A conceptual framework for design of interactive computer play in rehabilitation of children with sensorimotor disorders

Background: Interactive computer play is a promising tool in rehabilitation of children. There is still little research presented in this field, and thus sparse evidence for its effectiveness. It is however evident that children, parents and therapists are in favour of this form of training and that modern motor learning theories fit very well with the concept of practising in interactive computer-based environments. There is nevertheless a need for development of new systems purposely designed for rehabilitation and this work faces substantial challenges. Objectives: In this paper we briefly present our ongoing research regarding interactive training for children with sensorimotor disorders, and reflections about challenges in the development of new interactive systems for motor rehabilitation. Methods: Interactive training using low-cost motion interactive games was evaluated with three-dimensional kinematic motion analysis, clinical motor tests, physical activity monitors, interviews and gaming diaries. Conclusions: To make interactive computer play feasible in rehabilitation of children, we believe that the technique should be easily accessible in the homes of the children. Games made for the rehabilitation of children should also be flexible, partly to match the various needs of children with different disabilities, but also to enable challenging stimulation to match progress and provide variation that stimulates motivation for practice. Appropriate feedback is crucial for motivation and in order to provide this, it is important to establish optimal solutions for assessing motor control progress. Our experiences from three-dimensional motion analysis suggest that incorporating instruments for kinematic measurements into interactive games would be valuable.