Effects of a Video Game-Based Intervention on the Attention and Functional Independence of Older Adults after Cerebrovascular Accident

ABSTRACT The population aging is increasing the number of chronical diseases that result in cognitive and motor limitations, how stroke. The objective of the research was to investigate the effects of Motion Rehab game in attention and independence in the elderly after stroke. It is a study of control intervention before and after, where population was 10 elderly people with average ages of 67,7 and 71 years old, with cerebrovascular damage caused by ischemic stroke, and users of the Physical rehabilitation center. The research sessions were realized individually, once a week frequency, with 15 minutes long, during 15 weeks. The research tools were, Mini Mental State Examination, Functional Independence Measure, Geriatric Depression Scale and Colorful Trails Test. The research sessions were realized individually, once a week frequency, with 15 minutes long, during 15 weeks. In the data analysis the Student t test for paired samples was applied. The results determine significant differences in the attention and independence after the interventions with the game. During the colorful trails tests´ the time reduced 330,5±140,8 second at the evaluation, from 259,4±112,5 second the reevaluation (p=0,039), for more, the psychologist professional interference needs decreases from 0,8±0,5 to 0,4±0,3 (p=0,036). The Functional Independence average obtained at first was a score of 102,3 ± 23,4 (modified dependence) and at the reevaluation a score of 107±18,6 (modified independence) (p=0,044). It was possible to conclude that the interventions brought benefits to the elderly people, turning in an alternative to the physics and cognitive rehabilitations to that population.**摘要** 人口老龄化正导致伴随认知与运动功能障碍的慢性病患病人数持续攀升，例如脑卒中。本研究旨在探讨运动康复游戏（Motion Rehab game）对脑卒中后老年患者注意力与独立生活能力的影响。本研究为前后对照干预研究，研究对象为10名平均年龄分别为67.7岁与71岁的老年患者，均存在缺血性脑卒中引发的脑血管损伤，且均为物理康复中心的服务对象。 研究疗程均以个体形式开展，频率为每周1次，每次时长15分钟，持续周期为15周。研究疗程均以个体形式开展，频率为每周1次，每次时长15分钟，持续周期为15周。 本研究采用的评估工具包括简易精神状态检查表（Mini Mental State Examination）、功能独立性评定量表（Functional Independence Measure）、老年抑郁量表（Geriatric Depression Scale）以及彩色连线测验（Colorful Trails Test）。 数据分析阶段采用配对样本t检验。 结果显示，经该游戏干预后，患者的注意力与独立生活能力存在显著差异。在彩色连线测验中，复测完成时间为259.4±112.5秒，较首次评估的330.5±140.8秒显著缩短（p=0.039）；此外，所需的专业心理干预协助程度从0.8±0.5降至0.4±0.3（p=0.036）。首次评估时的功能独立性平均评分为102.3±23.4（轻度依赖），复测时为107±18.6（轻度独立）（p=0.044）。 本研究可得出结论：该干预手段可为老年患者带来切实获益，可作为该人群物理康复与认知康复的替代方案。