Preliminary Evaluation of a Commercially Available Videogame System as an Adjunct Therapeutic Intervention for Improving Balance Among Children and Adolescents With Lower Limb Amputations

Andrysek, Jan; Klejman, Susan; Steinnagel, B.; Torres-Moreno, Ricardo; Zabjek, Karl; Salbach, Nancy M.; Moody, Kim

doi:10.1016/j.apmr.2011.08.031

Cited by 38 publications

(32 citation statements)

References 37 publications

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“…40 In fact, a study of children with balance problems due to lower limb amputation indicated that children exceeded the minimum prescribed AVG play time during the first 3 weeks of the intervention. 51 Healthy older adults also appear to be able to easily operate AVGs. 75 There are also potential limitations and challenges to AVG play, including fear of falling, lack of interest, and help needed for set up, instructions, and gameplay.…”

Section: Implications For Cliniciansmentioning

confidence: 99%

“…55 Children and adolescents with unilateral lower limb amputation improved postural control compared with that of the age-matched typically developing control group. 51 Using ''Wii Fit'' plus regular rehabilitation was as good as traditional rehabilitation for patients undergoing knee replacement in terms of length of rehabilitation, walk test, knee range of motion, balance confidence, lower extremity function, pain rating, and patient satisfaction. 52 A study comparing ''Wii Bowling'' with standard exercise found that functional capacity, but not pain intensity, improved among long-term care patients with upper extremity dysfunction.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…29 With the appropriate technical expertise, AVGs can be modified or adapted depending on the illness or injury (e.g., for upper extremity use) 55 and can promote rehabilitation for these populations. [51][52][53] One study of children with cerebral palsy provided an appendix detailing the therapeutic goal, rationale, and feedback for each activity mode of the AVG studied, 39 which may be helpful for clinicians. A key limitation of current commercially available AVGs is a lack of performance feedback that can translate to a clinical rating of improvement or deterioration, as the game performance scores are typically deemed insufficient.…”

Section: Implications For Cliniciansmentioning

confidence: 99%

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Therapeutic Uses of Active Videogames: A Systematic Review

Staiano

Flynn

2014

Games for Health Journal

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Background: Active videogames (AVGs) may be useful for promoting physical activity for therapeutic uses, including for balance, rehabilitation, and management of illness or disease. The literature from 64 peerreviewed publications that assessed health outcomes of AVGs for therapeutic purposes was synthesized. Materials and Methods: PubMed, Medline, and PyschInfo were queried for original studies related to the use of AVGs to improve physical outcomes in patients who were ill or undergoing rehabilitation related to balance, burn treatment, cancer, cerebral palsy, Down's syndrome, extremity dysfunction or amputation, hospitalization, lupus, Parkinson's disease, spinal injury, or stroke. The following inclusion criteria were used: (1) human subjects; (2) English language; (3) not duplicates; (4) new empirical data; and (5) tests an AVG, including commercially available or custom-designed. Studies were included regardless of participants' age or the study design. Results and Limitations: Overall, the vast majority of studies demonstrated promising results for improved health outcomes related to therapy, including significantly greater or comparable effects of AVG play versus usual care. However, many studies were pilot trials with small, homogeneous samples, and many studies lacked a control or comparison group. Some trials tested multiweek or multimonth interventions, although many used a single bout of gameplay, and few included follow-up assessments to test sustainability of improved health. Conclusions and Implications: AVGs were acceptable and enjoyable to the populations examined and appear as a promising tool for balance, rehabilitation, and illness management. Future research directions and implications for clinicians are discussed.

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Section: Implications For Cliniciansmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Implications For Cliniciansmentioning

confidence: 99%

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Therapeutic Uses of Active Videogames: A Systematic Review

Staiano

Flynn

2014

Games for Health Journal

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“…If a wearable daily use system is not the goal for the researcher, virtual reality (VR) systems may be a good option to motivate and encourage program adherence, since users might perceive to have more interaction with the system. For balance, the Wii-Fit has been shown to improve the balance and gait in older adults [97], children and adolescents with amputation [119], as well as individuals with Alzheimer's and Parkinson's disease [120]. Although the Wii-Fit is no longer commercially available, other VR options have been used for rehabilitation purposes, including the CAREN system and C-Mill (both from Motekforce Link, Amsterdam).…”

Section: Other Bfb Design and Application Considerationsmentioning

confidence: 99%

Biofeedback Systems for Gait Rehabilitation of Individuals with Lower-Limb Amputation: A Systematic Review

Escamilla-Nunez

Michelini

Andrysek

2020

Sensors

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Individuals with lower-limb amputation often have gait deficits and diminished mobility function. Biofeedback systems have the potential to improve gait rehabilitation outcomes. Research on biofeedback has steadily increased in recent decades, representing the growing interest toward this topic. This systematic review highlights the methodological designs, main technical and clinical challenges, and evidence relating to the effectiveness of biofeedback systems for gait rehabilitation. This review provides insights for developing an effective, robust, and user-friendly wearable biofeedback system. The literature search was conducted on six databases and 31 full-text articles were included in this review. Most studies found biofeedback to be effective in improving gait. Biofeedback was most commonly concurrently provided and related to limb loading and symmetry ratios for stance or step time. Visual feedback was the most used modality, followed by auditory and haptic. Biofeedback must not be obtrusive and ideally provide a level of enjoyment to the user. Biofeedback appears to be most effective during the early stages of rehabilitation but presents some usability challenges when applied to the elderly. More research is needed on younger populations and higher amputation levels, understanding retention as well as the relationship between training intensity and performance.

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“…1 Biofeedback treatment of movement or posture problems have yielded some successes in children with disabilities, including CP, [2][3][4] as well as children with lower limb amputations. 5 These studies suggest that a balance biofeedback game may benefit children with CP.…”

mentioning

confidence: 99%

Digital Posturography Games Correlate with Gross Motor Function in Children with Cerebral Palsy

Bingham

Calhoun

2015

Games for Health Journal

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Objective: This pilot study aimed to assess whether performance on posturography games correlates with the Gross Motor Function Measure (GMFM) in children with cerebral palsy. Materials and Methods: Simple games using static posturography technology allowed subjects to control screen events via postural sway. Game performance was compared with GMFMs using correlation analysis in a convenience sample of nine girls and six boys with cerebral palsy. Likert scales were used to obtain subjective responses to the balance games. Results: GMFM scores correlated with game performance, especially measures emphasizing rhythmic sway. Twelve of the 15 subjects enjoyed the game and asserted an interest in playing again. Conclusions: Digital posturography games engage children with cerebral palsy in balance tasks, provide visual feedback in a balance control task, and have the potential to increase autonomy in balance control training among pediatric patients with cerebral palsy. This approach can support the relationship between child and therapist. The potential for interactive posturography to complement the assessment and treatment of balance in cerebral palsy bears continuing study.

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Preliminary Evaluation of a Commercially Available Videogame System as an Adjunct Therapeutic Intervention for Improving Balance Among Children and Adolescents With Lower Limb Amputations

Cited by 38 publications

References 37 publications

Therapeutic Uses of Active Videogames: A Systematic Review

Therapeutic Uses of Active Videogames: A Systematic Review

Biofeedback Systems for Gait Rehabilitation of Individuals with Lower-Limb Amputation: A Systematic Review

Digital Posturography Games Correlate with Gross Motor Function in Children with Cerebral Palsy

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