Serious Gaming to Support Exercise Therapy for Patients with Chronic Nonspecific Low Back Pain: A Feasibility Study
Serious Gaming to Support Exercise Therapy for Patients with Chronic Nonspecific Low Back Pain: A Feasibility Study
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DOI：
10.1089/g4h.2017.0173
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发表时间：
2018-04-24
影响因子：
3.5
通讯作者：
Timmermans, Annick
中科院分区：
文献类型：
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作者：
Matheve, Thomas;Claes, Guido;Timmermans, Annick
目的：目的：探讨在游戏支持下进行功能锻炼对慢性非特异性下腰痛（LBP）患者的可行性。方法：10例慢性非特异性下腰痛患者，均伴有运动控制障碍。受试者进行了部分监督的运动计划（36届，18周），其中包括30分钟的一般条件反射和90分钟的个性化定制的功能性运动控制练习（MCES）。严肃游戏（SG）用于（1）改善胸腰椎分离和（2）在功能性MCE期间提供姿势反馈。SG也可在home.Results：治疗满意度和可信度/期望问卷的分数是好的，并没有改变整个干预。患者在整个康复计划中保持积极性，未报告严重不良事件。总的来说，参与者表示，SG帮助他们更正确地执行家庭练习，因此，他们感到更有信心这样做。然而，设置游戏所需的时间是一个障碍，家庭使用和参与者会发现它有用的接收姿势反馈在日常生活activity.Conclusions：这是可行的支持功能锻炼计划与SG慢性非特异性LBP患者，无论是在监督和家庭环境。时间效率和将SG融入日常生活活动是未来需要解决的挑战。
Objective: To investigate the feasibility of a functional exercise program supported by serious gaming for patients with chronic nonspecific low back pain (LBP).Methods: Ten patients with chronic nonspecific LBP and an underlying motor control impairment were recruited. Subjects performed a partially supervised exercise program (36 sessions, 18 weeks) that included 30 minutes of general conditioning and 90 minutes of individually tailored functional motor control exercises (MCEs). Serious games (SGs) were used to (1) improve thoracolumbar dissociation and (2) to provide postural feedback during functional MCEs. The SGs were also available at home.Results: Treatment satisfaction and the scores on the credibility/expectancy questionnaire were good and did not change throughout the intervention. Patients remained motivated throughout the rehabilitation program and no serious adverse events were reported. Overall, participants indicated that the SGs helped them to perform the home exercises more correctly, and as a consequence, they felt more confident doing them. However, the time needed to set up the games was a barrier for home use and participants would have found it useful to receive postural feedback during daily life activities.Conclusions: It is feasible to support a functional exercise program with SGs for patients with chronic nonspecific LBP, both in a supervised and a home environment. Time-efficiency and the integration of SGs in daily life activities are challenges that need to be addressed in the future.