Using the Xbox Kinect for Chronic TBI

NCT02889289 | Completed Results

• 1 other identifier: 01729
• Study Type: interventional
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

This study will evaluate the potential for improving balance for a single individual with a history of traumatic brain injury (TBI). The participant will engage in supervised therapy using commercial games on the Xbox Kinect. This study will also evaluate the viability of improving cardiovascular fitness using this intervention as well. The investigators hypothesize that balance improvements will occur and that using the Xbox Kinect is a viable way of improving cardiovascular fitness.

Conditions

Traumatic Brain Injury

Keywords

traumatic brain injury; virtual reality; Xbox kinect; balance

Outcome Measures

Primary Outcomes (1)

• Dynamic Gait Index (DGI)

  The DGI is a common clinical measure used to evaluate dynamic balance and coordination during a person's daily activities. This test was developed by Shumway-Cook and features 8-items which assess a person's ability to walk while turning their head, changing speed, and navigating obstacles. The DGI is scored from 0 to 24 where higher scores indicate higher dynamic balance function.

  Changes from (Baseline) Weeks 1,2,3,4,6,13,14 to (Intervention) Weeks 1, 3, 4, 6, 8 and to (Retention) Weeks 1, 2, 3, 4, 5

Secondary Outcomes (3)

• Limits of Stability (LOS) - Directional Control

  (Baseline) Weeks 1,2,3,4,6,13,14; (Intervention) Weeks 1, 3, 4, 6, 8; (Retention) Weeks 1, 2, 3, 4, 5

• Heart Rate at End of Mini-game

  (Intervention) 2 times per week for 8 weeks

• Heart Rate at Beginning of Mini-game

  (Intervention) 2 times per week for 8 weeks

Other Outcomes (2)

• Total Activity Time (TAT)

  (Intervention) 2 times per week for 8 weeks

• Time in Therapeutic Heart Rate Range (TTR)

  (Intervention) 2 times per week for 8 weeks

Study Arms (1)

Xbox One Kinect Gaming

EXPERIMENTAL

15 sessions of supervised physical therapy using 2 commercially available Xbox One Kinect game.

Other: Xbox One Kinect Gaming

Interventions

Xbox One Kinect Gaming OTHER

The Veteran completed 15 sessions of supervised VR training. Each session lasted between 50 and 60 minutes in total. The intervention utilized 2 commercially available Xbox One Kinect games called "Shape Up" and "Kinect Sports: Rivals" to challenge both cardiovascular and balance systems. Each game is composed of mini-games (MG). Each MG lasted between 1:30 minutes to 4:00 minutes. Both games were played for approximately 25 minutes during each session. Rest breaks were allowed as the participant required them. Guarding by a therapist was provided dependent on the challenge of the game and the participant's abilities.

Xbox One Kinect Gaming

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• A male or female Veteran participant must have sustained traumatic brain injury greater than 1 year prior to baseline assessments
• Veteran will be between the ages of 18 and 65 years old

You may not qualify if:

• Veterans with any cardiac condition that may cause sudden decompensation during cardiovascular testing and training (e.g., severe congestive heart failure and uncontrolled hypertension)
• If Veteran has a significant cardiac history (as defined by American College of Sports Medicine), physician approval will be acquired prior to cardiac stress tests
• Veterans with a previous history of behavioral impairments (e.g., aggression or inappropriate actions) that would preclude participation in standard physical therapy
• Veterans with lower extremity amputation
• Veterans that exhibit greater than mild cognitive impairments as shown by a score 17/30 or less on the Montreal Cognitive Assessment (MoCA).
• Veterans that are unable to stand unsupported for at least 2 minutes
• Veterans that are unable to ambulate on treadmill with bilateral hand support

Sponsors & Collaborators

• Washington D.C. Veterans Affairs Medical Center: lead

Study Sites (1)

Washington DC VA Medical Center

Washington D.C., District of Columbia, 20042, United States

Location

Related Publications (1)

• Chanpimol S, Seamon B, Hernandez H, Harris-Love M, Blackman MR. Using Xbox kinect motion capture technology to improve clinical rehabilitation outcomes for balance and cardiovascular health in an individual with chronic TBI. Arch Physiother. 2017;7:6. doi: 10.1186/s40945-017-0033-9. Epub 2017 May 31.

  PMID: 28824816 DERIVED

MeSH Terms

Conditions

Brain Injuries, Traumatic

Condition Hierarchy (Ancestors)

Brain Injuries; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries

Limitations and Caveats

Small number of subjects; Potentially variable cardiovascular data due to participant lifestyle

Results Point of Contact

• Title: Dr. Shane Chanpimol
• Organization: Washington DC VA Medical Center

shane.chanpimol@va.gov

202-745-8000

Study Officials

• Michael Harris-Love, DSc

  Washington DC VA Medical Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 28, 2016
• First Posted: September 5, 2016
• Study Start: May 1, 2015
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: June 15, 2017
• Results First Posted: June 15, 2017

Record last verified: 2016-10

Data Sharing

• IPD Sharing: Will share

Locations

US (1)