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Game-based Exercises for Dynamic Short-Sitting Balance Rehabilitation of People With Chronic Spinal Cord and Traumatic Brain Injuries

by: Aimee L Betker, Ankur Desai, Cristabel Nett, Naaz Kapadia, Tony Szturm
PHYS THER, Vol. 87, No. 10. (1 October 2007), pp. 1389-1398.


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Background and Purpose: 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-pressurecontrolled video gamebased tool. The scientific justification for the selected treatment is discussed. Case Descriptions: Three adults were treated: 1 young adult with spina bifida (T10 and L1L2), 1 middle-aged adult with complete paraplegia (complete lesion at T11L1), and 1 middle-aged adult with traumatic brain injury. All patients used wheelchairs full-time. Outcomes: The patients showed increased motivation to perform the game-based exercises and increased dynamic short-sitting balance. Discussion: 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 gamebased exercise approach can have a substantial positive effect by improving dynamic short-sitting balance. 10.2522/ptj.20060229


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