Commercial Exergaming in Home-Based Pediatric Constraint-Induced Therapy: A Randomized Trial

Wang, Tien‐Ni; Chen, Yu‐Lun; Shieh, Jeng-Yi; Chen, Hao‐Ling

doi:10.1177/1539449220984110

Cited by 13 publications

(58 citation statements)

References 35 publications

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“…Recent research using this console to treat patients with CP has shown positive effects compared to other kinds of rehabilitation services. 55-57…”

Section: Discussionmentioning

confidence: 99%

“…Recent research using this console to treat patients with CP has shown positive effects compared to other kinds of rehabilitation services. [55][56][57] This will be the first study assessing the effects of a six-week exercise programme remote (TR) using a Nintendo Wii balance board to improve standing balance in children and adolescents with CP type spastic hemiplegia compared with the effects of an FtF modality. This trial will provide evidence on the effectiveness of the Nintendo Wii for improving standing balance in patients with CP, a matter in which the current evidence is lacking.…”

Section: Discussionmentioning

confidence: 99%

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Postural control telerehabilitation with a low-cost virtual reality protocol for children with cerebral palsy: Protocol for a clinical trial

Gatica-Rojas

Cartes‐Velásquez

Soto

et al. 2022

Preprint

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ObjectiveTo establish the feasibility and effectiveness of a rehabilitation programme using low-cost virtual reality aimed at improving postural control in children with cerebral type palsy spastic hemiplegia. It also seeks to compare low-cost virtual reality under two delivery modalities, telerehabilitation (TR) and face-to-face (FtF).MethodsRandomized controlled clinical trial from the ACTRN platform ACTRN12621000117819. Eighteen sessions of low-cost virtual reality therapy will be provided through both, FtF and TR modalities using a Nintendo Wii balance board. Each programme will last for 6 weeks and will consist of 3 sessions per week of 25 minutes each. The participants will include 40 patients diagnosed with cerebral palsy type spastic hemiplegia. Twenty participants for each group. Participants will be assessed at baseline, by the end of weeks 2, 4, and 6, and at weeks 8 and 10 (post-intervention follow-ups). Clinical measures include the Modified-Modified Ashworth Scale for lower limbs, Modified Ashworth Scale for upper limbs, timed up-and-go tests, the timed one-leg standing and 6-minute walk test. Posturographic measures, including sway area and velocity, under six conditions will be used: 2 statics and 4 dynamic conditions, which include voluntary sway in the mediolateral direction following a metronome set at 30Hz and 60Hz, and sway while playing 2 different videogames.ResultsThis study provides an assessment of the feasibility and effectiveness of an affordable rehabilitation programme using low-cost virtual reality aimed at improving postural control in children with cerebral palsy.ConclusionRehabilitation programme using low-cost virtual reality will improve postural control in children with cerebral palsy type spastic hemiplegia and this programme delivered using TR will be as effective as a FtF modality. The TR programme has be designed to expand the coverage of physiotherapy services for children with cerebral palsy in low-resource settings and in remote areas.

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“…Recent research using this console to treat patients with CP has shown positive effects compared to other kinds of rehabilitation services. 55-57…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postural control telerehabilitation with a low-cost virtual reality protocol for children with cerebral palsy: Protocol for a clinical trial

Gatica-Rojas

Cartes‐Velásquez

Soto

et al. 2022

Preprint

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“…The main evidence on rehabilitation services that can be delivered by telemedicine concerns: the televisit -> which can increase access to specialist visits at a low cost and from remote locations, ensuring high levels of caregiver satisfaction and the remote reproducibility of the assessment of some of the key clinical parameters [ 21 , 22 , 23 , 24 ]; synchronous and asynchronous telecounseling -> improves the usability of services and caregiver satisfaction, with evidence of non-inferiority to the traditional treatment of infantile cerebral palsy and GCA [ 25 , 26 , 27 , 28 , 29 , 30 , 31 ] and showing potential efficacy. However, there is need for further clinical studies; telecounseling -> has been shown to be effective on the behavior of children with disabilities, particularly by intervening with parents with respect to the performance of the Home Exercise Program (HEP) [ 23 , 31 ]; telemonitoring -> device-based and/or video-call-based; it can potentially provide feedback to healthcare professionals and patients, in order to modify the individual rehabilitation plan, and increase engagement and adherence to HEP [ 32 , 33 ].…”

