Article

Burn contractures are common and difficult to treat. Measuring
continuous joint motion would inform the assessment of contracture interventions;
however, it is not standard clinical practice. This study examines use of an
interactive gaming system to measure continuous joint motion data. OBJECTIVE: To
assess the usability of an exoskeleton-based interactive gaming system in the
rehabilitation of upper extremity burn contractures.
DESIGN: Feasibility study.
SETTING: Eight subjects with a history of burn injury and upper extremity
contractures were recruited from the outpatient clinic of a regional inpatient
rehabilitation facility. METHODS: Subjects used an exoskeleton-based interactive
gaming system to play 4 different video games. Continuous joint motion data were
collected at the shoulder and elbow during game play. MAIN OUTCOME MEASURES:
Visual analog scale for engagement, difficulty and comfort. Angular range of
motion by subject, joint, and game. RESULTS: The study population had an age of
43 +/- 16 (mean +/- standard deviation) years and total body surface area burned
range of 10%-90%. Subjects reported satisfactory levels of enjoyment, comfort,
and difficulty. Continuous joint motion data demonstrated variable
characteristics by subject, plane of motion, and game. CONCLUSIONS: This study
demonstrates the feasibility of use of an exoskeleton-based interactive gaming
system in the burn population. Future studies are needed that examine the
efficacy of tailoring interactive video games to the specific joint impairments
of burn survivors.
CI - Copyright (c) 2016 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS