality system for the Xbox 360 enables users to control and interact with the game console without the need to touch a game controller, and provides rehabilitation training for stroke patients with lower limb dysfunctions. However, the underlying mechanism remains unclear....

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Autores principales: Bao, Xiao, Mao, Yurong, Lin, Qiang, Qiu, Yunhai, Chen, Shaozhen, Li, Le, Cates, Ryan S., Zhou, Shufeng, Huang, Dongfeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146174/
https://www.ncbi.nlm.nih.gov/pubmed/25206611
http://dx.doi.org/10.3969/j.issn.1673-5374.2013.31.003
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author Bao, Xiao
Mao, Yurong
Lin, Qiang
Qiu, Yunhai
Chen, Shaozhen
Li, Le
Cates, Ryan S.
Zhou, Shufeng
Huang, Dongfeng
author_facet Bao, Xiao
Mao, Yurong
Lin, Qiang
Qiu, Yunhai
Chen, Shaozhen
Li, Le
Cates, Ryan S.
Zhou, Shufeng
Huang, Dongfeng
author_sort Bao, Xiao
collection PubMed
description The Kinect-based virtual reality system for the Xbox 360 enables users to control and interact with the game console without the need to touch a game controller, and provides rehabilitation training for stroke patients with lower limb dysfunctions. However, the underlying mechanism remains unclear. In this study, 18 healthy subjects and five patients after subacute stroke were included. The five patients were scanned using functional MRI prior to training, 3 weeks after training and at a 12-week follow-up, and then compared with healthy subjects. The Fugl-Meyer Assessment and Wolf Motor Function Test scores of the hemiplegic upper limbs of stroke patients were significantly increased 3 weeks after training and at the 12-week follow-up. Functional MRI results showed that contralateral primary sensorimotor cortex was activated after Kinect-based virtual reality training in the stroke patients compared with the healthy subjects. Contralateral primary sensorimotor cortex, the bilateral supplementary motor area and the ipsilateral cerebellum were also activated during hand-clenching in all 18 healthy subjects. Our findings indicate that Kinect-based virtual reality training could promote the recovery of upper limb motor function in subacute stroke patients, and brain reorganization by Kinect-based virtual reality training may be linked to the contralateral sensorimotor cortex.
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spelling pubmed-41461742014-09-09 Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke Bao, Xiao Mao, Yurong Lin, Qiang Qiu, Yunhai Chen, Shaozhen Li, Le Cates, Ryan S. Zhou, Shufeng Huang, Dongfeng Neural Regen Res Research and Report Article: Stroke and Neural Regeneration The Kinect-based virtual reality system for the Xbox 360 enables users to control and interact with the game console without the need to touch a game controller, and provides rehabilitation training for stroke patients with lower limb dysfunctions. However, the underlying mechanism remains unclear. In this study, 18 healthy subjects and five patients after subacute stroke were included. The five patients were scanned using functional MRI prior to training, 3 weeks after training and at a 12-week follow-up, and then compared with healthy subjects. The Fugl-Meyer Assessment and Wolf Motor Function Test scores of the hemiplegic upper limbs of stroke patients were significantly increased 3 weeks after training and at the 12-week follow-up. Functional MRI results showed that contralateral primary sensorimotor cortex was activated after Kinect-based virtual reality training in the stroke patients compared with the healthy subjects. Contralateral primary sensorimotor cortex, the bilateral supplementary motor area and the ipsilateral cerebellum were also activated during hand-clenching in all 18 healthy subjects. Our findings indicate that Kinect-based virtual reality training could promote the recovery of upper limb motor function in subacute stroke patients, and brain reorganization by Kinect-based virtual reality training may be linked to the contralateral sensorimotor cortex. Medknow Publications & Media Pvt Ltd 2013-11-05 /pmc/articles/PMC4146174/ /pubmed/25206611 http://dx.doi.org/10.3969/j.issn.1673-5374.2013.31.003 Text en Copyright: © Neural Regeneration Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research and Report Article: Stroke and Neural Regeneration
Bao, Xiao
Mao, Yurong
Lin, Qiang
Qiu, Yunhai
Chen, Shaozhen
Li, Le
Cates, Ryan S.
Zhou, Shufeng
Huang, Dongfeng
Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
title Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
title_full Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
title_fullStr Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
title_full_unstemmed Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
title_short Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
title_sort mechanism of kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke
topic Research and Report Article: Stroke and Neural Regeneration
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146174/
https://www.ncbi.nlm.nih.gov/pubmed/25206611
http://dx.doi.org/10.3969/j.issn.1673-5374.2013.31.003
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