Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study

Rizzo, John Ross; Thai, Peter; Li, Edward J.; Tung, Terence; Hudson, Todd E.; Herrera, Joseph E.; Raghavan, Preeti

doi:10.1016/j.rehab.2016.10.004

Cited by 13 publications

(31 citation statements)

References 50 publications

(45 reference statements)

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“…All 56 articles describe HETs that can help patients with musculoskeletal shoulder disorders when exercising at home ( Table 1 ). Of these, 18 articles refer to a specific target group for their use [ 20 , 23 , 26 , 36 , 37 , 45 , 47 - 50 , 52 , 54 , 58 , 62 , 68 , 71 , 73 , 77 ]. In 11 articles, the HET is recommended for several target groups [ 19 , 30 , 31 , 42 , 53 , 55 , 60 , 75 , 76 , 81 , 83 ].…”

Section: Resultsmentioning

confidence: 99%

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Elgert¹,

Steiner²,

Saalfeld³

et al. 2021

JMIR Rehabil Assist Technol

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Background Health-enabling technologies (HETs) are information and communication technologies that promote individual health and well-being. An important application of HETs is telerehabilitation for patients with musculoskeletal shoulder disorders. Currently, there is no overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. Objective This scoping review provides a broad overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. It focuses on concepts and components of HETs, exercise program strategies, development phases, and reported outcomes. Methods The search strategy used Medical Subject Headings and text words related to the terms upper extremity, exercises, and information and communication technologies. The MEDLINE, Embase, IEEE Xplore, CINAHL, PEDro, and Scopus databases were searched. Two reviewers independently screened titles and abstracts and then full texts against predefined inclusion and exclusion criteria. A systematic narrative synthesis was performed. Overall, 8988 records published between 1997 and 2019 were screened. Finally, 70 articles introducing 56 HETs were included. Results Identified HETs range from simple videoconferencing systems to mobile apps with video instructions to complex sensor-based technologies. Various software, sensor hardware, and hardware for output are in use. The most common hardware for output are PC displays (in 34 HETs). Microsoft Kinect cameras in connection with related software are frequently used as sensor hardware (in 27 HETs). The identified HETs provide direct or indirect instruction, monitoring, correction, assessment, information, or a reminder to exercise. Common parameters for exercise instructions are a patient’s range of motion (in 43 HETs), starting and final position (in 32 HETs), and exercise intensity (in 20 HETs). In total, 48 HETs provide visual instructions for the exercises; 29 HETs report on telerehabilitation aspects; 34 HETs only report on prototypes; and 15 HETs are evaluated for technical feasibility, acceptance, or usability, using different assessment instruments. Efficacy or effectiveness is demonstrated for only 8 HETs. In total, 18 articles report on patients’ evaluations. An interdisciplinary contribution to the development of technologies is found in 17 HETs. Conclusions There are various HETs, ranging from simple videoconferencing systems to complex sensor-based technologies for telerehabilitation, that assist patients with musculoskeletal shoulder disorders when exercising at home. Most HETs are not ready for practical use. Comparability is complicated by varying prototype status, different measurement instruments, missing telerehabilitation aspects, and few efficacy studies. Consequently, choosing an HET for daily use is difficult for health care professionals and decision makers. Prototype testing, usability, and acceptance tests with the later target group under real-life conditions as well as efficacy or effectiveness studies with patient-relevant core outcomes for every promising HET are required. Furthermore, health care professionals and patients should be more involved in the product design cycle to consider relevant practical aspects.

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Section: Resultsmentioning

confidence: 99%

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Elgert¹,

Steiner²,

Saalfeld³

et al. 2021

JMIR Rehabil Assist Technol

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show abstract

“…Of the 27 application systems, 24 were based on self-developed software products. Only 3 made use of commercial games, namely Wii Sports [ 39 , 40 ]; EyeToy: Play, Dance Dance Revolution; and Taiko Drum Master [ 24 ]. While commercial games do not require any investments for development, in contrast to in-house developed games, they are not specially adapted to the target group.…”

Section: Resultsmentioning

confidence: 99%

“…However, it is unclear to what extent these results are transferable to the population owing to small sample sizes [ 29 , 52 ], healthy people as users [ 29 , 36 , 48 , 52 ], or informal testing [ 22 ]. The remaining application systems simply suppose an increase in motivation (9 of the 27)—motivating effects were usually deduced from single subjective questions [ 36 - 38 , 42 ] or directly assumed without any evidence as a result of the game design elements used [ 24 , 30 , 40 , 41 , 45 ]. The same applied to adherence analyzes; 3 publications presume an increase was caused by the game design elements that had been implemented, although there was no evidence given [ 29 , 30 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review

