Face recognition-driven video game for dysphagia rehabilitation in stroke patients: a pilot randomized controlled trial.

IF 3.6 2区 医学 Q1 REHABILITATION
Bohan Zhang, Ka Po Wong, Mingyue Liu, Vivian Hui, Cai Guo, Yue Liu, Zihan Liu, Yaqian Liu, Qian Xiao, Jing Qin
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Abstract

Objective: To explore the feasibility and effectiveness of face recognition-driven video game (FR-VG) swallowing training for stroke patients with dysphagia.

Design: A single-blind pilot randomized controlled trial.

Setting: A rehabilitation center.

Participants: Stroke patients with dysphagia (N=26).

Interventions: Participants in the intervention group were trained using FR-VG, while the control group used the conventional method (i.e. lip exercise, tongue exercise, and lower jaw exercise). The training was conducted five days a week over four weeks.

Outcome measures: The swallowing function and swallowing-related quality of life between the two groups were observed before and after the intervention. The acceptance of FR-VG in the intervention group and the adherence of the patients in the two groups after the intervention were analyzed.

Results: A total of 26 stroke patients with dysphagia were included. The results showed that after the intervention, both groups exhibited significant improvements in swallowing function and swallowing-related quality of life compared to the pre-intervention (p < 0.05). Patients in the intervention group demonstrated better swallowing function than the control group on the Gugging swallowing screen (p = 0.015) and functional oral intake scale (p = 0.004). The intervention group had high acceptance of the FR-VG training and had significantly better adherence compared to the control group (p = 0.032).

Conclusions: FR-VG rehabilitation training can help improve swallowing function, swallowing-related quality of life, and training adherence in stroke patients with dysphagia. Patients have a high acceptance of FR-VG rehabilitation training, which can be used as an adjunctive method to conventional rehabilitation.

针对中风患者吞咽困难康复的人脸识别驱动视频游戏:随机对照试验。
目的探索针对吞咽困难的中风患者进行人脸识别驱动的视频游戏(FR-VG)吞咽训练的可行性和有效性:设计:单盲随机对照试验:参与者:吞咽困难的中风患者干预:干预组采用 FR-VG 训练,对照组采用传统方法(即唇部运动、舌部运动和下颌运动)。训练每周进行五天,为期四周:结果测量:观察干预前后两组患者的吞咽功能和与吞咽相关的生活质量。分析干预组患者对 FR-VG 的接受程度以及干预后两组患者的坚持情况:结果:共纳入了 26 名有吞咽困难的脑卒中患者。结果显示,与干预前相比,干预后两组患者的吞咽功能和与吞咽相关的生活质量均有显著改善(P < 0.05)。与对照组相比,干预组患者在 Gugging 吞咽筛查(p = 0.015)和功能性口腔摄入量表(p = 0.004)上表现出更好的吞咽功能。干预组对 FR-VG 训练的接受度高,与对照组相比,其坚持率明显更高(p = 0.032):结论:FR-VG 康复训练有助于改善吞咽功能、与吞咽相关的生活质量以及吞咽困难中风患者的训练依从性。患者对 FR-VG 康复训练的接受度较高,可作为常规康复训练的辅助方法。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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