Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 3, 2014
   Pages 377 — 390

Abstract — Pilot study: Computer-based virtual anatomical interactivity for rehabilitation of individuals with chronic acquired brain injury

C. Douglas Simmons, PhD, OTR/L, FAOTA;1* Sajay Arthanat, PhD, OTR/L, ATP;2 Vincent J. Macri, BA, MA3

1Salem State University, Salem, MA; 2University of New Hampshire, Durham, NH; 3Independent Practitioner

Abstract — Deficiencies in upper-limb motor function and executive functioning can compromise an affected individual’s ability to complete everyday activities. Impaired motor and executive functioning therefore pose a risk to increasing numbers of veterans who have been diagnosed with acquired brain injury. This article reports on changes in upper-limb motor function and executive functioning of 12 adult participants with chronic acquired brain injury using a novel, computer-based, motor and cognitive rehabilitation program called PreMotor Exercise Games (PEGs). Manual muscle, goniometric range of motion, and dynamometer assessments were used to determine motor functioning while the Executive Function Performance Test measured cognitive functioning. A three-level repeated measures design was conducted to determine changes pre- and postintervention. Participants demonstrated significant improvement in shoulder (p = 0.01) and wrist (p = 0.01) range of motion and clinically relevant improvement for elbow range of motion. Participants demonstrated clinically relevant improvement in shoulder, elbow, and wrist strength. Finally, participants demonstrated significant improvement in executive functioning (p < 0.05). Using PEGs as a modality for both motor and cognitive intervention is a potentially beneficial adjunct to rehabilitation and warrants further study.

Key words: acquired brain injury, community health, executive functioning, motor control, motor imagery, motor relearning, neurological rehabilitation, PreMotor Exercise Games, stroke, virtual rehabilitation.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.3
This article and any supplementary material should be cited as follows:
Simmons CD, Arthanat S, Macri VJ. Pilot study: Computer-based virtual anatomical interactivity for rehabilitation of individuals with chronic acquired brain injury. J Rehabil Res Dev. 2014;51(3):377–90.
http://dx.doi.org/10.1682/JRRD.2013.05.0103
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Last Reviewed or Updated  Thursday, June 12, 2014 10:43 AM

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