Recommendations for the Optimal Design of Exergame Interventions for Persons with Disabilities: Challenges, Best Practices, and Future Research

Wiemeyer, Josef; Deutsch, Judith E.; Malone, Laurie A.; Rowland, Jennifer; Swartz, Maria C.; Xiong, Jie; Zhang, Fang Fang

doi:10.1089/g4h.2014.0078

Cited by 69 publications

(58 citation statements)

References 17 publications

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“…Lack of transportation, inaccessible fitness facilities, absence of staff trained in working with people disabilities, and boredom associated with using standard exercise equipment all contribute to higher sedentary behaviors in this population [1][2][3][4][5][6][7]. Replacing sedentary behaviors with active video games (AVGs) holds promise as a way to reduce those barriers and increase leisure-time physical activity in people with disabilities [8][9][10][11][12]. Moreover, AVGs have been described as having the potential to be a "gateway experience" to physical activity, suggesting that such games may open the door to interest and participation in other forms of physical activity for persons with disabilities [10].…”

Section: Introductionmentioning

confidence: 99%

“…Replacing sedentary behaviors with active video games (AVGs) holds promise as a way to reduce those barriers and increase leisure-time physical activity in people with disabilities [8][9][10][11][12]. Moreover, AVGs have been described as having the potential to be a "gateway experience" to physical activity, suggesting that such games may open the door to interest and participation in other forms of physical activity for persons with disabilities [10].…”

Section: Introductionmentioning

confidence: 99%

“…Depending on the design of games and control systems used, AVGs have been shown to be an enjoyable leisure-time physical activity option to replace sedentary screen time [13][14][15][16][17], with the potential to increase cardiorespiratory fitness and enhance balance and functional mobility [15,16,[18][19][20][21][22][23][24][25][26][27][28]. Furthermore, AVGs show promise as an enjoyable physical activity alternative for individuals with disabilities, in large part because they overcome certain common barriers to physical activity such as transportation and access to adequate facilities [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…Although AVGs hold promise as an opportunity to increase physical activity in people with disabilities, physical limitations such as decreased motor control, range of motion, muscle strength, ambulatory status, and balance limit AVG accessibility for a large portion of this population [10,12,39]. For example, the majority of the studies noted above for individuals with CP and post-stroke were comprised of individuals with mild to moderate mobility impairments who were able to play the AVGs without adapted equipment.…”

Section: Introductionmentioning

confidence: 99%

“…For example, the majority of the studies noted above for individuals with CP and post-stroke were comprised of individuals with mild to moderate mobility impairments who were able to play the AVGs without adapted equipment. Likewise, limited AVG play options are available for people who are unable to stand, have balance problems or poor motor control, or cannot use their lower body to perform game movements [10]. For instance, floor pad game controllers used by AVGs (eg, Dance, Dance Revolution; Wii Outdoor Challenge) have obvious accessibility limitations.…”

Section: Introductionmentioning

confidence: 99%

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Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study (Preprint)

Malone¹,

Thirumalai²,

Padalabalanarayanan³

et al. 2018

Preprint

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Background: Individuals with physical disabilities have fewer opportunities to participate in enjoyable physical activity. One option for increasing physical activity is playing active video games (AVG), however, many are inaccessible or offer limited play options. Objective: To examine energy expenditure and enjoyment in adults with mobility impairment during AVG play using off-the-shelf (OTS) and adapted versions of the Wii Fit balance board. Methods: During visit 1, participants completed a functional assessment and familiarization period. For visit 2, metabolic data were collected during a 20-minute baseline and four 10-minute bouts of Wii Fit Plus game play, two bouts on each of the boards. During rest participants completed the Physical Activity Enjoyment Scale (PACES). Statistical analyses were computed using SPSS. Data were analyzed separately for individuals who were able to play standing on both boards (StdStd), those who could not play standing on the OTS board, but were able to play standing on the adapted board (aStd), and for those who could only play seated on the OTS board (aSit). Results: Data were collected for 58 participants (StdStd, n=17; aStd, n=10; aSit, n=31). Sample included 31 men, 27 women with a mean age of 41.21 (±12.70) years. Energy expenditure (METs) during game play was significantly greater than rest for all players. Only 17 participants (StdStd group) were able to play using OTS board. During game play on adapted board average MET values for the two game sets were: aSit = 2.261±0.718, 2.233±0.751 kcal/kg/hour; aStd = 3.151±1.034, 2.990±1.121; StdStd = 2.887±0.823, 2.881±0.898. For game play on the adapted board, self-reported rating of perceived exertion (RPE) on a 0-10 scale suggested greater exercise intensity levels, with median RPE scores ranging from moderate (3) to very hard (7). PACES scores indicated that all players enjoyed using the adapted board with median scores of 4 on a 5-point scale. Conclusions: The adapted Wii Fit balance board provided an opportunity for those with mobility impairments, including wheelchair users, to engage in AVG. All participants were able to utilize the adapted controller and enjoyed the AVG activity. Although average MET values achieved during AVG represented light intensity exercise (<3 METs), 16% of seated participants and 41% of standing participants achieved moderate intensity (3-6 METs) exercise on at least one of the games. Factors not accounted for that may have influenced intensity of exercise include: 1) game selection, 2) limited familiarization period, and 3) discomfort wearing COSMED system for oxygen consumption measurement. Accessible AVG controllers offer an innovative approach to overcoming various barriers to participation in physical activity. Next steps include assessment of an AVG intervention using an adapted board gaming controller on health and fitness outcomes. Trial Registration: ClinicalTrials.gov NCT02994199

