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Use of Interactive Gaming for Enhanced Function After Spinal Cord Injury

NCT ID: NCT01537978

Last Updated: 2014-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2012-10-31

Brief Summary

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The purpose of this study is to evaluate whether there are functional improvements in arm muscles and movments for spinal cord injured indviduals after performing video gaming.

Detailed Description

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Today, Nintendo's Wii has become integrated into our popular culture replete with its own vocabulary and marketed promise of achieving fitness through video gaming. Recently the term "Wii-habilitation" has gained popularity to represent application of interactive gaming into the therapeutic setting as a form of rehabilitation. However, this technology remains largely untested in the rehabilitation field despite seemingly widespread use.

Interactive gaming may indeed contribute to an important problem in rehabilitation, especially for persons with spinal cord injury (SCI) who use manual wheelchairs for primary mobility and depend on their upper extremity for independence. Individuals with SCI will benefit tremendously by maximization of early rehabilitation post-injury and effective ongoing conditioning focused on the upper extremity through a continuum of care model that supports life-long health habits. Further, traditional exercise therapy targets components of function such as range of motion and strength, but often relies on isolated movements and repetitions which might not be the most effective method. Alternately, video interactive gaming can provide an engaging, variable, challenging, and fun activity-based approach that could enhance both adherence to exercise and functional outcomes.

A video gaming system can be readily implemented in a clinical setting and affordably deployed for home use with minimal instruction, is easy to use for continuation of therapy, and is well-suited to the SCI population for whom exercise options are limited. A wide variety of activities and games are available that utilize upper extremity movements "playing" real world sports such as golf, tennis, and bowling; multiple options for play are available which add variety and contribute to a comprehensive work-out. Players must grade whole upper limb forces to play the various games paralleling a traditional exercise regimen; visual and auditory feedback add interest and fun to the sessions. Interactive gaming allows for single and multiple player options and thus lends itself readily to promotion of social engagement. Real-life scenarios may contribute to self-motivation.

Conditions

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Paraplegia and Tetraplegia

Keywords

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spinal cord injury, video gaming, functional improvement

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Video game play

Changes in upper limb; strength, active range of motion, electromyographic activity as well as heart rate response.

Group Type EXPERIMENTAL

Video gaming for enhanced function after spinal cord injury.

Intervention Type OTHER

Spinal cord injured indviduals will play Nintendo Wii sports games for an 8 week period.

Interventions

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Video gaming for enhanced function after spinal cord injury.

Spinal cord injured indviduals will play Nintendo Wii sports games for an 8 week period.

Intervention Type OTHER

Other Intervention Names

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Nintendo Wii Video gaming

Eligibility Criteria

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Inclusion Criteria

Neurologic level of injury at or below cervical level 5 (C5) through C8 \[tetraplegia\] and at or below T1 through L3 \[paraplegia\]; persons with incomplete lesions at higher levels may be eligible, decided on a case by case basis depending on functional ability, Complete and incomplete injury allowed, Physical capability (ie, sufficient voluntary motor function) to participate in unassisted resistive exercise, determined as a minimum of grade 3 (by manual muscle testing) on elbow and wrist extension, Use of either a manual or power wheelchair as primary mobility, Absence of significant medical complications, Normal or nearly normal cognitive function (ie, minimal cognitive impairment may be allowed on a case by case basis), Willingness to participate for the duration of the study.

Exclusion Criteria

Use of ambulation for mobility, Concurrently participating in any other exercise intervention or sports program, Medical condition that would interfere in gaming either short term or during extended play.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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VA Palo Alto Health Care System

FED

Sponsor Role lead

Responsible Party

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Beatrice Jenny Kiratli PhD

Director Clinical Research Spinal Cord Injury

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Beatrice J Kiratli, PhD

Role: PRINCIPAL_INVESTIGATOR

US Department of Veterans Affairs

Locations

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Va Palo Alto Health Care System

Palo Alto, California, United States

Site Status

Countries

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United States

Other Identifiers

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18834

Identifier Type: -

Identifier Source: org_study_id