The feasibility and utility of using an accessible controller to improve motor and sensory function in people recovering from stroke through computer gaming: A randomised controlled pilot study.

INTERVENTION: The intervention is to participate in individual computer gaming sessions with the use of a controller (called ‘Orby’) and laptop, which will be readily available over a three‐week period. There is no set time period a participant must play each day, so they can choose how much they play, and which games they play over the three‐week period. This will be used as an additional rehabilitation tool during standard inpatient rehabilitation The games have been designed to be of broad appeal and easy to play (no experience required). The controller unit requires bimanual control whereby the impaired hand/arm is assisted to participate in the controller motion. The affected hand also receives task‐relevant haptic (vibration) stimulation during the gaming with the intent of increasing self‐perception of the affected hand. The gaming software will record all usage time of participants. CONDITION: Stroke PRIMARY OUTCOME: Motor function of the upper limb as assessed by the Wolf Motor Function Test Sensation of the upper limb as assessed by Semmes Weinstein Monofilaments, Distal Proprioception test, Grating Orientation Domes and Klingels Protocol (stereognosis) SECONDARY OUTCOME: Perceived utility and feasibility of the computer gaming system and Orby controller by participants and staff involved as assessed by a written questionnaire. These questionnaires was designed specifically for this study. Usage of the computer game as assessed by the computer game system INCLUSION CRITERIA: Aged over 18 years old Willing and capable to give informed consent Diagnosed with first time stroke; either ischemic or hemorrhagic Hemiparetic hand able to sit on Orby, either by itself or strapped Having sufficient shoulder range of movement and control for hand to be strapped; approximately 70 degrees shoulder flexion, neutral wrist and mid pronation/supination Able to focus and respond to screen‐based games