Electromyography Biofeedback Exergames to Enhance Grip Strength and Motivation

Garcia-Hernandez, Nadia; Garza-Martinez, Karen; Parra-Vega, V.

doi:10.1089/g4h.2017.0054

Cited by 17 publications

(7 citation statements)

References 15 publications

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“…It is possible that the intervention has increased the motivation in terms of pleasure, interest and perception of competence and control of strength. Therefore, these phenomena may explain the improvement of the total load in the recent study (Hernandez N, Martinez K, 2018).…”

Section: Dicussionmentioning

confidence: 62%

“…A recent study compared in performance terms an adapted strength training system using biofeedbackcontrolled virtual reality games with traditional handgrip training in healthy people. The results showed that palmar compression strength was significantly greater in training with virtual games controlled by biofeedback than traditional training (Hernandez N, Martinez K, 2018). It is possible that the intervention has increased the motivation in terms of pleasure, interest and perception of competence and control of strength.…”

Section: Dicussionmentioning

confidence: 97%

“…In the same way, biofeedback, a commonly used approach in rehabilitation situations, is a technique that allows to increase the sensitivity and control of the physiological process through the use of instruments that measure and inform the individual with information about autonomic activities and / or disorders neuromuscular the form of auditory and visual signals. Biofeedback has proven to be a great motivational tool (Hernandez N, Martinez K, 2018;Huang, Lin, Guo, Wang, & Chen, 2013;Sturma et al, 2018). However, although studies have investigated the effect of different strategies on performance in resistance training (M. Marocolo, Da Mota, Pelegrini, & Appell Coriolano, 2015;Saunders et al, 2017), there are still few comparisons between them.…”

Section: Introductionmentioning

confidence: 99%

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2019

JPES

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Introduction: Regular practice of resistance training offer positive results on muscular and physical performance. Thus, some strategies have been developed to influence the increase of performance results. Therefore, the objective of this study was to verify the influence of music, placebo supplementation and biofeedback on the number of executions and total volume, as well as the myoelectric activity of the pectoralis major muscles and triceps brachii. Methods: Men between 18 and 40 years of age, practicing and not practicing bodybuilding, were selected for convenience. Data recording was performed in four different conditions: a. Without intervention, b. Placebo intervention, c. Music and d. Biofeedback. As for the variables, the number of repetitions, total load and myoelectric activity of the evaluated muscles were measured. Results: A significant increase in the number of repetitions (p = 0.008) and total load (p = 0.001) with music application was observed, although the condition biofeedback also significantly influenced (p < 0.05) the total load (p = 0.005). Conclusion: It was verified with this study that music and biofeedback increased the total load and only the music increased the number of repetitions. However, there was no change in myoelectric activity.

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Section: Dicussionmentioning

confidence: 62%

Section: Dicussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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2019

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“…The mechanics of these games is based on feedback from the patient who can control the game through precise muscle activation. However, not every game-based intervention has incorporated all parameters needed for proper motor control [18][19][20][21][22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

PlayBionic: Game‐Based Interventions to Encourage Patient Engagement and Performance in Prosthetic Motor Rehabilitation

Prahm

Kayali

Sturma

et al. 2018

PM&R

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Background Prosthetic motor rehabilitation usually relies on the highly repetitive training of movements. Patients might drop out of training because the rehabilitation process is long and often discouraging. Game‐based interventions provide a potentially useful alternative to standard myoelectric (electromyographic [EMG]) training and can increase engagement with training. Objective To assess the short‐term impact of a game‐based rehabilitation protocol on parameters for EMG control, evaluate how game‐based interventions affect patient motivation, performance, and effort, and compare the game‐based intervention with a standard tool in rehabilitation (MyoBoy). Design This randomized controlled trial included 2 patient groups and 1 control group. After establishing a baseline, the 2 patient groups received different interventions that were compared with each other and with the able‐bodied control group. Setting University hospital‐based study. Participants Fourteen patients with traumatic transradial or transhumeral upper extremity amputation and 10 able‐bodied participants. Methods For the game‐based intervention, EMG proficiency was assessed before and after playing the games and 2 days later as follow‐up to measure retention rate. EMG proficiency was measured using maximum voluntary contraction, proportional precision control, signal separation, and muscle endurance. Questionnaires for rating the game‐based intervention and intrinsic motivation were provided after the intervention. Outcomes Outcome measures for EMG proficiency were provisional maximum voluntary muscle contraction, precise proportional control, electrode separation, and muscle endurance. Quantitative outcome measures for participant experience were intrinsic motivation, enjoyment, pressure, exerted effort, and usefulness of the intervention. The qualitative outcome measure was the surveyed attitude toward the game‐based intervention. Results Results showed an overall improvement in EMG control, fine muscle activation, and electrode separation. Patients stated that racing games provided slightly more fun, but rhythm‐based games were considered to provide better challenges for EMG control. Conclusion Game‐based interventions provide a useful addition to standard EMG training and can achieve better results in clinical outcome measures. The racing and music game genres provide solid starting points for interventions. Further studies can look at a wider range of genres and identify more specific game mechanics suitable for training. Level of Evidence I

