Game-based exercises for dynamic short-sitting balance rehabilitation of people with chronic spinal cord and traumatic brain injuries.

Betker AL, Desai A, Nett C, Kapadia N, Szturm T

Goal-oriented, task-specific training has been shown to improve function; however, it can be difficult to maintain patient interest. This report describes a rehabilitation protocol for the maintenance of balance in a short-sitting position following spinal cord and head injuries by use of a center-of-pressure-controlled video game-based tool. Three wheelchair using adults were treated.  The results demonstrated that the patients showed increased motivation to perform the game-based exercises and increased dynamic short-sitting balance. The patients exhibited increases in practice volume and attention span during training with the game-based tool. In addition, they demonstrated substantial improvements in dynamic balance control. These observations indicate that a video game-based exercise approach can have a substantial positive effect by improving dynamic short-sitting balance. The scientific justification for the selected treatment is discussed.

Physical Therapy, 2007,87(10), 1389-98

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