title: Is There Evidence That Active Videogames Increase Energy Expenditure and Exercise Intensity for People Poststroke and with Cerebral Palsy?
abstract: This article asked and answered the question of whether there was evidence to support the use of videogames for promotion of wellness and fitness for people poststroke and those with cerebral palsy (CP). A literature search of PubMed, CINAHL, and PEDro using a population, intervention, and outcome (PIO) approach and the key words "stroke (or CP) AND video games (and synonyms) AND energy expenditure (EE) (and synonyms)" was conducted. It yielded two relevant references for people poststroke and five references for people with CP. The literature extraction and synthesis by the categories of the PIO indicated that most studies used only the population of interest, except two that compared the EE with that of healthy controls. The main finding is that both people poststroke (moderate severity) and people with CP (mild severity) can achieve moderate EE playing Wii(™) (Nintendo, Kyoto, Japan), PlayStation(®) (Sony, Tokyo, Japan), and Kinect(™) (Microsoft, Redmond, WA) games. Adults with CP of mild severity played the videogames at vigorous levels, whereas those with severe CP played them at low levels. There appears to be an interaction between development and severity that influences the exercise intensity measured by EE. The findings suggests that videogames are a gateway for wellness promotion.
authors.affiliation: 1 Rivers Lab, Rutgers University , Newark, New Jersey, USA.|2 Department of Rehabilitation and Movement Sciences, Rutgers University , Newark, New Jersey, USA.
authors.forename: Judith E
authors.initials: JE
authors.lastname: Deutsch
authors.affiliation: 1 Rivers Lab, Rutgers University , Newark, New Jersey, USA.|2 Department of Rehabilitation and Movement Sciences, Rutgers University , Newark, New Jersey, USA.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Guarrera-Bowlby
authors.affiliation: 2 Department of Rehabilitation and Movement Sciences, Rutgers University , Newark, New Jersey, USA.
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Myslinski
authors.affiliation: 3 Program in Physical Therapy, University of Haifa , Haifa, Israel .
authors.forename: Michal
authors.initials: M
authors.lastname: Kafri
mesh_terms: D000328:Adult; D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D004734:Energy Metabolism / Q000502:physiology*; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D005081:Exercise Therapy / Q000379:methods* / Q000523:psychology; D006293:Health Promotion / Q000379:methods; D006801:Humans; D055686:Metabolic Equivalent; D008875:Middle Aged; D000071939:Stroke Rehabilitation; D018910:Video Games / Q000523:psychology*