Steiner¹,

Elgert²,

Saalfeld³

et al. 2020

JMIR Serious Games

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Background Gamification has become increasingly important both in research and in practice. Particularly in long-term care processes, such as rehabilitation, playful concepts are gaining in importance to increase motivation and adherence. In addition to neurological diseases, this also affects the treatment of patients with musculoskeletal diseases such as shoulder disorders. Although it would be important to assist patients during more than one rehabilitation phase, it is hypothesized that existing systems only support a single phase. It is also unclear which game design elements are currently used in this context and how they are combined to achieve optimal positive effects on motivation. Objective This scoping review aims to identify and analyze information and communication technologies that use game design elements to support the rehabilitation processes of patients with musculoskeletal diseases of the shoulder. The state of the art with regard to fields of application, game design elements, and motivation concepts will be determined. Methods We conducted a scoping review to identify relevant application systems. The search was performed in 3 literature databases: PubMed, IEEE Xplore, and Scopus. Following the PICO (population, intervention, comparison, outcome) framework, keywords and Medical Subject Headings for shoulder, rehabilitation, and gamification were derived to define a suitable search term. Two independent reviewers, a physical therapist and a medical informatician, completed the search as specified by the search strategy. There was no restriction on year of publication. Data synthesis was done by deductive-inductive coding based on qualitative content analysis. Results A total of 1994 articles were screened; 31 articles in English, published between 2006 and 2019, were included. Within, 27 application systems that support patients with musculoskeletal diseases of the shoulder in exercising, usually at home but also in inpatient or outpatient rehabilitation clinics, were described. Only 2 application systems carried out monitoring of adherence. Almost all were based on in-house developed software. The most frequently used game components were points, tasks, and avatars. More complex game components, such as collections and teams, were rarely used. When selecting game components, patient-specific characteristics, such as age and gender, were only considered in 2 application systems. Most were described as motivating, though an evaluation of motivational effects was usually not conducted. Conclusions There are only a few application systems supporting patients with musculoskeletal diseases of the shoulder in rehabilitation by using game design elements. Almost all application systems are exergames for supporting self-exercising. Application systems for multiple rehabilitation phases seem to be nonexistent. It is also evident that only a few complex game design elements are used. Patient-specific characteristic are generally neglected when selecting and implementing game components. Consequently, a holistic approach to enhance adherence to rehabilitation is required supporting patients during the entire rehabilitation process by providing motivational game design elements based on patient-specific characteristics.

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“…An important consideration in selecting games for rehabilitation is to examine if the games encourage or discourage the use of unwanted compensatory strategies. Structured gaming that uses available games but in a step-by-step guided manner may be one solution to using existing gaming consoles, such as the Wii [92]. Furthermore, rehabilitation games are now being designed to provide specific feedback regarding desirable and undesirable movements and forces through the use of sensors embedded in real-world objects [93] and instrumented clothing [94].…”

Section: Challenges To Adoption and Accessibility To Robot-assisted Rmentioning

confidence: 99%

The Present and Future of Robotic Technology in Rehabilitation

Laut

Porfiri

Raghavan

2016

Curr Phys Med Rehabil Rep

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Robotic technology designed to assist rehabilitation can potentially increase the efficiency of and accessibility to therapy by assisting therapists to provide consistent training for extended periods of time, and collecting data to assess progress. Automatization of therapy may enable many patients to be treated simultaneously and possibly even remotely, in the comfort of their own homes, through telerehabilitation. The data collected can be used to objectively assess performance and document compliance as well as progress. All of these characteristics can make therapists more efficient in treating larger numbers of patients. Most importantly for the patient, it can increase access to therapy which is often in high demand and rationed severely in today’s fiscal climate. In recent years, many consumer grade low-cost and off-the-shelf devices have been adopted for use in therapy sessions and methods for increasing motivation and engagement have been integrated with them. This review paper outlines the effort devoted to the development and integration of robotic technology for rehabilitation.

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Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study

Cited by 13 publications

References 50 publications

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review

The Present and Future of Robotic Technology in Rehabilitation

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