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The purpose of this pilot feasibility study is to assess the feasibility of using the Playstation Xbox 360 and Rutgers V-step via a Kinect Sensor with active video game software as a part of a physical therapy intervention to improve obstacle negotiation, gait speed, and stair negotiation in ambulatory children with Cerebral Palsy (CP) hemiparesis or spastic diplegia, or non-progressive brain injury (BI). Children will be assessed using perceptual, balance, functional and gait assessments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Video gaming | Experimental | A child's usual physical therapy session will be replaced with a session utilizing Active video games and the Rutger's V-step. |
|
| Usual care | Active Comparator | Children will receive their usual care in the physical therapy program at Blythedale. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active video gaming | Behavioral | Children will visit Blythedale for 8 sessions, one 45-session visit per week, in place of one of the child's typical physical therapy sessions. During each session, children will play a video game on the X-Box Kinect system, using the games "Kinect Adventures" and "Kinect Sports". The child will first play a "Kinect Adventures" game, which requires ambulating, ducking, and dodging one's way through an obstacle course. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pediatric Evaluation of Disability Inventory Computer Adaptive Test | The PEDI-CAT measures abilities in three functional domains: Daily Activities, Mobility and Social/Cognitive. | From before intervention to immediately after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in 10 Meter walk test | Measures time taken for a participant to walk 10 meters | From before intervention to immediately after intervention |
| Change in Gross Motor Function Measure (GMFM) subtest D and E |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Blythedale Children's Hospital | Valhalla | New York | 10595 | United States |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D001930 | Brain Injuries |
| D006429 | Hemiplegia |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000088544 | Exergaming |
| ID | Term |
|---|---|
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
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A Randomized Block Design will be utilized in order to attempt to "match" subjects according to functional level and diagnosis (cerebral palsy or acquired brain injury). Upon signing consent the subjects will be grouped based on their diagnosis. At that time gait speed for the 10 M Walk Test will be utilized to categorize all participants into a "fast" and "slow" group. (subjects performing the 10 M Walk Test at a speed less than .4 m/s will be placed in the "slow" group, and subjects testing at a speed greater than or equal to .4 m/s will be placed in the "fast" group After this determination is made, subjects will be randomized to "control" (usual care), and "intervention" one therapy session replaced with a session utilizing Active video games and the Rutger's V-step. A minimum of 2 subjects per grouping will be sought in order to analyze for differences.
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| Usual care physical therapy | Behavioral | Children will attend their usual care physical therapy appointments at Blythedale. |
|
The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy.
| From before intervention to immediately after intervention |
| Change in Four Square Step Test | Measures how well a patient can change directions while stepping. | From before intervention to immediately after intervention |
| Change in Functional Gait Assessment (FGA) | 10-item test that assesses dynamic balance and postural stability during gait. | From before intervention to immediately after intervention |
| Change in Motor Free Visual Perceptual Test (MVPT)-4 | The MVPT-4 assesses five categories of visual perception: Visual Discrimination: Ability to discriminate dominant features of different objects, including the ability to discriminate position, shapes, and forms. | From before intervention to immediately after intervention |
| Change in Visually guided weight shift ability as measured by the Smart Balance Master® | Force platform system that tests balance | From before intervention to immediately after intervention |
| Change in Children's Assessment of Participation and Enjoyment | Self-report measures of children's participation in recreation and leisure activities outside of mandated school activities. | From before intervention to immediately after intervention |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D055687 |
| Musculoskeletal and Neural Physiological Phenomena |