E. Jean BURROWS, F. Kendal ALSTON, Jeff ROLLAND, Sara SHERIDAN, Lynneth STUART-HILL, A. Viviene TEMPLE, P. Lynn PURVES

Active Video Games as an Adjunct to Physical Therapy for Children with Cerebral Palsy

Aim: to examine the type and frequency of functionalmovements elicited by children with cerebral palsy (CP)and typically developing (TD) children when playing active video games. The intent was to determine if thesegames could be used to supplement physical therapyprograms. Method: A Delphi group of physical therapistsdeveloped a list of 18 functional movements typicallyprescribed for home-based therapy. Subsequently, thetherapists identified six active video games that werelikely to elicit these movements. The type and frequency of movements produced by children aged 5-11 years(four CP, GMFCS Level 1 or 2; and four TD) playing thesegames was coded from videotape. Results: The mostcommonly observed movements were lateral weight shifts, stepping with a weight shift, lateral trunk flexion,and reaching forward. The rate of functional movementsper minute varied between the games; however a seriesof independent t-tests revealed this rate did not differbetween the CP and TD groups. Children with CP and TDchildren often used different movements to play thesegames. Children with CP were able to play the gamessuccessfully and they reported generally enjoying thegames. Conclusion: These findings suggest that activevideo games could be used to supplement physical therapy. However, therapists need to observe the movementresponses elicited by the child playing the games ratherthan presuming that particular functional movementswould be performed.

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1. Active Healthy Kids Canada. (2012). Active Healthy Kids Canada's Position on Active Video Games. 1. http://www. activehealthykids.ca/active-video-games-position/our- position.aspx
2. Bryanton, C., Bosse, J., Brien, M., McLean, J., McCormick, A., & Svesitrup, H. (2006). Feasibility, motivation and selective motor control: Virtual reality compared to conventional home exercise in children with Cerebral Palsy. Cyberpsychology & Behavior, 9(2), 123-128.
3. Deutsch, J. E., Borbely, M., Filler, J., Huhn, K., & Guarrera-Bowlby, P. (2008). Use of a low-cost, commer- cially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Physical Therapy, 88, 1196-1207.
4. Devereaux, J., Pack, M., Piccott, V., Whitten, K., Basset, F., & Rohr, L. E. (2012). Comparison of rates of perceived exertion between active video games and traditional exercise. International SportMed Journal, 13(3), 133-140.
5. Hasson, F., Keeney, S., & McKenna, H. (2000). Research guidelines for the Delphi survey technique. Journal of Advanced Nursing, 32(4), 1008-1015.
6. Law, M., & King, G. (1993). Parent compliance with thera- peutic interventions for children with cerebral palsy. Developmental Medicine and Child Neurology, 35(11), 983-990.
7. Newell, K. M. (1986). Constraints on the development of coordination. In M. G. Wade and H. T. A. Whiting (Eds.). Motor Skill Acquisition in Children. Aspects of Coordination and Control. Pp. 341 360. Amsterdam: Martinus Nijhoff.
8. Palisano, R., Rosenbaum, P., Bartlett, D., & Livings- ton, M. (2008). Content validity of the expanded and revised Gross Motor Function Classification System. Developmental Medicine & Child Neurology, 50, 744- 750.
9. Pless, M., & Carlsson, M. (2000). Effects of motor skill intervention on developmental coordination disorder: A meta-analysis. Adapted Physical Activity Quarterly, 17, 381-401.
10. Rhodes, R. E., & Fiala, B. (2009). Building motivation and sustainability into the prescription and recommen- dations for physical activity and exercise: The evidence. Physiotherapy Theory And Practice, 25, 424-441.
11. Sherrill, C. (2003). Adapted physical activity, recreation and sport. Crossdisciplinary and lifespan. (6th ed.). Madison, WI: Brown & Benchmark.
12. Snider, L., Majnemer, A., & Darsaklis, V. (2010). Virtual reality as a therapeutic modality for children with cerebral palsy. Developmental Neurorehabilitation, 13(2), 120-128.