Interactive Rehabilitation System for Improvement of Balance Therapies in People With Cerebral Palsy

• Published in: IEEE transactions on neural systems and rehabilitation engineering 2014-03, Vol.22 (2), p.419-427
• Main Authors: Jaume-i-Capo, Antoni, Martinez-Bueso, Pau, Moya-Alcover, Biel, Varona, Javier
• Format: Article
• Language: English
• Subjects: Adult; Adults; Aged; Algorithms; Balance rehabilitation; Cerebral palsy; Cerebral Palsy - rehabilitation; Computer vision; Control systems; Exercise Therapy; Female; Functional Laterality - physiology; Gait - physiology; Games; Games, Experimental; Humans; Image color analysis; Male; Mathematical analysis; Medical treatment; Middle Aged; Monitoring; Monitoring, Physiologic; Motivation - physiology; Older people; Physical Therapy Modalities; Physiotherapy; Postural Balance - physiology; Posture - physiology; Rehabilitation; Risk; serious-games; Software; Therapy; Tracking; Treatment Outcome; Vestibular Function Tests; Video Games; vision-based interaction; Visualization; Young Adult
• ISSN: 1534-4320; 1558-0210
• DOI: 10.1109/TNSRE.2013.2279155

The present study covers a new experimental system, designed to improve the balance and postural control of adults with cerebral palsy. This system is based on a serious game for balance rehabilitation therapy, designed using the prototype development paradigm and features for rehabilitation with serious games: feedback, adaptability, motivational elements, and monitoring. In addition, the employed interaction technology is based on computer vision because motor rehabilitation consists of body movements that can be recorded, and because vision capture technology is noninvasive and can be used for clients who have difficulties in holding physical devices. Previous research has indicated that serious games help to motivate clients in therapy sessions; however, there remains a paucity of clinical evidence involving functionality. We rigorously evaluated the effects of physiotherapy treatment on balance and gait function of adult subjects with cerebral palsy undergoing our experimental system. A 24-week physiotherapy intervention program was conducted with nine adults from a cerebral palsy center who exercised weekly in 20-min sessions. Findings demonstrated a significant increase in balance and gait function scores resulting in indicators of greater independence for our participating adults. Scores improved from 16 to 21 points in a scale of 28, according to the Tinetti Scale for risk of falls, moving from high fall risk to moderate fall risk. Our promising results indicate that our experimental system is feasible for balance rehabilitation therapy.