Exergames for rehabilitation in stroke survivors: Umbrella review of meta-analyses

IF 2 4区医学 Q3 NEUROSCIENCES

Journal of Stroke & Cerebrovascular Diseases Pub Date : 2024-11-27 DOI:10.1016/j.jstrokecerebrovasdis.2024.108161

Carla Sílvia Fernandes , Bruno Magalhães , Filipe Gonçalves , Andreia Lima , Mafalda Silva , Maria Teresa Moreira , Célia Santos , Salomé Ferreira

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引用次数: 0

Abstract

Background

It is essential to explore alternative methods to motivate stroke survivors throughout their lengthy rehabilitation journey. Exergames have emerged as promising tools for rehabilitating this demographic.

Objective

We aimed to synthesize the combined evidence from meta-analyses that assessed the effects of exergames in the rehabilitation of stroke survivors.

Methods

The umbrella review was conducted utilizing several databases, including MEDLINE® (Medical Literature Analysis and Retrieval System Online), CINAHL® (Cumulative Index to Nursing and Allied Health Literature), the Psychology and Behavioral Sciences Collection, SPORTDiscus®, and Scopus®. It included studies published until December 2023 without any restrictions based on publication date.

Results

The analysis included 11 meta-analyses involving approximately 9,615 patients, reflecting a growing adoption of exergames in post-stroke rehabilitation since 2015, focusing on using Nintendo Wii. The analyzed studies varied widely in intervention duration (from 1 to 16 weeks) and were applied across different phases of post-stroke rehabilitation, from the acute to the chronic phase. Significant improvements were observed in balance and upper limb functionality, although there was notable methodological heterogeneity and variability in the results.

Conclusions

This study highlights the value of exergames in the rehabilitation of stroke survivors and recommends future research that adopts rigorous methodological designs with clearly specified intervention stages. It underscores the importance of additional qualitative studies to explore the perspectives of patients and healthcare professionals regarding exergames, aiming to refine rehabilitation strategies and enhance the clinical benefits achieved.

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脑卒中幸存者的康复治疗：荟萃分析综述。

背景：探索替代方法在卒中幸存者漫长的康复过程中激励他们是必要的。游戏已经成为恢复这一群体的有希望的工具。目的：我们旨在综合meta分析的综合证据，评估exergames对中风幸存者康复的影响。方法：利用MEDLINE®（医学文献分析与检索系统在线）、CINAHL®（护理与相关健康文献累积索引）、心理学与行为科学合集、SPORTDiscus®和Scopus®等数据库进行综合评价。它包括在2023年12月之前发表的研究，没有任何基于出版日期的限制。结果：该分析包括11项荟萃分析，涉及约9,615名患者，反映了自2015年以来卒中后康复中越来越多地采用运动游戏，主要是使用任天堂Wii。所分析的研究在干预持续时间（从1周到16周）上差异很大，并且应用于中风后康复的不同阶段，从急性期到慢性期。在平衡和上肢功能方面观察到显著的改善，尽管结果存在显著的方法学异质性和可变性。结论：本研究强调了exergames在中风幸存者康复中的价值，并建议未来的研究采用严格的方法设计和明确规定的干预阶段。它强调了额外的定性研究的重要性，以探索患者和医疗保健专业人员对运动的看法，旨在完善康复策略并提高临床效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Stroke & Cerebrovascular Diseases Medicine-Surgery

CiteScore

5.00

自引率

4.00%

发文量

583

审稿时长

62 days

期刊介绍： The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.