Patients who require neurological rehabilitation often do not comply with conventional programs because they find the therapy uninteresting. As a result, specialized interactive video games have been designed to be more enjoyable than conventional therapy (CT) tasks. This study aimed to assess the trunk control and gait ability of patients with chronic stroke after participation in driving-based interactive video games (DBIVG). Participants included 24 chronic stroke patients allocated to an experimental group (n = 13, CT + DBIVG) or a control group (n = 11, CT + treadmill walking training). Both groups received CT five days/week; the experimental and control groups participated in DBIVG and treadmill walking training, respectively, three days/week for four weeks. The primary outcome of trunk control was measured by the trunk impairment scale (TISall) and TIS subscales, including static sitting balance (TISssb), dynamic sitting balance (TISdsb), and trunk co-ordination (TISco). Gait ability was measured by the dynamic gait index (DGI), timed walking test (TWT), and time up and go test (TUGT). Both groups demonstrated significant improvements in TISall, TISdsb, and TUGT results. The experimental group showed significantly greater improvement in TISssb, TISco, and DGI than the control group. Our findings indicate that DBIVG can improve trunk control and gait ability in patients with chronic stroke.

中文翻译：

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驾驶游戏对中风的躯干控制和步态能力的有效性。

需要神经系统康复的患者通常不遵循常规程序，因为他们发现这种疗法没有意义。结果，专门的交互式视频游戏已被设计为比常规治疗（CT）任务更有趣。这项研究旨在评估参加基于驾驶的交互式视频游戏（DBIVG）后慢性卒中患者的躯干控制和步态能力。参与者包括24名慢性中风患者，分为实验组（n = 13，CT + DBIVG）或对照组（n = 11，CT +跑步机步行训练）。两组均每周接受5天CT检查。实验组和对照组分别以每周三天，四周的时间参加DBIVG和跑步机的步行训练。躯干控制的主要结果通过躯干损伤量表（TISall）和TIS子量表进行测量，包括静态坐姿平衡（TISssb），动态坐姿平衡（TISdsb）和躯干协调（TISco）。步态能力通过动态步态指数（DGI），定时步行测试（TWT）和起跑时间测试（TUGT）进行测量。两组都显示出TISall，TISdsb和TUGT结果的显着改善。实验组显示，与对照组相比，TISssb，TISco和DGI的改善明显更大。我们的发现表明，DBIVG可以改善慢性卒中患者的躯干控制和步态能力。定时步行测试（TWT）和定时上门测试（TUGT）。两组都显示出TISall，TISdsb和TUGT结果的显着改善。实验组显示，与对照组相比，TISssb，TISco和DGI的改善明显更大。我们的发现表明，DBIVG可以改善慢性卒中患者的躯干控制和步态能力。定时步行测试（TWT）和定时上门测试（TUGT）。两组都显示出TISall，TISdsb和TUGT结果的显着改善。实验组显示，与对照组相比，TISssb，TISco和DGI的改善明显更大。我们的发现表明，DBIVG可以改善慢性卒中患者的躯干控制和步态能力。