Design and evaluation of an interactive computer play platform to motivate participation in home-based therapies for young people with cerebral palsy: Let's Play!

每500名加拿大人中就有1人患有脑瘫(CP)，这是一种终生疾病，也是#年身体残疾的最常见原因 孩子们。康复治疗对于改善儿童的平衡性、协调性、灵活性和力量非常重要。 CP。不幸的是，传统疗法是资源密集型的，需求大于可获得性，而且获得 具有挑战性，特别是在加拿大北部。最好的情况是，每周可以提供60分钟的治疗，而科学表明，30到30分钟 每天45分钟是必要的，以便在大脑中产生变化，从而导致更好的功能。因此，有必要 新的家庭治疗计划。患有脑瘫的家庭和儿童没有充分利用现有的家庭计划 缺乏时间、动力或健忘。研究人员、治疗师、家长和儿童对使用低成本、 奖励手臂和腿部运动的活跃视频游戏(例如Wii、Kinect)，以鼓励日常练习 以一种有趣的方式在家中进行治疗。这个交互式计算机游戏的价值，ICP，是支持一些技能 (例如平衡)，但我们仍然不知道是否可以使用ICP来改善手臂和手的功能。帮助 了解如果颅内压对上肢治疗有帮助，我们将与荷兰布鲁维尤儿童康复医院合作。 在荷兰布鲁维尤，我们将与治疗师和 孩子们。我们的目标是创建一个鼓励长期使用的系统(通过故事和多人游戏)，那就是 治疗有效(通过更好地跟踪儿童的行动)。我们将通过15名儿童对该系统进行评估 CP(8-12岁)和他们的游戏伙伴回答这个问题：ICP能否激励至少30小时的有规律的在家活动 玩心理治疗游戏超过8周？如果成功，我们的ICP系统将为孩子们带来乐趣，并提供有效的治疗 从长远来看，孩子们需要。

1 in 500 Canadians has cerebral palsy (CP), a lifelong condition and the most common cause of physical disability in children. Rehabilitation therapies are important for improving balance, coordination, flexibility, and strength of children with CP. Unfortunately conventional therapies are resource intensive, demand is greater than availability, and access can be challenging particularly in northern Canada. At best, therapy may be offered 60 min/week, while science suggests that 30 to 45 min per day is necessary to create changes in the brain that can lead to better function. As a result, there is a need for new home-based therapy programs. Families and children with CP do not take full advantage of current home programs due to lack of time, motivation, or forgetfulness. Researchers, therapists, parents and children are very interested in using lowcost, active video games that reward movements of the arms and legs (for example Wii, Kinect) to encourage daily practice of therapy movements at home in a fun way. The value of this interactive computer play, ICP, is supported for some skills (for example balance), but we still dont know if ICP can be used to improve function of the arms and hands. To help understand if ICP can be helpful in upper limb therapy, we will partner with Holland Bloorview Kids Rehabilitation Hospital. At Holland Bloorview, we will design a new ICP system for upper limb rehabilitation in partnership with therapists and children. Our goal is to create a system that will encourage long-term use (through story and multi-player games) and that is therapeutically effective (through better tracking of childrens movements). We will evaluate the system with 15 children with CP (aged 8-12 years) and their play partners to answer the question: Can ICP motivate at least 30 hours of regular, homebased therapy game play over 8 weeks? If successful, our ICP system will be fun for kids and provide the effective therapy children need in the long-term.