NeuroGame Therapy to improve wrist control in children with cerebral palsy: A case series

Rios, Dianne; Gilbertson, Torey; McCoy, Sarah Westcott; Price, Robert; Gutman, K.; Miller, Kim; Fechko, A.; Moritz, Chet T.

doi:10.3109/17518423.2013.766818

Cited by 32 publications

(21 citation statements)

References 29 publications

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“…84 The primary VR and SG systems used in the studies are the Wii Fit, Sports, and Balance systems. Many specialized systems have been developed for both upper 43,45,47,56,59,60,69,72 and lower 23,36,41,76 extremity applications as well as greater motor control. 41,76,82 Improvements in postural control have been studied primarily with use of the Wii and Kinect systems.…”

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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Use of virtual reality (VR) and serious games (SGs) interventions within rehabilitation as motivating tools for task specific training for individuals with neurological conditions are fast-developing. Within this perspective paper we use the framework of the IV STEP conference to summarize the literature on VR and SG for children and adults by three topics: Prevention; Outcomes: Body-Function-Structure, Activity and Participation; and Plasticity. Overall the literature in this area offers support for use of VR and SGs to improve body functions and to some extent activity domain outcomes. Critical analysis of clients' goals and selective evaluation of VR and SGs are necessary to appropriately take advantage of these tools within intervention. Further research on prevention, participation, and plasticity is warranted. We offer suggestions for bridging the gap between research and practice integrating VR and SGs into physical therapist education and practice.

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Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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“…(29) Given that little is known about the experience of home exercise programs for persons after stroke and that home-based gaming approaches could be effective for encouraging movement practice, it was considered important to explore user experiences of home exercise and activity programs when developing a system for home use. This study focused on participants' descriptions of their upper extremity use in daily activities and explored their experiences with previous home exercise programs, and their new experiences with NGT.…”

Section: Introductionmentioning

confidence: 99%

Understanding upper extremity home programs and the use of gaming technology for persons after stroke

Brown

Dudgeon

Gutman

et al. 2015

Disability and Health Journal

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Background Many persons post stroke continue to have difficulty using their more involved upper extremity and home programs may be poorly adhered to limiting the amount of practice an individual receives. More information on the experience of traditional home program and the acceptability of a novel home intervention was sought. Objective To qualitatively describe 1) upper extremity use at home, 2) previous home exercise or activity programs, and 3) the acceptability of a novel upper extremity home program, NeuroGame Therapy (NGT), that combines surface electromyography (sEMG) biofeedback and a commercial computer game. Methods A purposeful sample of ten persons with moderate to severe upper extremity motor impairment used the NGT intervention in their home for four weeks and completed nested (pre and post) one-on-one interviews. Written transcripts from the interviews were coded and themes were identified to address stated objectives. Results Participants reported that while use of their upper extremity in daily activities was recommended it occurred infrequently. Most participants described previous home programs as being non-specific, were often not carried out as recommended or were self-modified. Participants found NGT to be engaging and motivating, but reported minimal changes in the functional uses of their upper extremity. Conclusion These findings suggest that after stroke upper extremity use may be infrequent and home program approaches could be re-examined. NGT was reported to be an acceptable home intervention, but it will require further development and study to understand its value and role in post-stroke rehabilitation.

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“…[10–14]. However, the diversity of task objectives and biofeedback parameters make conclusions regarding the effects of biofeedback for people with CP difficult to synthesize.…”

Section: Introductionmentioning

confidence: 99%

Biofeedback interventions for people with cerebral palsy: a systematic review protocol

2017

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BackgroundCerebral palsy is a life-long disability that affects motor control and activities of daily living. Depending on the type of cerebral palsy, some individuals may have trouble performing tasks with one or both of their arms and/or legs. Different strategies exist to help develop motor capacity. Biofeedback therapy is a commonly applied rehabilitation strategy. In biofeedback therapy, information about the motor behavior while completing a task is given back to the individual to help improve their performance. This can provide valuable information that would otherwise be unknown to the individual. Biofeedback may also have a unique method of operation in clinical populations, such as people with cerebral palsy. Therefore, it is important to identify the most effective mechanisms for specific populations. This review aims to evaluate the effects of biofeedback interventions that have been used towards improving motor performance and motor learning in people with cerebral palsy.MethodsUsing a customized strategy, MEDLINE, CINAHL, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, SCOPUS, SPORTDiscus, and PEDro databases will be searched. Two independent reviewers will screen titles and abstracts, review full texts for inclusion criteria, and extract data from relevant articles using a standardized template. Quality of evidence and risk of bias will be assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.DiscussionSeveral studies have investigated biofeedback-based interventions for people with cerebral palsy. However, there is a great variety and limited consensus regarding how to implement biofeedback mechanisms. This systematic review will consolidate the current evidence to direct future study and develop effective biofeedback rehabilitation strategies.Systematic review registrationPROSPERO ID: CRD42016047612 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-017-0405-y) contains supplementary material, which is available to authorized users.

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NeuroGame Therapy to improve wrist control in children with cerebral palsy: A case series

Abstract: This case series provides evidence for the feasibility, specificity, and effectiveness of NGT. Future studies will pair NGT with functional practice to improve transfer of learning to daily activities.

Cited by 32 publications

References 29 publications

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Understanding upper extremity home programs and the use of gaming technology for persons after stroke

Biofeedback interventions for people with cerebral palsy: a systematic review protocol

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