Feasibility of using MIRA with adult patients presenting with upper limb motor dysfunction post neurological damage

TY - JOUR

T1 - Feasibility of using MIRA with adult patients presenting with upper limb motor dysfunction post neurological damage

AU - Mcglinchey, Mark

AU - Curtis, Alexandra

AU - Ritchie, Rachel

AU - Jones, Gareth D.

N1 - Publisher Copyright: © 2015 The authors and IOS Press. All rights reserved.

PY - 2015

Y1 - 2015

N2 - Computer-based technology is an emerging modality to facilitate upper limb rehabilitation post neurological damage. A feasibility project using MIRA technology in an adult outpatient neurophysiotherapy service was conducted. Ten patients trialled nine MIRA games that promoted discrete and continuous unilateral and bilateral upper limb movements. The effect of MIRA use on usual service operation as well as any adverse events was noted. Patient views of using MIRA were explored through self-reported questionnaires. For six patients, comparison of amount and frequency of active upper limb exercises using MIRA and typical prescribed upper limb exercises was made. Use of MIRA did not negatively affect service operation and was not associated with any adverse event reporting. The majority of patients enjoyed using MIRA and felt that it was a useful modality to supplement existing prescribed upper limb exercises. Those with previous experience of technology expressed the most positive feedback. There is evidence that MIRA tasks may facilitate intensive repetitive upper limb movements, although some patients reported in-exercise discomfort. In conclusion, it was feasible to use MIRA with adult patients post neurological damage presenting with upper limb motor dysfunction, particularly those patients with proximal upper limb motor dysfunction previously familiar with computer use or gaming experience.

AB - Computer-based technology is an emerging modality to facilitate upper limb rehabilitation post neurological damage. A feasibility project using MIRA technology in an adult outpatient neurophysiotherapy service was conducted. Ten patients trialled nine MIRA games that promoted discrete and continuous unilateral and bilateral upper limb movements. The effect of MIRA use on usual service operation as well as any adverse events was noted. Patient views of using MIRA were explored through self-reported questionnaires. For six patients, comparison of amount and frequency of active upper limb exercises using MIRA and typical prescribed upper limb exercises was made. Use of MIRA did not negatively affect service operation and was not associated with any adverse event reporting. The majority of patients enjoyed using MIRA and felt that it was a useful modality to supplement existing prescribed upper limb exercises. Those with previous experience of technology expressed the most positive feedback. There is evidence that MIRA tasks may facilitate intensive repetitive upper limb movements, although some patients reported in-exercise discomfort. In conclusion, it was feasible to use MIRA with adult patients post neurological damage presenting with upper limb motor dysfunction, particularly those patients with proximal upper limb motor dysfunction previously familiar with computer use or gaming experience.

KW - MIRA

KW - neurological damage

KW - physiotherapy

KW - rehabilitation

KW - upper limb

UR - https://www.scopus.com/pages/publications/84952016893

U2 - 10.3233/978-1-61499-566-1-696

DO - 10.3233/978-1-61499-566-1-696

M3 - Article

C2 - 26294550

AN - SCOPUS:84952016893

SN - 0926-9630

SP - 696

EP - 702

JO - Studies in Health Technology and Informatics

JF - Studies in Health Technology and Informatics

T2 - 13th European Conference on the Advancement of Assistive Technology, AAATE 2015

Y2 - 9 September 2015 through 12 September 2015

ER -