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Modeling the effect of attention deficit in game-based motor ability assessment of Cerebral Palsy patients

Published: 29 May 2013 Publication History

Abstract

Cerebral Palsy (CP) is a central nervous system disorder affecting 2 out of every 1000 births. CP limits a person's muscular function. Rehabilitative, touch-screen gaming promises to assist in developing muscle tone and dexterity for hemi-paretic CP patients as well as help therapists keep track of a patient's performance over time. However, most systems fail to take into account other factors of the disorder that could affect the scoring of a patient differently on various assessment days - specifically attention deficit or distraction. Cerebral Palsy is frequently associated with diagnosed Attention Deficit (Hyperactive) Disorder (ADD/ADHD), but even if a child does not fall within that definition, pediatric CP patients are often easily distracted. In this work we perform attention deficit simulation experiments with able-bodied users playing three rehabilitative games as well as similar computer generated data and propose a methodology to model and eliminate the effects of attention deficit or distraction from the scoring scheme used to evaluate the patient's motor abilities and progress over time.

References

[1]
CDC - cerebral palsy, home - NCBDDD. http://www.cdc.gov/ncbddd/cp/index.html.
[2]
A rehab revolution - american stroke association. http://www.strokeassociation.org/idc/groups/stroke-public/@wcm/@hcm/@sta/documents/downloadable/ucm 310314.pdf.
[3]
K. Bierre, J. Chetwynd, B. Ellis, D. M. Hinn, S. Ludi, and T. Westin. Game not over: Accessibility issues in video games. In Proc. of the 3rd International Conference on Universal Access in Human-Computer Interaction, pages 22--27, 2005.
[4]
R. Collins. Interaction ritual chains. Princeton University Press, 2004.
[5]
S. Craft, D. A. White, T. S. Park, and G. Figiel. Visual attention in children with perinatal brain injury: Asymmetric effects of bilateral lesions. Journal of Cognitive Neuroscience, 6(2):165--173, 1994.
[6]
S. C. Deluca, K. Echols, C. R. Law, and S. L. Ramey. Intensive pediatric constraint-induced therapy for children with cerebral palsy: randomized, controlled, crossover trial. Journal of child neurology, 21(11):931--938, 2006.
[7]
A.-C. Eliasson, L. Krumlinde-Sundholm, K. Shaw, and C. Wang. Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model. Developmental Medicine & Child Neurology, 47(04):266--275, 2005.
[8]
M. Griffiths. Video games and health: Video gaming is safe for most players and can be useful in health care. BMJ: British Medical Journal, 331(7509):122, 2005.
[9]
H. Hsu and P. A. Lachenbruch. Paired t test. Wiley Encyclopedia of Clinical Trials, 2008.
[10]
S. McDermott, A. L. Coker, S. Mani, S. Krishnaswami, R. J. Nagle, L. L. Barnett-Queen, and D. F. Wuori. A population-based analysis of behavior problems in children with cerebral palsy. Journal of pediatric psychology, 21(3):447--463, 1996.
[11]
F. Miller, S. J. Bachrach, and S. J. Bachrach. Cerebral palsy: A complete guide for caregiving. Johns Hopkins University Press, 1995.
[12]
C. C. Murphy, M. Yeargin-Allsopp, P. Decoufle, and C. D. Drews. Prevalence of cerebral palsy among ten-year-old children in metropolitan atlanta, 1985 through 1987. The Journal of pediatrics, 123(5):S13--S20, 1993.
[13]
R. H. Myers. Classical and modern regression with applications, volume 2. Duxbury Press Belmont, CA, 1990.
[14]
I. Novak, A. Cusick, and K. Lowe. A pilot study on the impact of occupational therapy home programming for young children with cerebral palsy. The American journal of occupational therapy, 61(4):463--468, 2007.
[15]
A. Papangelis, G. Mouchakis, A. Boisselle, D. Kosmopoulos, V. Karkaletsis, and F. Makedon. A game system for remote rehabilitation of cerebral palsy patients. In Proceedings of the 5th International Conference on PErvasive Technologies Related to Assistive Environments, page 19. ACM, 2012.
[16]
J. Parkes, M. White-Koning, H. O. Dickinson, U. Thyen, C. Arnaud, E. Beckung, J. Fauconnier, M. Marcelli, V. McManus, and S. I. Michelsen. Psychological problems in children with cerebral palsy: a cross-sectional european study. Journal of Child Psychology and Psychiatry, 49(4):405--413, 2008.
[17]
S. Pirila, J. van der Meere, P. Korhonen, P. Ruusu-Niemi, M. Kyntaja, P. Nieminen, and R. Korpela. A retrospective neurocognitive study in children with spastic diplegia. Developmental neuropsychology, 26(3):679--690, 2004.
[18]
M. Pollner. The Self We Live By: Narrative Identity in a Postmodern World, by James A. Holstein and Jaber F. Gubrium. New York: Oxford University Press, 2000. 268 pp. 49.95(cloth); 21.95 (paper)., volume 23. JSTOR, 2000.
[19]
M. Sandlund, S. McDonough, and C. Hager-Ross. Interactive computer play in rehabilitation of children with sensorimotor disorders: a systematic review. Developmental Medicine & Child Neurology, 51(3).
[20]
R. Scehenker, W. J. Coster, and S. Parush. Neuroimpairments, activity performance, and participation in children with cerebral palsy mainstreamed in elementary schools. Developmental Medicine & Child Neurology, 47(12):808--814, 2005.
[21]
L. K. Shank, J. Kaufman, S. Leffard, and S. Warschausky. Inspection time and ADHD symptoms in children with cerebral palsy. Rehabilitation psychology, 55(2):188, 2010.
[22]
T. Szturm, J. F. Peters, C. Otto, N. Kapadia, and A. Desai. Task-specific rehabilitation of finger-hand function using interactive computer gaming. Archives of physical medicine and rehabilitation, 89(11):2213--2217, 2008.
[23]
D. Wasterfors. Stretching capabilities: children with disabilities playing TV and computer games. Disability & Society, 26(3):337--349, 2011.
[24]
S. Winter, A. Autry, C. Boyle, and M. Yeargin-Allsopp. Trends in the prevalence of cerebral palsy in a population-based study. Pediatrics, 110(6):1220--1225, 2002.

