PedBotHome: A Video Game–Based Robotic Ankle Device Created for Home Exercise in Children With Neurological Impairments

Coley, Catherine; Kovelman, Staci; Belschner, Justine; Cleary, Kevin; Schladen, Manon Maitland; Evans, Sarah Helen; Salvador, Tyler; Monfaredi, Reza; Talari, Hadi Fooladi; Slagle, Jacob; Rana, Md. Sohel

doi:10.1097/pep.0000000000000881

Cited by 3 publications

(1 citation statement)

References 34 publications

(76 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 10 These features may also promote the acquisition and retention of motor skills (ie, motor learning). 11 ICP systems have been successfully used to support home movement practice in children with CP including commercial entertainment systems (eg, Nintendo Wii, 12 Sony EyeToy 13 ) and systems designed specifically for therapeutic purposes (eg, Timocco, 14 Move It to Improve It, 15 16 PedBotHome 17 ). While commercial entertainment systems often incorporate motivational game elements such as variability, reward systems, competition and goal setting, they may be too difficult for children with CP who are not the target user.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the impact of movement tracking feedback on engagement with home exercise programmes of children with cerebral palsy using a new therapy app: a protocol for a mixed-methods single-case experimental design with alternating treatments

Petrevska,

Wright,

Khan

et al. 2024

BMJ Open

View full text Add to dashboard Cite

IntroductionChildren with cerebral palsy (CP) are prescribed home exercise programmes (HEPs) to increase the frequency of movement practice, yet adherence to HEPs can be low. This paper outlines the protocol for a single-case experimental design (SCED) with alternating treatments, using a new home therapy exercise application, Bootle Boot Camp (BBCamp), offered with and without movement tracking feedback. This study will explore the impact of feedback on engagement, movement quality, lower limb function and family experiences to help understand how technology-supported HEPs should be translated and the added value, if any, of movement tracking technology.Methods and analysisIn this explanatory sequential mixed-methods study using a SCED, 16 children with CP (aged 6–12 years, Gross Motor Function Classification System levels I–II) will set lower limb goals and be prescribed an individualised HEP by their physiotherapist to complete using BBCamp on their home television equipped with a three-dimensional camera-computer system. Children will complete four weekly exercise sessions over 6 weeks. Children will be randomised to 1 of 16 alternating treatment schedules where BBCamp will provide or withhold feedback during the first 4 weeks. The version of BBCamp that results in the most therapeutic benefit will be continued for 2 final weeks. Goals will be re-evaluated and families interviewed. The primary outcome is adherence (proportion of prescribed exercise repetitions attempted) as a measure of behavioural engagement. Secondary outcomes are affective and cognitive engagement (smiley face ratings), exercise fidelity, lower limb function, goal achievement and participant experiences. SCED data will be analysed using visual and statistical methods. Quantitative and qualitative data will be integrated using joint displays.Ethics and disseminationEthical approval was obtained from the Research Ethics Boards at Bloorview Research Institute and the University of Toronto. Results will be distributed through peer-reviewed journals and scientific conferences.Trial registration numberNCT05998239; pre-results.

show abstract