Section: Telemedicine At Homementioning

confidence: 99%

“…synchronous and asynchronous telecounseling -> improves the usability of services and caregiver satisfaction, with evidence of non-inferiority to the traditional treatment of infantile cerebral palsy and GCA [ 25 , 26 , 27 , 28 , 29 , 30 , 31 ] and showing potential efficacy. However, there is need for further clinical studies;…”

Section: Telemedicine At Homementioning

confidence: 99%

Use of Telemedicine Healthcare Systems in Pediatric Assistance at Territorial Level: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF)

Esposito

Rosafio

Antodaro

et al. 2023

JPM

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Technological innovation can contribute to a reorganization of healthcare, particularly by supporting the shift in the focus of care from the hospital to the territory, through innovative citizen-centered models, and facilitating access to services in the territory. Health and social care delivery modalities, enabled by telemedicine, are crucial in this regard. The objective of his Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, is to define a standard for its use at the territorial level in various declinations in the pediatric field; this paper also identifies priority areas for its application and the types of services that most require intervention and investment. The changes that are underway in digital transformation in all sectors are unstoppable, and for the digital transformation to take place in a productive sense, the contribution of not only all health professionals, but also of patients, is necessary. From this perspective, authors from different backgrounds were involved in the drafting of this Consensus and, in the future, other figures, primarily patients, are expected to be involved. In fact, this belongs to the vision of connected care, in which the citizen/patient actively participates in the treatment path so that they are assisted in a personalized, predictive and preventive way. The future scenario must be able to provide for the involvement of patients from the initial stages of planning any treatment path, even in the pediatric age, and increasing, where possible, the proximity of the health service to the families.

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“…Some psychosocial benefits in terms of decreased parental stress and increased child engagement were found. However, as Wii games were not designed for therapeutic use, it might not provide appropriate grading methods for the rehabilitative goal ( Wang et al, 2021 ). The Kinect camera is a low-cost and portable markerless motion capture sensor.…”

Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Kinect-Based Constraint-Induced Therapy Program in the Home Setting for Children With Unilateral Cerebral Palsy

Chen

Lin

Yeh

et al. 2021

Front. Bioeng. Biotechnol.

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Introduction: Cerebral palsy (CP) is the leading cause of childhood-onset physical disability. Children with CP often have impaired upper limb (UL) function. Constraint-induced therapy (CIT) is one of the most effective UL interventions for children with unilateral CP. However, concerns about CIT for children have been repeatedly raised due to frustration caused by restraint of the child’s less-affected UL and lack of motivation for the intensive protocol. Virtual reality (VR), which can mitigate the disadvantages of CIT, potentially can be used as an alternative mediator for implementing CIT. Therefore, we developed a VR-based CIT program for children with CP using the Kinect system.Aims: The feasibility of the Kinect-based CIT program was evaluated for children with unilateral CP using a two-phase study design.Materials and Methods: In phase 1, ten children with unilateral CP were recruited. To confirm the achievement of the motor training goals, maximal UL joint angles were evaluated during gameplay. To evaluate children’s perceptions of the game, a questionnaire was used. In phase 2, eight children with unilateral CP were recruited and received an 8 weeks Kinect-based CIT intervention. Performance scores of the game and outcomes of the box and block test (BBT) were recorded weekly.Results: In phase 1, results supported that the design of the program was CIT-specific and was motivational for children with unilateral CP. In phase 2, game performance and the BBT scores began showing stable improvements in the fifth week of intervention.Conclusion: It suggested the Kinect-based CIT program was beneficial to the motor function of the affected UL for children with unilateral CP. According to the results of this feasibility study, larger and controlled effectiveness studies of the Kinect-based CIT program can be conducted to further improve its clinical utility.Clinical Trial Registration: ClinicalTrials.gov, NCT02808195; Comparative effectiveness of a Kinect-based unilateral arm training system vs. CIT for children with CP

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Commercial Exergaming in Home-Based Pediatric Constraint-Induced Therapy: A Randomized Trial

Cited by 13 publications

References 35 publications

Postural control telerehabilitation with a low-cost virtual reality protocol for children with cerebral palsy: Protocol for a clinical trial

Postural control telerehabilitation with a low-cost virtual reality protocol for children with cerebral palsy: Protocol for a clinical trial

Development and Feasibility of a Kinect-Based Constraint-Induced Therapy Program in the Home Setting for Children With Unilateral Cerebral Palsy

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