Game-based exercises for dynamic short-sitting balance rehabilitation of people with chronic spinal cord and traumatic brain injuries
Game-based exercises for dynamic short-sitting balance rehabilitation of people with chronic spinal cord and traumatic brain injuries
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DOI：
10.2522/ptj.20060229
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发表时间：
2007-10-01
期刊：
影响因子：
3.2
通讯作者：
Szturm, Tony
中科院分区：
文献类型：
--
作者：
Betker, Aimee L.;Desai, Ankur;Szturm, Tony
背景和目的目标导向的、针对特定任务的训练已被证明可以改善功能;然而，它可能很难保持患者的兴趣。本报告描述了一种康复方案，通过使用压力中心控制的视频游戏为基础的工具，在脊髓和头部损伤后，在短坐姿下维持平衡。选择治疗的科学理由进行了讨论。病例描述三个成年人进行了治疗：1个年轻的成年人脊柱裂（T10和L1-L2），1个中年人完全截瘫（完全。T11-L1病变）和1例中年成人创伤性脑损伤。所有患者都使用轮椅全职。OutcomesThe patients表现出增加的动机，以执行游戏为基础的练习，并增加动态短坐balance.DiscussionThe patients表现出增加的练习量和注意力的持续时间在训练与游戏为基础的工具。此外，他们还展示了在动态平衡控制方面的实质性改进。这些观察结果表明，基于视频游戏的锻炼方法可以通过改善动态短坐平衡来产生实质性的积极影响。
Background and PurposeGoal-oriented, task-specific training has been shown to improve function; however, it can be difficult to maintain patient interest. This report describes a rehabilitation protocol for the maintenance of balance in a short-sitting position following spinal cord and head injuries by use of a center-of-pressure-controlled video game-based tool. The scientific justification for the selected treatment is discussed.Case DescriptionsThree adults were treated: 1 young adult with spina bifida (T10 and L1-L2), 1 middle-aged adult with complete paraplegia (complete. lesion at T11-L1), and 1 middle-aged adult with traumatic brain injury. All patients used wheelchairs full-time.OutcomesThe patients showed increased motivation to perform the game-based exercises and increased dynamic short-sitting balance.DiscussionThe patients exhibited increases in practice volume and attention span during training with the game-based tool. In addition, they demonstrated substantial improvements in dynamic balance control. These observations indicate that a video game-based exercise approach can have a substantial positive effect by improving dynamic short-sitting balance.