Parise Sundari, Lee Katharine, Park Joshua, Sullivan Cari, Schlesinger Rebecca, Li Maggie, Ramesh Samiksha, Maritato Nicholas, Bergamaschi Teya, Sanyal Akaash, Hill Nayo, Bastian Amy, Keller Jennifer
Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.
Physical Therapy, Kennedy Krieger Institute, Baltimore, MD, USA.
J Rehabil Assist Technol Eng. 2023 Feb 25;10:20556683231160675. doi: 10.1177/20556683231160675. eCollection 2023 Jan-Dec.
Trunk stability, an important prerequisite for many activities of daily living, can be impaired in children with movement disorders. Current treatment options can be costly and fail to fully engage young participants. We developed an affordable, smart screen-based intervention and tested if it engages young children in physical therapy goal driven exercises.
Here we describe the ADAPT system, Aiding Distanced and Accessible Physical Therapy, which is a large touch-interactive device with customizable games. One such game, "Bubble Popper," encourages high repetitions of weight shifts, reaching, and balance training as the participant pops bubbles in sitting, kneeling, or standing positions.
Sixteen participants aged 2-18 years were tested during physical therapy sessions. The number of screen touches and length of game play indicate high participant engagement. In trials lasting less than 3 min, on average, older participants (12-18 years) made 159 screen touches per trial while the younger participants (2-7 years) made 97. In a 30-min session, on average, older participants actively played the game for 12.49 min while younger participants played for 11.22 min.
The ADAPT system is a feasible means to engage young participants in reaching and balance training during physical therapy.
躯干稳定性是许多日常生活活动的重要前提，患有运动障碍的儿童可能会受到影响。目前的治疗方案成本高昂，且无法充分吸引年轻参与者。我们开发了一种经济实惠的、基于智能屏幕的干预措施，并测试它是否能让幼儿参与以物理治疗目标为导向的锻炼。
在此我们描述ADAPT系统，即辅助远程和可及物理治疗系统，它是一种带有可定制游戏的大型触摸互动设备。其中一款游戏“泡泡射手”鼓励参与者在坐、跪或站立姿势下戳泡泡时，进行多次的重心转移、伸展及平衡训练。
在物理治疗期间对16名年龄在2至18岁的参与者进行了测试。屏幕触摸次数和游戏时长表明参与者的参与度很高。在持续时间不到3分钟的试验中，平均而言，年龄较大的参与者（12至18岁）每次试验进行159次屏幕触摸，而年龄较小的参与者（2至7岁）进行97次。在30分钟的疗程中，平均而言，年龄较大的参与者积极玩游戏的时间为12.49分钟，而年龄较小的参与者玩游戏的时间为11.22分钟。
ADAPT系统是让年轻参与者在物理治疗期间参与伸展和平衡训练的一种可行方法。
