London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 779 820 Rehabilitation and reorganisation after stroke Effectiveness of interactive video gaming system in stroke rehabilitation A. Matsuo1, T. Takahara2, N. Hiraoka3, M. Hiyamizu4, H. Maeoka5, Y. Okada6, S. Morioka7 Kio University, Nara, JAPAN1, Saito Rehabilitation Hospital, Osaka, JAPAN2, Saito Rehabilitation Hospital, Osaka, JAPAN3, Kio University, Nara, JAPAN4, Kio University, Nara, JAPAN5, Kio Uni-versity, Nara, JAPAN6, Kio University, Nara, JAPAN75 Background Evidence suggests that increasing intensity of rehabilitation results in better motor recovery. Lim-ited evidence is available on the effectiveness of an interactive virtual reality gaming system for stroke patients. The aim of the study was to compare game-based intervention with conventional stroke rehabilitation in a randomized controlled crossover trial. Methods Twenty-eight rehabilitation inpatients after stroke with upper limb weakness participated in this study. In this randomized, single-blinded clinical trial with 2 parallel groups involving stroke pa-tients, we compared the efficacy of virtual reality using the Nintendo Wii gaming system (VRWii) versus conventional rehabilitation to evaluate arm motor improvement. Participants were received 10 sessions of upper limb exercises via a Nintendo Wii over 2 weeks in addition to conventional re-habilitation. Outcome measures include Fugl-Meyer Assessment of upper limb motor function, Wolf Motor Function Test (WMFT), Box and Block Test and Motor Activity Log (MAL) at end of inter-vention and 2 weeks after intervention. Results A total of 28 subjects completed the study. Relative to the conventional rehabilitation group, partici-pants in the VRWii had a significant improvement in the WMFT and the MAL. Conclusion VRWii gaming technology represents potentially effective alternative to facilitate rehabilitation ther-apy and promote motor recovery after stroke. 821 Rehabilitation and reorganisation after stroke Factors influencing physiotherapists’ use of standardized measures of walking capacity post-stroke across the care continuum N.M. Salbach1, K.M. Pattison2, D Brooks3, J.I. Cameron45 University of Toronto, Toronto, CANADA1, University of Toronto, Toronto, CANADA2, Universi-ty of Toronto, Toronto, CANADA3, University of Toronto, Toronto, CANADA4 Background Studies conducted in Ontario, Canada have indicated that physiotherapists inconsistently use valid and reliable walking tests post-stroke. An in-depth understanding of physiotherapists’ approaches to walking assessment is needed to develop strategies to advance assessment practice. The objective of this study was to determine the methods physiotherapists in Ontario use to evaluate walking, rea-sons for selecting these methods, and the use of the evaluation results in clinical practice along the continuum of care post-stroke. Methods A qualitative descriptive study involving semi-structured telephone interviews was conducted. Physiotherapists registered in Ontario assessing a minimum of 10 people with stroke per year were purposively recruited from acute care, rehabilitation, and outpatient settings. Interviews were audio-taped and transcribed verbatim. Transcripts were coded line-by-line by the interviewer. Credibility was ensured through triangulation, audit trail and collection of field notes. Results Participants interviewed worked in an acute care (n=8), rehabilitation(n=11) or outpatient (n=9) set-ting. Of the 28 participants, 50% were >40 years of age, 89% were female and the mean number of years of clinical experience with stroke was 11.4 (SD=7.0). Movement observation was the primary method of evaluating walking. When selecting standardized methods for assessing walking, phys-iotherapists are influenced by the characteristics of the measure, clinician factors, setting factors, patient factors and the influence of individuals or organizations. The results of the assessments were most commonly used to communicate progress to the patient and healthcare professionals. Conclusions Multiple sources influence physiotherapists to administer standardized assessments of walking. These findings are necessary to inform development of a knowledge translation intervention aimed at increasing the use of standardized assessment tools in clinical practice.
Karger_ESC London_2013
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