Papers by Axelle Gelineau
Journal of Rehabilitation Medicine
Background: Telerehabilitation and follow-up techniques have been developed in recent years to as... more Background: Telerehabilitation and follow-up techniques have been developed in recent years to assess the effectiveness of diverse intervention programmes that include exergaming technologies. For patients with upper limb impairment after stroke, motion-gaming technologies can provide effective and amusing training. Beyond efficiency, professionals must analyse patient compliance with the system for self-use at home, because patients may or may not independently perform the exercises prescribed by the therapist. Questions on the sustainable use of this type of home exercise also arise.Objective: This review examines user compliance with exercise programmes, measured according to the training rate (percentage of prescribed sessions and min completed) and completion rate (number of drop-outs and discontinued interventions) reported or calculable according to the data collected.Results and discussion: Rates of compliance with training were relatively high. No group effect on compliance...
International Journal of Environmental Research and Public Health
After discharge from the hospital to home, stroke patients may experience weakness and reduced mo... more After discharge from the hospital to home, stroke patients may experience weakness and reduced movement in their hemiparetic arms that limits their ability to perform daily activities. Therapists can use exercise games (exergames) to maintain functional abilities and daily use of the arm at home. A systematic review and meta-analysis was conducted to determine the efficiency of upper limb home-based rehabilitation, using exergaming on activity abilities in stroke. Randomized controlled trials were reviewed in the CENTRAL, MEDLINE, CINAHL, EMBASE, and SCOPUS online databases. Clinical measures of observation and self-reporting were studied in post-intervention and follow-up. Nine studies were included in this systematic review (535 participants). The Physiotherapy Evidence Database (PEDro) score was 6.6/10 (SD 1.0, range 5–8), indicating good quality. This systematic review and meta-analysis showed that upper limb home-based exergaming interventions were no more effective in terms of...
Trials
Background There is a pressing need for scalable healthcare solutions and a shift in the rehabili... more Background There is a pressing need for scalable healthcare solutions and a shift in the rehabilitation paradigm from hospitals to homes to tackle the increase in stroke incidence while reducing the practical and economic burden for patients, hospitals, and society. Digital health technologies can contribute to addressing this challenge; however, little is known about their effectiveness in at-home settings. In response, we have designed the RGS@home study to investigate the effectiveness, acceptance, and cost of a deep tech solution called the Rehabilitation Gaming System (RGS). RGS is a cloud-based system for delivering AI-enhanced rehabilitation using virtual reality, motion capture, and wearables that can be used in the hospital and at home. The core principles of the brain theory-based RGS intervention are to deliver rehabilitation exercises in the form of embodied, goal-oriented, and task-specific action. Methods The RGS@home study is a randomized longitudinal clinical trial d...
Licence : CC BY-NC-ND 4.0 International Résumé : Cet article tend à réfléchir sur les facteurs mo... more Licence : CC BY-NC-ND 4.0 International Résumé : Cet article tend à réfléchir sur les facteurs motivationnels liés à l'usage de jeux vidéos dans l'auto-rééducation des membres supérieurs des patients victimes d'un Accident Vasculaire Cérébral à domicile. L'enjeu est notamment de procurer aux utilisateurs un outil utile pour leur rééducation tout en maintenant leur motivation. A partir de la littérature, nous avons recensé divers facteurs se rapportant à la dimension de la motivation. Il ressort de ces lectures que la
Spinal Cord
Study design Randomised controlled trial. Objectives To evaluate the impact of two different word... more Study design Randomised controlled trial. Objectives To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. Setting Rehabilitation department, Garches, France. Methods Participants with neurological levels between C6 and C8 were allocated to one of three different groups. The REHAB group underwent training with an occupational therapist. The SELF group carried out a standardised home selftraining with a written training guide. The CONTROL group had no training. Participants were assessed at day 15 (D15) and day 30 (D30). The primary outcome was a copying task with and without WPS (WITH and WITHOUT). Results Forty-two participants (mean age ± SD of 39.8 ± 12) were included and 38 completed the study. At D30, the mean (95% confidence interval) difference in TIS between the CONTROL and SELF groups was 3.8 [−1.7 to 9.4] characters per minute (cpm) (p = 0.23), between the REHAB and SELF groups was 12.9 [7.4 to 18.4] cpm (p < 0.001), and between the REHAB and CONTROL groups was 9.1 [3.5 to 14.6] cpm (p < 0.001). Conclusions The results of this study showed that occupational therapist-supervised training improved TIS but word prediction software did not increase TIS. These results suggest that supervised training should be provided to all individuals who are prescribed with devices and systems to facilitate computer access in order to increase their TIS.
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Papers by Axelle Gelineau