Video Game Therapy in a Neurosciences Critical Care Unit: A Pilot Study.
Background: Therapeutic activity after stroke is a component of early recovery strategies. Interactive video games have been shown to be safe as an adjunct rehabilitation therapy in the medical intensive care setting, but patients with neurologic disease were often excluded from those protocols. Obj...
| Publicado en: | American Journal of Critical Care Vol. 34; no. 1; pp. 60 - 67 |
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| Autores principales: | , , , , , , |
| Formato: | algorithm CEU pictorial research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181973310&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181973310 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jan2025 vid: 34 iid: 1 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 181973310 181973310 181973310 10.4037/ajcc2025319 181973310 ppf: 60 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Video Game Therapy in a Neurosciences Critical Care Unit: A Pilot Study. aug: au: Ziegler, Megan Kumble, Sowmya Zink, Elizabeth K. Tahara, Nozomi Vora, Isha Stevens, Robert D. Bahouth, Mona N. affil: was a physical therapist, Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, Maryland, when the study was done sug: subj: Nervous System Diseases Rehabilitation Critically Ill Patients Psychosocial Factors Video Games Utilization Play Therapy Methods Individualized Medicine Patient Safety Evaluation Neurosciences Critical Care Human Adult Middle Age Education, Continuing (Credit) Pilot Studies Sports Patient Attitudes Evaluation Nurse Attitudes Evaluation Attitude of Health Personnel Evaluation Critical Care Nurses Recovery Descriptive Statistics Balance, Postural Endurance Training Cognition Motor Skills Physical Activity Health Care Costs Physical Therapy Vision Adult: 19-44 years Middle Aged: 45-64 years ab: Background: Therapeutic activity after stroke is a component of early recovery strategies. Interactive video games have been shown to be safe as an adjunct rehabilitation therapy in the medical intensive care setting, but patients with neurologic disease were often excluded from those protocols. Objectives: To evaluate the feasibility and safety of individualized interactive video game therapy in critically ill neurologic patients. Methods: Adults admitted to the neurosciences critical care unit during the observation period were eligible for inclusion. Wii sports games with the potential to target common neurologic deficits were categorized by our interprofessional team. We collected information regarding the number of sessions attempted, time for setup, indications of use, patient/staff experience, and predefined safety events. Results: Twelve sessions were completed in 9 patients, mean (SD) age 48.6 (18.1) years, and sessions were led by nursing and therapy teams. Prescribed video game therapy sessions targeted the following recovery domains: coordination (70%), balance (50%), endurance (30%), cognition (30%), fine motor control (30%), neglect (20%), engagement in activity (10%), and vision (30%). On average, 4.7 minutes were spent for setup and 18.8 minutes were spent playing video games. No safety issues were identified. All patients indicated that they enjoyed participating in video game therapy. Conclusions: In this pilot study, prescriptive interactive video game therapy in early rehabilitation was feasible and safe in the neurosciences critical care setting. Video game therapy may be a valuable complement to existing rehabilitation for critically ill neurologic patients and warrants validation in a larger patient sample. pubtype: Academic Journal doctype: algorithm CEU pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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