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study (Preprint)

Malone¹,

Thirumalai²,

Padalabalanarayanan³

et al. 2018

Preprint

View full text Add to dashboard Cite

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Retinopathy in systemic lupus erythematosus: Relationship to disease activity

Klinkhoff

Beattie

Chalmers

1986

Arthritis & Rheumatism

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Forty-three patients taking chloroquine for systemic lupus erythematosus were followed by one ophthalmologist over a 5-year period. Visual field testing, color vision testing, and fluorescein angiography were performed. Retinopathy was detected in 7 patients (16%1, none of whom had hypertension or diabetes melitus. Retinal abnormalities included cotton-wool spots in 4 patients, microaneurysms in 3, and vascular tortuosity in 4. In 4 patients, these abnormalities were associated with retinal dysfunction, measured in terms of abnormal hue discrimination. In 6 of the 7 patients, the finding of retinopathy coincided with a flare of lupus activity. In 5 patients, retinopathy improved when the disease was controlled.Retinopathy is a well-known complication of systemic lupus erythematosus (SLE). Before the advent of steroids, retinopathy was reported in 50% of SLE cases (1,2), However, the incidence of retinopathy in a predominantly outpatient population with milder disease has been reported to be relatively small (3). Between 1978 and 1983, 43 SLE patients treated with chloroquine were referred to one ophthalmologist. This has permitted us to follow the course of SLE retinopathy in a selected population. It became our

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The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial

Mete

Sarı

2022

Physiotherapy Res Intl

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Background: Exergaming, one of the most recognized virtual rehabilitation tools, has been shown to be useful for promoting physical activity and enhancing postural stability for neurologic conditions. However, studies with exergaming programs for patients with knee osteoarthritis (OA) are limited. Aims:We aimed to investigate the effects of exergaming given by visual and auditory stimulated assisted joint training device in addition to the conventional physiotherapy program on pain intensity, range of motion (ROM), functional status, kinesiophobia, proprioceptive acuity, muscle strength, and postural stability in patients with knee OA. Study Design: Randomized controlled clinical trial.Methods: Sixty patients (47 female, 13 male) with knee osteoarhritis aged 40-65 years (57.36 � 7.26) who were at stage of two to three according to the Kellegren Lawrence radiological evaluation were included in the study. The patients were randomly divided into two groups as study group (conventional physiotherapy + exergaming) and control group (conventional physiotherapy). Electrotherapy and exercise program were applied to both of the groups along 5 days a week for 6 weeks but exergaming only applied to study group. ROM, pain intensity, proprioceptive acuity, kinesiophobia, muscle strength, and postural stability of the patients were evaluated at the beginning and end of the treatment. Results:In the intra-group analyses of all the assessments of the patients, there was a significant difference in the positive direction in both groups, except for the postural stability values. In the intra-group analyses of postural stability, there was a significant increase only in the study group. In comparison between the groups, proprioceptive acuity, ROM, functional status, and postural stability scores were significantly increased in the study group according to the control group; pain and kinesiophobia decreased significantly. Conclusion:In this study, the exergaming accompanied with conventional physiotherapy programs resulted more positive improvements on pain, ROM, postural stability, kinesiophobia, proprioceptive acuity, and functional status in patients with knee OA compared to the conventional physiotherapy program alone.

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Recommendations for the Optimal Design of Exergame Interventions for Persons with Disabilities: Challenges, Best Practices, and Future Research

Cited by 69 publications

References 17 publications

Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study (Preprint)

Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study (Preprint)

Retinopathy in systemic lupus erythematosus: Relationship to disease activity

The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial

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