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Article InfoTorrent Password Recovery Bundle 2012 Advanced Physical Therapy Training
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Publication History
Fig 1
Schematic drawing of equipment placement on participants. Sensor sizes are not to scale. Abbreviations: DAQ, Data Acquisition Unit; sEMG, surface electromyography.
Fig 2
Mean ±1SD muscle activation levels during AVG play. *Wii boxing is significantly greater than Wii bowling, Wii tennis, and DDR (P<.01). †Wii boxing is significantly greater than Wii bowling and DDR (P<.05). ‡Wii boxing is significantly greater than Wii bowling and Wii tennis (P<.01). §Wii tennis is significantly greater than Wii bowling (P<.05).
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Abstract![]()
Howcroft J, Klejman S, Fehlings D, Wright V, Zabjek K, Andrysek J, Biddiss E. Active video game play in children with cerebral palsy: potential for physical activity promotion and rehabilitation therapies.
Objective
To evaluate the potential of active video game (AVG) play for physical activity promotion and rehabilitation therapies in children with cerebral palsy (CP) through a quantitative exploration of energy expenditure, muscle activation, and quality of movement.
Setting
Human movement laboratory in an urban rehabilitation hospital.
ParticipantsTorrent Password Recovery Bundle 2012 Advanced Physical Therapy Reviews
Children (N=17; mean age ± SD, 9.43±1.51y) with CP.
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![]() Intervention
Participants played 4 AVGs (bowling, tennis, boxing, and a dance game).
Main Outcome Measures
Energy expenditure via a portable cardiopulmonary testing unit; upper limb muscle activations via single differential surface electrodes; upper limb kinematics via an optical motion capture system; and self-reported enjoyment via the Physical Activity Enjoyment Scale (PACES).
Results
Moderate levels of physical activity were achieved during the dance (metabolic equivalent for task [MET]=3.20±1.04) and boxing (MET=3.36±1.50) games. Muscle activations did not exceed maximum voluntary exertions and were greatest for the boxing AVG and for the wrist extensor bundle. Angular velocities and accelerations were significantly larger in the dominant arm than in the hemiplegic arm during bilateral play. A high level of enjoyment was reported on the PACES (4.5±0.3 out of 5).
Torrent Password Recovery Bundle 2012 Advanced Physical Therapy CenterConclusions
AVG play via a low-cost, commercially available system can offer an enjoyable opportunity for light to moderate physical activity in children with CP. While all games may encourage motor learning to some extent, AVGs can be strategically selected to address specific therapeutic goals (eg, targeted joints, bilateral limb use). Future research is needed to address the challenge of individual variability in movement patterns/play styles. Likewise, further study exploring home use of AVGs for physical activity promotion and rehabilitation therapies, and its functional outcomes, is warranted.
Key Words:Cerebral palsy, Child, Exercise, Motor activity, Rehabilitation, Video gamesList of Abbreviations:AVG (active video game), CP (cerebral palsy), DDR (Dance Dance Revolution), EE (energy expenditure), FCR (flexor carpi radialis), GMFCS (Gross Motor Function Classification System), MET (metabolic equivalent for task), MVE (maximum voluntary exertion), OMNI (OMNI Perceived Exertion Scale), PACES (Physical Activity Enjoyment Scale), V̇o2 (oxygen consumption), V̇co2 (expired carbon dioxide), VRT (virtual reality therapy), WE (wrist extensor bundle)
Supported by the Canadian Institutes of Health Research (grant no. MOP-102485 ), Natural Sciences and Engineering Research Council of Canada, Ontario Ministry of Training, Colleges and Universities, and the Holland Bloorview Kids Rehabilitation Hospital Foundation.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
In-press corrected proof published online on May 7, 2012, at www.archives-pmr.org.
© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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