Practical play: Interactive video games appear valuable for patients
Interactive video games, already known to improve motor function in recovering stroke patients, appear to safely enhance physical therapy for patients in intensive care units (ICU), new research from Johns Hopkins suggests.
In a report published online in the Journal of Critical Care, researchers studied the safety and feasibility of using video games to complement regular physical therapy in the ICU.
Patients admitted to our medical intensive care unit are very sick and, despite early physical therapy, still experience problems with muscle weakness, balance and coordination as they recover, says study leader Michelle E. Kho, P.T., Ph.D, assistant professor of Physical Medicine and Rehabilitation at Johns Hopkins. We are always looking for creative ways to improve rehabilitation care for critically ill patients, and our study suggests that interactive video games may be a helpful addition.
For the study, the Johns Hopkins researchers identified a select group of 22 critically ill adult patients over a one-year period who received video games as part of routine physical therapy. These patients were part of a group of 410 patients who received standard early physical therapy in the medical ICU during the same time frame from Hopkins physical therapists. The patients in the study, mostly males ranging from 32 to 64 years of age, were admitted to the medical ICU as a result of health problems, such as respiratory failure, sepsis, and cardiovascular issues.
These 22 patients participated in 42 physical therapy sessions that included use of Nintendo Wii and Wii Fit video game consoles. Almost half of the 20-minute sessions, all provided under the direct supervision of a physical therapist, included patients who were mechanically ventilated. The most common video game activities included boxing, bowling and use of the balance board. The physical therapists chose these activities primarily to improve patients stamina and balance.
As always, patient safety was a top priority, given that healthy people playing video games may be injured during routine gaming, but when properly selected and supervised by experienced ICU physical therapists, patients enjoyed the challenge of the video games and welcomed the change from their physical therapy routines, says senior author, Dale M. Needham, M.D. ,Ph.D., associate professor and medical director of the Critical Care Physical Medicine & Rehabilitation Program at Johns Hopkins.
Needham added that video game therapy activities are short in duration, which is ideal for severely deconditioned patients, and very low-cost compared to most ICU medical equipment. Added to regular physical therapy, the video games can boost patients interest in therapy and motivation to do more therapy. The researchers caution that more research is needed to determine whether the video games improve patients abilities to do the tasks that are the most important to them.
Our study had limitations because the patients were not randomly selected, the video game sessions were infrequent and the number of patients was small, Kho noted. Our next step is to study what physical therapy goals best benefit from video games.
Provided by Johns Hopkins University
- Physical therapist-led exercise in patients in ICU improves function and decreases hospital stay May 10, 2010 | not rated yet | 0
- More benefits found from mild exercise in critically ill patients Apr 09, 2010 | not rated yet | 0
- Mild exercise while in the ICU reduces bad effects of prolonged bed rest Sep 21, 2009 | not rated yet | 0
- Study shows stroke patients can improve walking ability May 27, 2011 | not rated yet | 0
- 'Wii-habilitation': Using video games to heal burns Sep 19, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
(AP)—Sunbathers this summer will find new sunscreen labels that are designed to make the products more effective and easier to use.
Health 2 hours ago | not rated yet | 0
Emergency physicians are key decisionmakers for nearly half of all hospital admissions, highlighting a critical role they can play in reducing health care costs, according to a new report from the RAND Corporation.
Health 4 hours ago | not rated yet | 0
An increasing number of U.S. children are experiencing gastrointestinal issues that require interventions to resolve, according to research presented at Digestive Disease Week (DDW).
Health May 18, 2013 | not rated yet | 0 |
Research shows that the earlier the age at which youth take their first alcoholic drink, the greater the risk of developing alcohol problems. Thus, age at first drink (AFD) is generally considered a powerful predictor of ...
Health May 17, 2013 | not rated yet | 0
When tumours metastasise, they can block lymphatic vessels, as researchers from ETH Zurich have discovered using a new method. The lymphatic fluid subsequently has to find a new path through the tissue. Such ...
23 minutes ago | not rated yet | 0 |
(Medical Xpress)—Flinders University researchers are breaking new ground in a decade-long journey to pinpoint the function of two closely related proteins.
13 minutes ago | not rated yet | 0 |
(Medical Xpress)—Scientists at King's College London have discovered that Vitamin D has the potential to significantly reduce the symptoms of asthma. The study, led by Professor Catherine Hawrylowicz from ...
2 minutes ago | not rated yet | 0 |
(Medical Xpress)—Patients with the most severe and dangerous form of chronic anorexia are more likely to make a significant improvement towards recovery and stay in therapy if traditional psychological treatments are re-focused ...
2 minutes ago | not rated yet | 0
Every 20 seconds, a limb is lost as a consequence of diabetic foot ulcer that does not heal. To date, medical solutions that can change this situation are very limited. In his doctoral thesis Yue Shen from the Industrial ...
22 minutes ago | not rated yet | 0
(Medical Xpress)—The feared Legionella pneumophila is responsible for legionellosis, an infectious disease that can lead to pneumonia. To infect humans, this pathogen has developed a complex method that allows it to camouflage ...
32 minutes ago | not rated yet | 0