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  4. Development and pilot testing of novel game-based respiratory rehabilitation exercise devices for patients with tetraplegia

Development and pilot testing of novel game-based respiratory rehabilitation exercise devices for patients with tetraplegia

Technology and Health Care, 2021 · DOI: 10.3233/THC-212860 · Published: May 8, 2021

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study addresses the respiratory challenges faced by individuals with spinal cord injuries (SCI), particularly tetraplegia, who often experience reduced lung function and increased risk of respiratory complications. To combat this, the researchers developed game-based breathing exercise devices using a user-centered design (UCD) approach, involving patients in the design process to ensure the devices were fun, easy to use, and effective. A pilot test was conducted to assess the effects of these devices on breathing, psychological state, and sociability, revealing improvements in respiratory function and positive user feedback.

Study Duration
8 weeks
Participants
Two disabled individuals with C6 CSCI
Evidence Level
Pilot study

Key Findings

  • 1
    The study found that the developed game-based breathing exercise devices improved maximum inspiratory and expiratory pressures in patients with tetraplegia after an 8-week program.
  • 2
    Participants reported that the exercises were entertaining and the competitive nature of the games encouraged further participation, indicating improved psychological states and engagement.
  • 3
    Minimal changes were observed in forced vital capacity, forced expiratory volume in 1 second, and vital capacity, suggesting that while some aspects of lung function improved, others remained relatively stable.

Research Summary

This study aimed to develop and test novel game-based respiratory rehabilitation exercise devices for patients with tetraplegia, addressing the need for engaging and effective breathing exercises. Using a user-centered design approach, the researchers developed seven breathing exercise devices and implemented a pilot test, which demonstrated improvements in respiratory function and positive psychological effects. The findings suggest that game-based breathing exercises can improve breathing and positively impact the psychological well-being and sociability of users with tetraplegia, offering a promising approach to respiratory rehabilitation.

Practical Implications

Enhanced Respiratory Rehabilitation

Game-based devices can offer a more engaging and effective alternative to traditional breathing exercises for individuals with tetraplegia, potentially improving adherence and outcomes.

Improved Psychological Well-being

The competitive and social aspects of game-based exercises can contribute to enhanced psychological states, reducing depression and improving quality of life for patients with severe SCI.

Accessible Exercise Programs

The developed devices can be used with or without assistance, making them suitable for both hospital-based and home-based respiratory rehabilitation programs.

Study Limitations

  • 1
    Small sample size in the pilot test limits the generalizability of the findings.
  • 2
    Lack of long-term follow-up to assess the sustained effects of the breathing exercise program.
  • 3
    The study did not thoroughly address the safety considerations for device usage and disinfection to prevent infectious respiratory diseases.

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