Bohan Zhang, Ka Po Wong, Mingyue Liu, Vivian Hui, Cai Guo, Yue Liu, Zihan Liu, Yaqian Liu, Qian Xiao, Jing Qin
{"title":"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。","authors":"Bohan Zhang, Ka Po Wong, Mingyue Liu, Vivian Hui, Cai Guo, Yue Liu, Zihan Liu, Yaqian Liu, Qian Xiao, Jing Qin","doi":"10.1016/j.apmr.2024.10.005","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the feasibility and effectiveness of face recognition-driven video game (FR-VG) swallowing training for stroke patients with dysphagia.</p><p><strong>Design: </strong>A single-blind pilot randomized controlled trial.</p><p><strong>Setting: </strong>A rehabilitation center.</p><p><strong>Participants: </strong>Stroke patients with dysphagia (N=26).</p><p><strong>Interventions: </strong>Participants in the intervention group were trained using FR-VG, while the control group used the conventional method (ie, lip exercise, tongue exercise, and lower jaw exercise). The training was conducted 5 days a week over 4 weeks.</p><p><strong>Outcome measures: </strong>The swallowing function and swallowing-related quality of life between the 2 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 2 groups after the intervention were analyzed.</p><p><strong>Results: </strong>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<.05). Patients in the intervention group demonstrated better swallowing function than the control group on the Gugging Swallowing Screen (P=.015) and Functional Oral Intake Scale (P=.004). The intervention group had a high acceptance of the FR-VG training and had significantly better adherence compared to the control group (P=.032).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Face Recognition-Driven Video Game for Dysphagia Rehabilitation in Stroke Patients: A Pilot Randomized Controlled Trial.\",\"authors\":\"Bohan Zhang, Ka Po Wong, Mingyue Liu, Vivian Hui, Cai Guo, Yue Liu, Zihan Liu, Yaqian Liu, Qian Xiao, Jing Qin\",\"doi\":\"10.1016/j.apmr.2024.10.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore the feasibility and effectiveness of face recognition-driven video game (FR-VG) swallowing training for stroke patients with dysphagia.</p><p><strong>Design: </strong>A single-blind pilot randomized controlled trial.</p><p><strong>Setting: </strong>A rehabilitation center.</p><p><strong>Participants: </strong>Stroke patients with dysphagia (N=26).</p><p><strong>Interventions: </strong>Participants in the intervention group were trained using FR-VG, while the control group used the conventional method (ie, lip exercise, tongue exercise, and lower jaw exercise). The training was conducted 5 days a week over 4 weeks.</p><p><strong>Outcome measures: </strong>The swallowing function and swallowing-related quality of life between the 2 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 2 groups after the intervention were analyzed.</p><p><strong>Results: </strong>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<.05). Patients in the intervention group demonstrated better swallowing function than the control group on the Gugging Swallowing Screen (P=.015) and Functional Oral Intake Scale (P=.004). The intervention group had a high acceptance of the FR-VG training and had significantly better adherence compared to the control group (P=.032).</p><p><strong>Conclusions: </strong>FR-VG rehabilitation training can help improve swallowing function, swallowing-related quality of life, and training adherence in stroke patients with dysphagia. 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Face Recognition-Driven Video Game for Dysphagia Rehabilitation in Stroke Patients: A Pilot Randomized Controlled Trial.
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 (ie, lip exercise, tongue exercise, and lower jaw exercise). The training was conducted 5 days a week over 4 weeks.
Outcome measures: The swallowing function and swallowing-related quality of life between the 2 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 2 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<.05). Patients in the intervention group demonstrated better swallowing function than the control group on the Gugging Swallowing Screen (P=.015) and Functional Oral Intake Scale (P=.004). The intervention group had a high acceptance of the FR-VG training and had significantly better adherence compared to the control group (P=.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.
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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