Evidence map›Paper›PMID 37041622›Full record

ArticleJournal of neuroengineering and rehabilitation2023

Patients' physiological reactions to competitive rehabilitation therapies assisted by robotic devices.

José M Catalán, Andrea Blanco-Ivorra, José V García-Pérez, Yolanda Vales, David Martínez-Pascual, Santiago Ezquerro, Alicia Garrote, Teresa Costa, Luis D Lledó, Nicolás García-Aracil

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

José M CatalánRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain. jcatalan@umh.es.
Andrea Blanco-IvorraRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
José V García-PérezRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
Yolanda ValesRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
David Martínez-PascualRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
Santiago EzquerroRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
Alicia GarroteHospital la Pedrera, Dénia, Spain.
Teresa CostaHospital la Pedrera, Dénia, Spain.
Luis D LledóRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
Nicolás García-AracilRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández University, Avda. de la Universidad, 03202, Elche, Spain.
Universitat de Miguel Hernández d'Elx · ESHospital la Pedrera

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aging of the population and the progressive increase in life expectancy in developed countries is leading to a high incidence of cerebrovascular diseases. Several studies have demonstrated that robot-assisted rehabilitation therapies combined with serious games can improve rehabilitation outcomes. Social interaction in the form of multiplayer games has been highlighted as a potential element to increase patient's motivation and exercise intensity, which professionals have described as one of the determining factors in maximizing rehabilitation outcomes. Despite this, it has not been widely studied. Physiological measures have been proven as an objective tool to evaluate patients' experience in robot-assisted rehabilitation environments. However, they have not been used to evaluate patients' experience in multiplayer robot-assisted rehabilitation therapies. The main objective of this study is to analyze whether the interpersonal interaction inherent in a competitive game mode affects the patients' physiological responses in robot-assisted rehabilitation environments.

methodsA total of 14 patients participated in this study. The results of a competitive game mode were compared with a single-player game mode with different difficulty levels. Exercise intensity and performance were measured through parameters extracted from the game and the information provided by the robotic rehabilitation platforms. The physiological response of patients in each game mode was measured by the heart rate (HR) and the galvanic skin response (GSR). Patients were asked to fill out the IMI and the overall experience questionnaire.

resultsThe exercise intensity results show that high-difficulty single-player game mode is similar in terms of intensity level to a competitive game mode, based on velocity values, reaction time and questionnaire results. However, the results of the physiological responses of the patients measured by GSR and HR are lower in the case of the competitive mode compared to the high-difficulty single-player game mode, obtaining results similar to those obtained in the low-difficulty single-player game mode.

conclusionsPatients find the competitive game mode the most fun, which is also the mode they report experiencing the most effort and stress level. However, this subjective evaluation is not in line with the results of physiological responses. This study concludes that interpersonal interaction inherent to a competitive game mode influences patients' physiological responses. This could mean that social interaction is an important factor to consider when interpreting the results obtained from physiological measurements.

Indexed as

RoboticsRobotic Surgical ProceduresStroke RehabilitationExercise TherapyHumansInterpersonal RelationsExergamesInterpersonal rehabilitation gamesMultiplayer gamesPatient engagementRehabilitationRoboticsStroke

Identifiers

PMID37041622
PMCPMC10088171
OpenAlexW4364381047

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.