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“…Im Laufe der letzten Jahre wurde auch die Rehabilitation der oberen Extremitäten in Vorbereitung auf myoelektrische Prothesenkontrolle mit spielerischen Ansätzen bereichert. Da vor Prothesenanpassung die Schwierigkeit zumeist im Generieren eines passenden EMG-Signales durch präzise Muskelaktivierung liegt, wird ebendieses für die Steuerung des Spieles verwendet [12]- [19]. So wurden Guitar Hero [17] und Pong [20] so modifiziert, dass sie myoelektrische Signale als Controller-Input akzeptieren.…”

Section: Introductionunclassified

Smart Rehab: App-basiertes Rehabilitations-Training für Patienten nach Amputation der oberen Extremität – Case Report

Prahm

Sturma

Kayali

et al. 2018

Handchir Mikrochir plast Chir

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Zusammenfassung Hintergrund Die Kontrolle einer myoelektrischen Prothese erfordert ein umfangreiches rehabilitatives Training, welches auf repetitiven Übungen basiert, angeleitet unter physiotherapeutischer Aufsicht. Doch zuhause fehlt vielen Patienten die Motivation, die Übungen aus der Physiotherapie weiterzuführen. Mobile Spiele auf dem Smartphone können zu einer Langzeit-Motivation beitragen, das Heimtraining mit der notwendigen Intensität fortzuführen. Patienten und Methodik Wir entwickelten ein Trainingssystem, welches aus einer spielbasierten mobilen Rehabilitationsanwendung besteht, die mit dem Muskelsignal des Patienten gesteuert wird, außerdem einem Tablett zum Spielen der App, einem Elektrodenarmband und einem Handbuch. Bisher haben zwei Patienten an dieser Studie teilgenommen. Sie wurden gebeten die App für 4 Wochen zu Hause, 5 Mal pro Woche, für 10 bis 15 Minuten zu benutzen. Gemäß eines Prä- und Post-Test-Designs wurden die neuromuskulären Parameter der Patienten vor und nach dem mobilen Training untersucht. Evaluiert wurden u. a. die maximale Kontraktionskraft, Muskelseparation, proportionale Ansteuerung und Muskelausdauer, sowie die Nutzerstatistiken während der App-Benutzung. Resultate Nach dem Training mit der App konnte eine signifikante Verbesserung (p < .01) aller untersuchten klinischen Parameter zur myoelektrischen Steuerung einer Prothese erzielt werden. Die Nutzerstatistiken ließen eine hohe Motivation zur Benutzung des Spiels und dem zusätzlichen Ausführen eines diagnostischen EMG-Tests bei einem Patienten erkennen, der andere teilnehmende Patient jedoch hatte zwar das Spiel gespielt, jedoch den EMG-Test vernachlässigt und diesen nur zur Hälfte absolviert. Conclusio Die Trainings-App „MyoBeatz“ bietet nicht nur Anleitung und Feedback zur korrekten Ausführung von myoelektrischen Kommandos, sondern erhält auch die Motivation des Patienten durch verschiedene Spielmodi und Feedbackelemente. Durch eine Übersicht des Trainingsfortschritts in Form von Nutzer-Statistiken und Highscores kann der Rehabilitationsprozess überwacht und verglichen werden. Es konnte gezeigt werden, dass Patienten mit Amputation der oberen Extremität nach der Nutzung der spielbasierten App ihre neuromuskuläre Kontrolle, Kraft und Koordination signifikant verbessern konnten, so dass sie das Potential einer myoelektrischen Prothese voll ausschöpfen können.

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Electromyography Biofeedback Exergames to Enhance Grip Strength and Motivation

Abstract: Improvement in force level arises evidently from the synchronized work-rest time pattern and appropriated intensity of the muscle activity. This leads to support that EMG biofeedback exergames improve motor neurons firing and resting.

Cited by 17 publications

References 15 publications

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PlayBionic: Game‐Based Interventions to Encourage Patient Engagement and Performance in Prosthetic Motor Rehabilitation

Smart Rehab: App-basiertes Rehabilitations-Training für Patienten nach Amputation der oberen Extremität – Case Report

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