Cited By

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  • (2024)Digital assessments for children and adolescents with ADHD: a scoping reviewFrontiers in Digital Health10.3389/fdgth.2024.14407016Online publication date: 8-Oct-2024
  • (2022)Methodological Standards in Accessibility Research on Motor Impairments: A SurveyACM Computing Surveys10.1145/354350955:7(1-35)Online publication date: 15-Dec-2022
  • (2021)The Purpose of PlayACM Transactions on Computer-Human Interaction10.1145/343224528:2(1-40)Online publication date: 17-Apr-2021
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  1. Modeling the effect of attention deficit in game-based motor ability assessment of Cerebral Palsy patients

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      cover image ACM Other conferences
      PETRA '13: Proceedings of the 6th International Conference on PErvasive Technologies Related to Assistive Environments
      May 2013
      413 pages
      ISBN:9781450319737
      DOI:10.1145/2504335
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

      Sponsors

      • NSF: National Science Foundation
      • FORTH: Foundation for Research and Technology - Hellas
      • HERACLEIA: HERACLEIA Human-Centered Computing Laboratory at UTA
      • U of Tex at Arlington: U of Tex at Arlington
      • TEI: Technological Educational Institution of Athens
      • UCG: University of Central Greece
      • NCRS: Demokritos National Center for Scientific Research
      • Fulbrigh, Greece: Fulbright Foundation, Greece
      • Ionian: Ionian University, GREECE

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      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 29 May 2013

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      Author Tags

      1. attention deficit
      2. cerebral palsy
      3. rehabilitative gaming

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      PETRA '13
      Sponsor:
      • NSF
      • FORTH
      • HERACLEIA
      • U of Tex at Arlington
      • TEI
      • UCG
      • NCRS
      • Fulbrigh, Greece
      • Ionian

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      Cited By

      View all
      • (2024)Digital assessments for children and adolescents with ADHD: a scoping reviewFrontiers in Digital Health10.3389/fdgth.2024.14407016Online publication date: 8-Oct-2024
      • (2022)Methodological Standards in Accessibility Research on Motor Impairments: A SurveyACM Computing Surveys10.1145/354350955:7(1-35)Online publication date: 15-Dec-2022
      • (2021)The Purpose of PlayACM Transactions on Computer-Human Interaction10.1145/343224528:2(1-40)Online publication date: 17-Apr-2021
      • (2019)ReMoVES Remote Monitoring Validation Engineering System: New Way of CareAmbient Assisted Living10.1007/978-3-030-04672-9_15(227-240)Online publication date: 31-Jan-2019
      • (2016)CPLAY2Proceedings of the 9th ACM International Conference on PErvasive Technologies Related to Assistive Environments10.1145/2910674.2935845(1-2)Online publication date: 29-Jun-2016
      • (2014)Infrastructure for data management and user centered rehabilitation in Rehab@Home projectProceedings of the 7th International Conference on PErvasive Technologies Related to Assistive Environments10.1145/2674396.2674419(1-8)Online publication date: 27-May-2014

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