Energy expenditure in chronic stroke patients playing Wii Sports: a pilot study

Hurkmans, Henri L.; Ribbers, Gerard M.; Streur-Kranenburg, Marjolein; Stam, Henk J.; Berg-Emons, Rita J G van den

doi:10.1186/1743-0003-8-38

Cited by 104 publications

(90 citation statements)

References 45 publications

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“…Furthermore, there is now a growing evidence base to support their use in a variety of different rehabilitation applications including mobility and aerobic fitness [13][14][15], post-stroke rehabilitation of hand-arm function [16][17][18], balance [14,[19][20][21], pain distraction while undergoing treatment/therapy [22], and treatment of amblyopia ("lazy eye") [23].…”

Section: Introductionmentioning

confidence: 99%

A Game-Based Virtualized Reality Approach for Simultaneous Rehabilitation of Motor Skill and Confidence

Thin

2012

Advances in Human-Computer Interaction

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Virtualized reality games offer highly interactive and engaging user experience and therefore game-based approaches (GBVR) may have significant potential to enhance clinical rehabilitation practice as traditional therapeutic exercises are often repetitive and boring, reducing patient compliance. The aim of this study was to investigate if a rehabilitation training programme using GBVR could simultaneously improve both motor skill (MS) and confidence (CON), as they are both important determinants of daily living and physical and social functioning. The study was performed using a nondominant hand motor deficit model in nonambidextrous healthy young adults, whereby dominant and nondominant arms acted as control and intervention conditions, respectively. GBVR training was performed using a commercially available tennis-based game. CON and MS were assessed by having each subject perform a comparable real-world motor task (RWMT) before and after training. Baseline CON and MS for performing the RWMT were significantly lower for the nondominant hand and improved after GBVR training, whereas there were no changes in the dominant (control) arm. These results demonstrate that by using a GBVR approach to address a MS deficit in a real-world task, improvements in both MS and CON can be facilitated and such approaches may help increase patient compliance.

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Section: Introductionmentioning

confidence: 99%

A Game-Based Virtualized Reality Approach for Simultaneous Rehabilitation of Motor Skill and Confidence

Thin

2012

Advances in Human-Computer Interaction

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“…Nevertheless, virtual reality games involve innovative technology that can improve the physical activity levels of subjects with chronic disabilities (Lanningham-Foster et al 2009;Miyachi et al 2010). In fact, in a recent pilot study, virtual reality game technology was examined as a potential intervention for promoting motor recovery after stroke (Saposnik et al 2010a;Hurkmans et al 2011).…”

mentioning

confidence: 99%

“…Thus, readily available, cheap equipment, such as active video game systems are currently being used for rehabilitative intervention (Miyachi et al 2010;Saposnik et al 2010b;Gil-Gomez et al 2011;Hurkmans et al 2011;Mouawad et al 2011).…”

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confidence: 99%

“…In another study, patients with chronic stroke were divided into two groups (a Wii tennis group and a boxing group). Energy expenditures were measured after 15 minutes of gaming, and it was found that games effectively maintained moderate-intensity exercise levels (Hurkmans et al 2011). However, a majority of previous studies on the use of virtual reality games for improvement of upper extremity function in stroke patients only involved training lasting for about 2 weeks.…”

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confidence: 99%

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Virtual-Reality Balance Training with a Video-Game System Improves Dynamic Balance in Chronic Stroke Patients

Cho¹,

Lee

Song

2012

Tohoku J. Exp. Med.

194

170

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Stroke is one of the most serious healthcare problems and a major cause of impairment of cognition and physical functions. Virtual rehabilitation approaches to postural control have been used for enhancing functional recovery that may lead to a decrease in the risk of falling. In the present study, we investigated the effects of virtual reality balance training (VRBT) with a balance board game system on balance of chronic stroke patients. Participants were randomly assigned to 2 groups: VRBT group (11 subjects including 3 women, 65.26 years old) and control group (11 subjects including 5 women, 63.13 years old). Both groups participated in a standard rehabilitation program (physical and occupational therapy) for 60 min a day, 5 times a week for 6 weeks. In addition, the VRBT group participated in VRBT for 30 min a day, 3 times a week for 6 weeks. Static balance (postural sway velocity with eyes open or closed) was evaluated with the posturography. Dynamic balance was evaluated with the Berg Balance Scale (BBS) and Timed Up and Go test (TUG) that measures balance and mobility in dynamic balance. There was greater improvement on BBS (4.00 vs. 2.81 scores) and TUG (−1.33 vs. −0.52 sec) in the VRBT group compared with the control group (P < 0.05), but not on static balance in both groups. In conclusion, we demonstrate a significant improvement in dynamic balance in chronic stroke patients with VRBT. VRBT is feasible and suitable for chronic stroke patients with balance deficit in clinical settings.

