Joint-Specific Play Controller for Upper Extremity Therapy: Feasibility Study in Children With Wrist Impairment
| Autor: | Christine L. Trask, Joel B. Schwartz, Megan M. Wilkins, Bethany J. Wilcox, Karen Kerman, Joseph J. Crisco, Benjamin Basseches, Holly Brideau |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Wrist Joint 030506 rehabilitation medicine.medical_specialty Cross-sectional study media_common.quotation_subject Physical Therapy Sports Therapy and Rehabilitation Wrist Pediatrics Motion (physics) Upper Extremity 03 medical and health sciences 0302 clinical medicine Forearm Perception medicine Humans Spasticity Range of Motion Articular Child media_common Equipment Design Play and Playthings Cross-Sectional Studies medicine.anatomical_structure Muscle Spasticity Child Preschool Cohort Physical therapy Feasibility Studies Female medicine.symptom 0305 other medical science Psychology Range of motion 030217 neurology & neurosurgery |
| Zdroj: | Physical Therapy. 96:1773-1781 |
| ISSN: | 1538-6724 0031-9023 |
| DOI: | 10.2522/ptj.20150493 |
| Popis: | Background Challenges with any therapeutic program for children include the level of the child's engagement or adherence. Capitalizing on one of the primary learning avenues of children, play, the approach described in this article is to develop therapeutic toy and game controllers that require specific and repetitive joint movements to trigger toy/game activation. Objective The goal of this study was to evaluate a specially designed wrist flexion and extension play controller in a cohort of children with upper extremity motor impairments (UEMIs). The aim was to understand the relationship among controller play activity, measures of wrist and forearm range of motion (ROM) and spasticity, and ratings of fun and difficulty. Design This was a cross-sectional study of 21 children (12 male, 9 female; 4–12 years of age) with UEMIs. Methods All children participated in a structured in-clinic play session during which measurements of spasticity and ROM were collected. The children were fitted with the controller and played with 2 toys and 2 computer games for 5 minutes each. Wrist flexion and extension motion during play was recorded and analyzed. In addition, children rated the fun and difficulty of play. Results Flexion and extension goal movements were repeatedly achieved by children during the play session at an average frequency of 0.27 Hz. At this frequency, 15 minutes of play per day would result in approximately 1,700 targeted joint motions per week. Play activity was associated with ROM measures, specifically supination, but toy perception ratings of enjoyment and difficulty were not correlated with clinical measures. Limitations The reported results may not be representative of children with more severe UEMIs. Conclusions These outcomes indicate that the therapeutic controllers elicited repetitive goal movements and were adaptable, enjoyable, and challenging for children of varying ages and UEMIs. |
| Databáze: | OpenAIRE |
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