A gaming system with haptic feedback to improve upper extremity function: A prospective case series

IF 0.7 Q4 REHABILITATION

Technology and Disability Pub Date : 2021-01-01 DOI:10.3233/tad-200319

H. Hernandez, Isabelle Poitras, L. Fay, Ajmal Khan, J. Roy, E. Biddiss

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引用次数: 2

Abstract

BACKGROUND: Video games can be used to motivate repetitive movements in paediatric rehabilitation. Most upper limb videogaming therapies do not however include haptic feedback which can limit their impact. OBJECTIVE: To explore the effectiveness of interactive computer play with haptic feedback for improving arm function in children with cerebral palsy (CP). METHODS: Eleven children with hemiplegic CP attended 12 therapist-guided sessions in which they used a gaming station composed of the Novint Falcon, custom-built handles, physical supports for the child’s arm, games, and an application to manage and calibrate therapeutic settings. Outcome measures included Quality of Upper Extremity Skills Test (QUEST) and Canadian Occupational Performance Measure (COPM). The study protocol is registered on clinicaltrials.gov (NCT04298411). RESULTS: Participants completed a mean of 3858 wrist extensions and 6665 elbow/shoulder movements during the therapist-guided sessions. Clinically important improvements were observed on the dissociated and grasp dimensions on the QUEST and the performance and satisfaction scales of the COPM (all p< 0.05). CONCLUSION: This study suggests that computer play with haptic feedback could be a useful and playful option to help improve the hand/arm capacities of children with CP and warrants further study. The opportunities and challenges of using low-cost, mainstream gaming software and hardware for therapeutic applications are discussed.

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具有触觉反馈的游戏系统改善上肢功能:前瞻性案例系列

背景:在儿童康复中，视频游戏可以用来激发重复运动。然而，大多数上肢电子游戏疗法不包括触觉反馈，这可能会限制它们的影响。目的:探讨触觉反馈互动电脑游戏对改善脑瘫患儿手臂功能的效果。方法:11名患有偏瘫性脑瘫的儿童参加了12次治疗师指导的会议，在会议中，他们使用由Novint Falcon、定制手柄、儿童手臂的物理支撑、游戏和管理和校准治疗设置的应用程序组成的游戏站。结果测量包括上肢技能质量测试(QUEST)和加拿大职业表现测量(COPM)。该研究方案已在clinicaltrials.gov (NCT04298411)上注册。结果:在治疗师的指导下，参与者平均完成了3858次手腕伸展和6665次肘部/肩部运动。在QUEST的解离和把握维度以及COPM的表现和满意度量表上观察到临床重要的改善(均p< 0.05)。结论:本研究表明，带有触觉反馈的电脑游戏可能是一种有用且有趣的选择，有助于提高CP儿童的手/手臂能力，值得进一步研究。讨论了在治疗应用中使用低成本、主流游戏软件和硬件的机遇和挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Technology and Disability Medicine-Rehabilitation

CiteScore

1.40

自引率

20.00%

发文量

期刊介绍： Technology and Disability communicates knowledge about the field of assistive technology devices and services, within the context of the lives of end users - persons with disabilities and their family members. While the topics are technical in nature, the articles are written for broad comprehension despite the reader"s education or training. Technology and Disability"s contents cover research and development efforts, education and training programs, service and policy activities and consumer experiences. - The term Technology refers to assistive devices and services. - The term Disability refers to both permanent and temporary functional limitations experienced by people of any age within any circumstance.