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“…Several studies have reported increases in energy expenditure sufficient for maintaining and improving health in individuals with mobility impairments such as cerebral palsy (CP) [12,[29][30][31][32], spinal cord injury (SCI) [33,34], and stroke [29,[35][36][37]. A literature review by Deutsch and colleagues [29] sought to determine whether evidence existed to support the use of video games for the promotion of fitness and wellness for adults post-stroke (moderate severity) and those with CP (mild severity).…”

Section: Introductionmentioning

confidence: 99%

Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study (Preprint)

Malone¹,

Thirumalai²,

Padalabalanarayanan³

et al. 2018

Preprint

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Background: Individuals with physical disabilities have fewer opportunities to participate in enjoyable physical activity. One option for increasing physical activity is playing active video games (AVG), however, many are inaccessible or offer limited play options. Objective: To examine energy expenditure and enjoyment in adults with mobility impairment during AVG play using off-the-shelf (OTS) and adapted versions of the Wii Fit balance board. Methods: During visit 1, participants completed a functional assessment and familiarization period. For visit 2, metabolic data were collected during a 20-minute baseline and four 10-minute bouts of Wii Fit Plus game play, two bouts on each of the boards. During rest participants completed the Physical Activity Enjoyment Scale (PACES). Statistical analyses were computed using SPSS. Data were analyzed separately for individuals who were able to play standing on both boards (StdStd), those who could not play standing on the OTS board, but were able to play standing on the adapted board (aStd), and for those who could only play seated on the OTS board (aSit). Results: Data were collected for 58 participants (StdStd, n=17; aStd, n=10; aSit, n=31). Sample included 31 men, 27 women with a mean age of 41.21 (±12.70) years. Energy expenditure (METs) during game play was significantly greater than rest for all players. Only 17 participants (StdStd group) were able to play using OTS board. During game play on adapted board average MET values for the two game sets were: aSit = 2.261±0.718, 2.233±0.751 kcal/kg/hour; aStd = 3.151±1.034, 2.990±1.121; StdStd = 2.887±0.823, 2.881±0.898. For game play on the adapted board, self-reported rating of perceived exertion (RPE) on a 0-10 scale suggested greater exercise intensity levels, with median RPE scores ranging from moderate (3) to very hard (7). PACES scores indicated that all players enjoyed using the adapted board with median scores of 4 on a 5-point scale. Conclusions: The adapted Wii Fit balance board provided an opportunity for those with mobility impairments, including wheelchair users, to engage in AVG. All participants were able to utilize the adapted controller and enjoyed the AVG activity. Although average MET values achieved during AVG represented light intensity exercise (<3 METs), 16% of seated participants and 41% of standing participants achieved moderate intensity (3-6 METs) exercise on at least one of the games. Factors not accounted for that may have influenced intensity of exercise include: 1) game selection, 2) limited familiarization period, and 3) discomfort wearing COSMED system for oxygen consumption measurement. Accessible AVG controllers offer an innovative approach to overcoming various barriers to participation in physical activity. Next steps include assessment of an AVG intervention using an adapted board gaming controller on health and fitness outcomes. Trial Registration: ClinicalTrials.gov NCT02994199

show abstract

Energy expenditure in chronic stroke patients playing Wii Sports: a pilot study

Cited by 104 publications

References 45 publications

A Game-Based Virtualized Reality Approach for Simultaneous Rehabilitation of Motor Skill and Confidence

A Game-Based Virtualized Reality Approach for Simultaneous Rehabilitation of Motor Skill and Confidence

Virtual-Reality Balance Training with a Video-Game System Improves Dynamic Balance in Chronic Stroke Patients

Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study (Preprint)

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