Move Well: Design Deficits in Postural Based Exergames. What are We Missing?

Tahmosybayat, Robin; Baker, Katherine; Godfrey, Alan; Caplan, Nick; Barry, Gill

doi:10.1109/gem.2018.8516516

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…Both commercially available and custom-designed exergames have been used in physical rehabilitation in older adults . Studies, which have evaluated the realization of movement during exergaming have shown that similar exergames (Skjaeret-Maroni et al, 2016;de Vries et al, 2018) or different levels of difficulty in a single exergame (Skjaeret-Maroni et al, 2016) may lead to significantly different movements, and movements trained in the exergames may poorly meet all targeted aspects of the specific rehabilitation goal (Tahmosybayat et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Movement characteristics during customized exergames after total knee replacement in older adults

Janhunen

Löppönen²,

Walker³

et al. 2022

Front. Sports Act. Living

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IntroductionThere is limited understanding of how older adults can reach kinematic goals in rehabilitation while performing exergames and conventional exercises, and how similar or different the kinematics during exergaming are when compared with conventional therapeutic exercise with similar movement. The aim of this study was to describe the movement characteristics performed during exercise in custom-designed exergames and conventional therapeutic exercises among patients who have undergone unilateral total knee replacement (TKR). In addition, the secondary aim was to assess the relation of these exercise methods, and to assess participants' perceived exertion and knee pain during exergaming and exercising.Materials and methodsPatients up to 4 months after the TKR surgery were invited in a single-visit exercise laboratory session. A 2D motion analysis and force plates were employed to evaluate movement characteristics as the volume, range, and intensity of movement performed during custom-designed knee extension-flexion and weight shifting exergames and conventional therapeutic exercises post TKR. The perceived exertion and knee pain were assessed using the Borg Rating of Perceived Exertion and Visual Analog Scale, respectively.ResultsEvaluation of seven patients with TKR [age median (IQR), 65 (10) years] revealed that the volume and intensity of movement were mostly higher during exergames. Individual goniometer-measured knee range of motion were achieved either with exergames and conventional therapeutic exercises, especially in knee extension exercises. The perceived exertion and knee pain were similar after exergames and conventional therapeutic exercises.ConclusionsDuring custom-designed exergaming the patients with TKR achieve the movement characteristics appropriate for post-TKR rehabilitation without increasing the stress and pain experienced even though the movement characteristics might be partly different from conventional therapeutic exercises by the volume and intensity of movement. Physical therapists could consider implementing such exergames in rehabilitation practice for patients with TKR once effectiveness have been approved and they are widely available.

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Section: Introductionmentioning

confidence: 99%