title: Interactive gaming consoles reduced pain during acute minor burn rehabilitation: A randomized, pilot trial.
abstract: BACKGROUND
  Interactive gaming consoles (IGCs) have been used successfully in rehabilitation settings as an adjunct to conventional exercise for restoring or maintaining active function and augmenting pharmacological analgesia.
  
  
  OBJECTIVE
  The objective of this pilot study was to assess if adjunctive use of the Nintendo Wii IGC was of benefit to acute burn patients.
  
  
  METHODS
  This was a randomized, controlled trial. The intervention group received routine rehabilitation in addition to up to 5 days of twice daily, 20-30 min of exercise using the Nintendo Wii IGC. The control group received routine rehabilitation exercise therapy.
  
  
  RESULTS
  A total of 22 subjects were recruited and randomized by location of burn to intervention and control groups. Pain scores were significantly improved in the intervention group (r(2)=1.18; 95%CI -0.584 to -0.298, p=0.019) as indicated by a 17% greater drop in the pre-post-study pain compared to controls. Fear avoidance and ROM measurements were not statistically different between the groups.
  
  
  CONCLUSIONS
  The Nintendo Wii IGC was associated with a greater reduction in pain, particularly in those with higher levels of pain at baseline.
authors.affiliation: Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Parker
authors.affiliation: Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Australia.
authors.forename: Brett
authors.initials: B
authors.lastname: Delahunty
authors.affiliation: Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Australia.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Heberlein
authors.affiliation: Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Australia.
authors.forename: Neale
authors.initials: N
authors.lastname: Devenish
authors.affiliation: Burn Service of Western Australian, Royal Perth Hospital, Western Australia, Australia; Fiona Wood Foundation, Perth, Australia.
authors.forename: Fiona M
authors.initials: FM
authors.lastname: Wood
authors.affiliation: Burn Service of Western Australian, Royal Perth Hospital, Western Australia, Australia; Fiona Wood Foundation, Perth, Australia.
authors.forename: Teresa
authors.initials: T
authors.lastname: Jackson
authors.affiliation: Burn Service of Western Australian, Royal Perth Hospital, Western Australia, Australia.
authors.forename: Theresa
authors.initials: T
authors.lastname: Carter
authors.affiliation: Burn Service of Western Australian, Royal Perth Hospital, Western Australia, Australia; Fiona Wood Foundation, Perth, Australia; Burn Injury Research Node, University of Notre Dame Australia, Fremantle, Western Australia, Australia. Electronic address: dale.edgar@health.wa.gov.au.
authors.forename: Dale W
authors.initials: DW
authors.lastname: Edgar
mesh_terms: D000293:Adolescent; D000328:Adult; D001362:Avoidance Learning; D002056:Burns / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010865:Pilot Projects; D016059:Range of Motion, Articular; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014584:User-Computer Interface; D018910:Video Games; D055815:Young Adult
keywords: Acute burn; Game console; Pain; Rehabilitation