Bibliographic Details
| Title: |
Clinical validation of an individualized auto-adaptative serious game for combined cognitive and upper limb motor robotic rehabilitation after stroke |
| Authors: |
Ioannis Doumas, Thierry Lejeune, Martin Edwards, Gaëtan Stoquart, Yves Vandermeeren, Bruno Dehez, Stephanie Dehem |
| Source: |
Journal of NeuroEngineering and Rehabilitation, Vol 22, Iss 1, Pp 1-14 (2025) |
| Publisher Information: |
BMC, 2025. |
| Publication Year: |
2025 |
| Collection: |
LCC:Neurosciences. Biological psychiatry. Neuropsychiatry |
| Subject Terms: |
Neurorehabilitation, Stroke, Cognitive rehabilitation, Robot-assisted therapy, Motor learning, Serious games, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571 |
| Description: |
Abstract Background Intensive rehabilitation through challenging and individualized tasks are recommended to enhance upper limb recovery after stroke. Robot-assisted therapy (RAT) and serious games could be used to enhance functional recovery by providing simultaneous motor and cognitive rehabilitation. Objective The aim of this study is to clinically validate the dynamic difficulty adjustment (DDA) mechanism of ROBiGAME, a robot serious game designed for simultaneous rehabilitation of motor impairments and hemispatial neglect. Methods A proof of concept, with 24 participants in subacute and chronic stroke, was conducted using a 5-day protocol (two days were dedicated to assessment and three days to consecutive training sessions). Participants performed three consecutive ROBiGAME sessions during which overall task difficulty was determined through simultaneous DDA of motor and attentional parameters. Relationships between clinical and robotic assessment scores with respective task-difficulty parameters were analyzed using a multivariate regression model and a principal component analysis. Results Game difficulty rapidly (within approximately thirty minutes) auto-adapted to match individual impairment levels. The relationship between task-difficulty parameters with motor (Fugl Meyer Assessment: r = 0.84 p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1743-0003 |
| Relation: |
https://doaj.org/toc/1743-0003 |
| DOI: |
10.1186/s12984-025-01551-w |
| Access URL: |
https://doaj.org/article/d7edf82d1c87438594c67d22fa598c2f |
| Accession Number: |
edsdoj.7edf82d1c87438594c67d22fa598c2f |
| Database: |
Directory of Open Access Journals |