1 Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center , Kaohsiung, Taiwan .
2 School of Physical Therapy, College of Medicine , Chang Gung University, Taoyuan, Taiwan .
Games Health J. 2018 Oct;7(5):327-334. doi: 10.1089/g4h.2017.0141. Epub 2018 Aug 20.
The Scratch programming language allows learner developers to write games. The Kinect2Scratch extension makes Scratch games with bodily motion control possible by connecting to Microsoft's Kinect sensor. This study examined the feasibility and possible efficacy of a suite of motion-controlled games designed for upper extremity (UE) training in children with cerebral palsy (CP) using Kinect2Scratch.
This is a proof-of-concept study. We developed three games, requiring three UE movement patterns (shoulder holding, reaching, and handclap), for use in children with CP. The primary outcome was feasibility, addressed by adherence, engagement, satisfaction, and safety. The secondary outcome was efficacy, which was evaluated by Quality of Upper Extremities Skills Test (QUEST), Box and Block Test (BBT), Melbourne Assessment 2 (MA2) test, and ABILHAND-kids score.
Thirteen children with CP (mean age 6.9 years) received 24 sessions of training (30 minutes per session). The adherence rate was 100%. During the first 2 weeks of training, children had a significantly higher level of participation in Kinect2Scratch training than in conventional rehabilitation [Pittsburgh Participation Scale, median (interquartile range [IQR]), 6 (3-6) vs. 4 (3-6) P = 0.04]. However, during the last 2 weeks of training, there was no significant difference in participation between the Kinect2Scratch and conventional training [Pittsburgh Rehabilitation Participation Scale, median (IQR), 4 (3-5) vs. 4 (3-6) P = 0.55]. Most children enjoyed playing the games. The mean score of enjoyment was 4.54 ± 0.66. There were no adverse events during the training periods. The children had significant improvement in total score of QUEST and MA2. There were no significant improvements in BBT and ABILHAND-kids score.
Using Kinect2Scratch games for UE training is a feasible adjunctive program for children with CP.
Scratch 编程语言允许学习者开发者编写游戏。Kinect2Scratch 扩展通过连接到微软的 Kinect 传感器，使基于身体运动控制的 Scratch 游戏成为可能。本研究使用 Kinect2Scratch 检验了专为上肢（UE）训练而设计的一系列运动控制游戏在脑瘫（CP）儿童中的可行性和可能的疗效。
这是一项概念验证研究。我们开发了三个游戏，需要三种 UE 运动模式（肩部保持、伸展和拍手），用于 CP 儿童。主要结果是可行性，通过依从性、参与度、满意度和安全性来解决。次要结果是疗效，通过上肢技能测试（QUEST）、方块和积木测试（BBT）、墨尔本评估 2 型（MA2）测试和 ABILHAND-kids 评分进行评估。
13 名 CP 儿童（平均年龄 6.9 岁）接受了 24 次训练（每次 30 分钟）。依从率为 100%。在训练的前 2 周，儿童参与 Kinect2Scratch 训练的水平明显高于传统康复[匹兹堡参与量表，中位数（四分位距 [IQR]），6（3-6）比 4（3-6）P=0.04]。然而，在训练的最后 2 周，Kinect2Scratch 和传统训练之间的参与度没有显著差异[匹兹堡康复参与量表，中位数（IQR），4（3-5）比 4（3-6）P=0.55]。大多数儿童喜欢玩游戏。享受游戏的平均得分为 4.54±0.66。训练期间没有发生不良事件。儿童的 QUEST 和 MA2 总分均有显著提高。BBT 和 ABILHAND-kids 评分无显著改善。
使用 Kinect2Scratch 游戏进行 UE 训练是 CP 儿童一种可行的辅助方案。
