title: Active Videogaming for Individuals with Severe Movement Disorders: Results from a Community Study.
abstract: OBJECTIVE
  Active videogaming (AVG) has potential to provide positive health outcomes for individuals with cerebral palsy (CP), but their use for individuals with severe motor impairments is limited. Our objective was to evaluate the accessibility and enjoyment of videogames using the Kinect™ (Microsoft, Redmond, WA) with the Flexible Action and Articulated Skeleton Toolkit (FAAST) system (University of Southern California Institute for Creative Technologies, Los Angeles, CA) for individuals with severely limiting CP.
  
  
  METHODS
  A videogaming system was installed in a community center serving adults with CP, and a staff member was instructed in its use. Participants completed a baseline survey assessing demographics, mobility, and prior videogame experience; they then used the FAAST system with Kinect and completed a 5-point Likert survey to assess their experience. Descriptive statistics assessed overall enjoyment of the system, and Mann-Whitney U tests were conducted to determine whether responses differed by demographic factors, mobility, or prior videogame experience.
  
  
  RESULTS
  Twenty-two subjects were recruited. The enjoyment scale demonstrated high internal consistency (Cronbach's alpha=0.88). The mean total enjoyment score was 4.24 out of 5. Median scores did not significantly differ by ethnicity, gender, CP severity, or previous videogame exposure.
  
  
  CONCLUSIONS
  The FAAST with Kinect is a low-cost system that engages individuals with severe movement disorders across a wide range of physical ability and videogame experience. Further research should be conducted on in-home use, therapeutic applications, and potential benefits for socialization.
authors.affiliation: 1 The Center for Autism & Neurodevelopmental Disorders, Department of Pediatrics, School of Medicine, University of California Irvine , Irvine, California.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Chung
authors.affiliation: 2 Division of General Pediatrics, Children's Hospital Los Angeles , Los Angeles, California.|3 Department of Pediatrics, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors.forename: Douglas L
authors.initials: DL
authors.lastname: Vanderbilt
authors.affiliation: 4 Division of Hospital Medicine, Children's Hospital Los Angeles , Los Angeles, California.
authors.forename: Sheree M
authors.initials: SM
authors.lastname: Schrager
authors.affiliation: 4 Division of Hospital Medicine, Children's Hospital Los Angeles , Los Angeles, California.
authors.forename: Eugene
authors.initials: E
authors.lastname: Nguyen
authors.affiliation: 5 Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California Los Angeles , Los Angeles, California.|6 UCLA Center for Cerebral Palsy, David Geffen School of Medicine, University of California Los Angeles , Los Angeles, California.
authors.forename: Eileen
authors.initials: E
authors.lastname: Fowler
mesh_terms: D000328:Adult; D000069537:Adult Day Care Centers; D002547:Cerebral Palsy / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011795:Surveys and Questionnaires; D014584:User-Computer Interface; D018910:Video Games