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| ID | Type | Description | Link |
|---|---|---|---|
| Kinect | Other Identifier | Ferrara University Hospital |
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Traumatic brain injury is an extremely common disease, it counts 50.000 deaths and 235.000 hospitalizations every year. Functional consequences of an acquired brain injury have a considerable impact on quality of lives of patients and care-givers with direct effects on balance, mobility and on psycho-social functions. Attention deficits are one of the most frequent and disabling consequences of severe brain injury. Within the wide spectrum of attentive problems, patients with traumatic brain injury frequently have shown difficulties in divided attention. Patients, care-givers and professionals frequently refer difficulties also in selective attention and vigilance as consequence of the trauma. It has been shown how these difficulties are tightly related with the missed return to work after two years from the injury.
The hypothesis of this study is to investigate the feasibility of a rehabilitative protocol on gaming using the console Xbox and its efficacy in improving balance, mobility, risk of falling, attentive functions (selective and divided attention) in subjects which have had a traumatic brain injury at least 12 months before.
Inclusion Criteria:
Chronic traumatic brain injury (>12 months) Age>18, <70 years old Presence of a moderate balance deficit identified by CB&M with a score < 65 or presence of a selective attention and shifting attention deficit identified by the TEA computerized battery (Tau<37).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| gaming therapy (Xbox) | Experimental | Subjects belonging to the first group will receive a gaming therapy protocol using the Xbox console. They will receive 24 sessions of treatment within 8 weeks (3 sessions per week). Patients will be required to concentrate in games whose major purposes are increasing balance, selective attention and attention shifting. During sessions the patient will be carefully controlled by a researcher who will prevent the risk of falling and impulsiveness reactions. |
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| Dynamic balance platform training | Active Comparator | Control group will receive the same amount of therapy (24 sessions) using a dynamic balance platform (Biodex). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gaming therapy (Xbox) | Device |
| ||
| Dynamic balance platform (Biodex) |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in balance with Community Balance & Mobility Scale (CB&M) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Up and Go (TUG) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. | |
| Unified Balance Scale (UBS) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nino Basaglia, MD | Ferrara University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ferrara University Hospital | Ferrara | Italy | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28490322 | Derived | Straudi S, Severini G, Sabbagh Charabati A, Pavarelli C, Gamberini G, Scotti A, Basaglia N. The effects of video game therapy on balance and attention in chronic ambulatory traumatic brain injury: an exploratory study. BMC Neurol. 2017 May 10;17(1):86. doi: 10.1186/s12883-017-0871-9. |
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| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Device |
|
| Participation Objective, Participation Subjective Scale(POPS) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. |
| postural sway | Center of pressure (COP) trajectories | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. |
| Attentive functions evaluation Attentive functions evaluation | TEA computerized battery | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. |
| D006259 |
| Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |