Article

Rééducation par les jeux vidéos
- Potential of active video game (AVG) play for physical
activity promotion and rehabilitation therapies in children with cerebral palsy
(CP) through a quantitative exploration of energy expenditure, muscle activation,
and quality of movement. DESIGN: Single-group, experimental study.
SETTING: Human
movement laboratory in an urban rehabilitation hospital. PARTICIPANTS: Children
(N=17; mean age +/- SD, 9.43+/-1.51y) with CP. INTERVENTION: Participants played
4 AVGs (bowling, tennis, boxing, and a dance game). MAIN OUTCOME MEASURES: Energy
expenditure via a portable cardiopulmonary testing unit; upper limb muscle
activations via single differential surface electrodes; upper limb kinematics via
an optical motion capture system; and self-reported enjoyment via the Physical
Activity Enjoyment Scale (PACES). RESULTS: Moderate levels of physical activity
were achieved during the dance (metabolic equivalent for task [MET]=3.20+/-1.04)
and boxing (MET=3.36+/-1.50) games. Muscle activations did not exceed maximum
voluntary exertions and were greatest for the boxing AVG and for the wrist
extensor bundle. Angular velocities and accelerations were significantly larger
in the dominant arm than in the hemiplegic arm during bilateral play. A high
level of enjoyment was reported on the PACES (4.5+/-0.3 out of 5). CONCLUSIONS:
AVG play via a low-cost, commercially available system can offer an enjoyable
opportunity for light to moderate physical activity in children with CP. While
all games may encourage motor learning to some extent, AVGs can be strategically
selected to address specific therapeutic goals (eg, targeted joints, bilateral
limb use). Future research is needed to address the challenge of individual
variability in movement patterns/play styles. Likewise, further study exploring
home use of AVGs for physical activity promotion and rehabilitation therapies,
and its functional outcomes, is warranted.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS