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  4. Adherence and perceptions of a home sports video gaming program in persons with spinal cord injuries: A pilot study

Adherence and perceptions of a home sports video gaming program in persons with spinal cord injuries: A pilot study

The Journal of Spinal Cord Medicine, 2025 · DOI: 10.1080/10790268.2023.2268328 · Published: October 24, 2023

Spinal Cord InjuryRehabilitationTelehealth & Digital Health

Simple Explanation

This study explores how individuals with spinal cord injuries (SCI) engage with home-based sports video games and whether it can help them stay active and improve their physical abilities. Participants with chronic SCI used Wii video-gaming systems at home for eight weeks, playing sports games and tracking their usage, satisfaction and physical changes were monitored. The study found high adherence rates and positive feedback from participants, suggesting that home video-gaming could be a useful addition to traditional methods for increasing physical activity for people with SCI.

Study Duration
8 weeks
Participants
14 individuals with chronic SCI (9 tetraplegia, 5 paraplegia)
Evidence Level
Prospective study

Key Findings

  • 1
    Participants showed overall high adherence rates to the Wii sports home video-gaming intervention, indicating its potential as a tool for increasing physical activity.
  • 2
    There were no significant changes in upper extremity strength, active heart rate, balance, pain, or functional UE test for either the tetraplegia or paraplegia group.
  • 3
    All participants found video gaming enjoyable, and most perceived it as a form of exercise, highlighting its acceptability and perceived benefits.

Research Summary

This pilot study evaluated the adherence, perceptions, and potential physical effects of a home sports video-game program for persons with chronic SCI. The Wii sports home video-gaming intervention elicited overall high adherence rates and was well received by study participants indicating that it may have value as an adjunctive tool for increasing physical activity for individuals with SCI. Despite the absence of observed physical changes for upper extremity strength and heart rate response, participants perceived video gaming as an activity that could be used for exercise.

Practical Implications

Rehabilitation Tool

Home-based video gaming can serve as an adjunctive tool to increase physical activity among individuals with SCI.

Game Design

Future game design should consider adaptive controllers and a variety of games to maintain long-term adherence.

Future Research

Future studies should explore integrating resistance during gaming and tracking specific games played to optimize physical benefits.

Study Limitations

  • 1
    Small sample size may limit generalizability.
  • 2
    Gaming adherence may decrease with longer home use periods.
  • 3
    Heart rate responses were only observed in the laboratory.

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