Development and pilot testing of novel game-based respiratory rehabilitation exercise devices for patients with tetraplegia.

Abstract

BACKGROUND\nIndividuals with spinal cord injuries (SCI) show restricted breathing patterns with reduced lung volumes and capacities.\n\n\nOBJECTIVE\nTo improve breathing in such individuals, we aimed to develop breathing exercise devices using a user-centered design (UCD) and then assess the effects of these devices on breathing.\n\n\nMETHODS\nPatients with SCI were involved in the device development. Preliminary online survey participants were recruited from the community, and interview and pilot test participants were recruited from a patient self-help group. The four UCD phases were repeatedly performed. Users required fun, easy, multi-player, and safe exercise devices.\n\n\nRESULTS\nSeven breathing exercise devices were developed, and 10 different game-based exercises were performed. Two individuals participated in a pilot test involving a respiratory rehabilitation exercise program conducted twice weekly for 60\xa0min/session over 8 weeks. Lung function was assessed using a spirometer. Forced vital capacity, forced expiratory volume in 1\xa0s, and vital capacity showed minimal changes, whereas maximum inspiratory and expiratory pressures improved. Participants reported that the exercises were entertaining and that the competitive nature of the game-like exercises encouraged further participation.\n\n\nCONCLUSION\nBreathing exercise programs using our developed devices can improve breathing and positively affect the psychological states and sociability of users.