Game analysis and clinical use of the Xbox-Kinect for stroke rehabilitation

Int J Rehabil Res. 2018 Dec;41(4):323-330. doi: 10.1097/MRR.0000000000000302.

Abstract

Whole-body movement is required to interact (play) with Microsoft Xbox with the 3D Kinect sensor (Xbox-Kinect) and, therefore, may be suitable for encouraging and practicing movements as part of stroke rehabilitation. We aimed to describe (i) game analysis, (ii) clinical use, and (iii) to characterize the Xbox-Kinect game experience with individuals with chronic stroke. Four therapists played the Xbox-Kinect games and then carried out a games analysis on the basis of the categories suggested by Deutsch. Eleven participants (age 29-69 years) with chronic stroke and varying motor deficits played Xbox-Kinect games for 4-22 sessions as part of a video-game group intervention and the clinical use was documented. The game experience of 'Bowling' (Kinect-Sport) and '20 000 leaks' (Kinect Adventures) was characterized by self-report questionnaires. Detailed tables of game analysis are provided. The clinical use of the console with the participants is presented. Participants reported high enjoyment and 'somewhat-high' perceived exertion after playing the two games and stated that overall the console suited their therapeutic goals. This information can assist clinicians with their clinical reasoning and decision-making for incorporating the Xbox-Kinect into stroke rehabilitation. Potentially, the Xbox-Kinect could be used as an on-going tool to facilitate whole-body movement and physical activity of individuals with chronic stroke.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Biomechanical Phenomena / physiology
  • Chronic Disease
  • Exercise / physiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Physical Therapy Modalities / instrumentation*
  • Practice, Psychological
  • Stroke / physiopathology
  • Stroke Rehabilitation / instrumentation
  • Stroke Rehabilitation / methods*
  • Surveys and Questionnaires
  • Video Games*