http://journals.lww.com/jnpt/Abstract/publishahead/Counting_Repetitions___An_Observational_Study_of.99905.aspx
Abstract
Background and Purpose: The use of video gaming as a
therapeutic intervention has increased in popularity; however, the
number of repetitions in comparison with traditional therapy methods has
yet to be investigated. The primary purpose of this study was to
document and compare the number of repetitions performed while playing 1
of 2 video gaming systems for a time frame similar to that of a
traditional therapy session in individuals with chronic stroke.
Methods: Twelve participants with chronic stroke (mean
age, 66.8 +/- 8.2 years; time poststroke, 19.2 +/- 15.4 months)
completed video game play sessions, using either the Nintendo Wii or the
Playstation 2 EyeToy. A total of 203 sessions were captured on video
record; of these, 50 sessions for each gaming system were randomly
selected for analysis. For each selected record, active upper and lower
extremity repetitions were counted for a 36-minute segment of the
recorded session.
Results: The Playstation 2 EyeToy group produced an
average of 302.5 (228.1) upper extremity active movements and 189.3
(98.3) weight shifts, significantly higher than the Nintendo Wii group,
which produced an average of 61.9 (65.7) upper extremity active
movements and 109.7 (78.5) weight shifts. No significant differences
were found in steps and other lower extremity active movements between
the 2 systems.
Discussion and Conclusions: The Playstation 2 EyeToy
group produced more upper extremity active movements and weight shifting
movements than the Nintendo Wii group; the number and type of
repetitions varied across games. Active gaming (specifically Playstation
2 EyeToy) provided more upper extremity repetitions than those reported
in the literature by using traditional therapy, suggesting that it may
be a modality to promote increased active movements in individuals
poststroke.
Video Abstract available (see Video, Supplemental Digital
Content 1, http://links.lww.com/JNPT/A50) for more insights from the
authors.
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