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Table 3 Description and potential progression of supervised game play during clinical VR intervention

From: Using Xbox kinect motion capture technology to improve clinical rehabilitation outcomes for balance and cardiovascular health in an individual with chronic TBI

Mini-(Game)

Game Objective

Areas Challenged

Level Progression

Environmental Progression

Arctic Punch (SU)

Requires participant to punch across the body to hit targets

Cardiovascular endurance, postural control within stationary BOS, UE/LE movement speed/accuracy

Increase movement speed

Stand feet together, one foot, or on compliant surface

Knee Up Splash (SU)

Requires participant to break blue, green, and red watermelons with high knee motion in a predetermined order

Cardiovascular endurance, dynamic postural control, UE/LE movement speed/accuracy, memory

Increase length of colors to memorize based on performance, Increase movement speed

Perform on compliant surface

Squat Me to the Moon (SU)

Requires participant to perform bodyweight squats emphasizing depth

LE anaerobic endurance, postural control within stationary BOS, LE movement speed/accuracy

Increase movement speed

Perform on compliant surface

Stunt Run (SU)

Requires participant to run in place and jump, duck, or dodge left or right to avoid random obstacles

Cardiovascular endurance, dynamic postural control, LE movement speed/accuracy, reaction time

Obstacles occur more frequently based on performance

N/A

To the Core (SU)

Requires participant to rotate trunk left and right with shoulders and elbows flex to 90°

Abdominal anaerobic endurance, postural control within stationary BOS, abdominal movement speed/accuracy

Increase movement speed

Stand feet together, one foot, or on compliant surface

Tennis (KS)

Requires participant to perform overhead serve, forehand, and backhand rebound against computer opponent

Dynamic postural control, visual tracking, UE/LE movement speed/accuracy, reaction time

Requires maintained accuracy at increased speed based on performance

N/A

Rock climbing (KS)

Requires participant to reach and grab overhead and to sides in race against computer opponent

Postural control within stationary BOS, UE movement speed/accuracy

Requires maintained accuracy at increased speed based on performance

Perform on compliant surface

  1. SU Shape-up, KS Kinect Sports, BOS base of support, UE upper extremity, LE lower extremity, N/A not applicable