Could video game-based physical rehabilitation substitute for conventional physiotherapy in patients with glioma? A proof-of-concept study.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Supportive Care in Cancer Pub Date : 2024-12-23 DOI:10.1007/s00520-024-09111-z

Hayato Sakamoto, Syoichi Tashiro, Mayuko Takebayashi, Kyohei Matsuda, Kuniaki Saito, Keiichi Kobayashi, Motoo Nagane, Yoshiaki Shiokawa, Hirofumi Nakatomi, Shin Yamada

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引用次数: 0

Abstract

Purpose: The present study investigated the clinical feasibility of replacing a part of conventional physiotherapy (PT) with Nintendo Wii® for the recovery of motor function and activities of daily living (ADL) in patients with glioma.

Methods: This study included 10 patients with first-episode gliomas who were admitted to the neurosurgery department of a tertiary hospital. According to the patients' preferences, they were allocated to conventional PT or Wii® rehabilitation groups in which a part of the conventional PT sessions were replaced with Wii® training. The Fugl-Meyer Assessment (FMA), Short Physical Performance Battery (SPPB), Functional Independence Measure (FIM), and Hospital Anxiety and Depression Scale (HAD) measures were compared between the treatment groups using the Mann-Whitney U test.

Results: The Wii® rehabilitation and conventional PT groups included four (age 39 [26-53] years, n = 2 each WHO grade III and IV) and six patients (age 72 [59-80] years; all WHO grade IV), respectively. No patient dropouts were observed. The beneficial changes did not differ significantly between the conventional PT and Wii® groups (FMA: 1.0 vs. 1.5, SPPB: - 1.0 vs. - 0.5, FIM: - 2.5 vs. 2.5, HAD: 6 vs. 0). No adverse events such as falls were observed in either treatment group.

Conclusion: Wii® rehabilitation had comparable effects with conventional PT for the inpatient rehabilitation of patients with glioma, with no adverse effects. Wii® rehabilitation showed potential as a home-based training modality because no physical assistance was required. Further investigation will be required because of the selection bias as a non-randomized trial.

Implications for cancer survivors: Exergame Wii® could be an effective rehabilitation tool for brain tumor patients.

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.