Accepted for/Published in: JMIR Serious Games
Date Submitted: Jul 20, 2023
Date Accepted: Oct 27, 2023
The Feasibility of a 4-Week Home-Based Exercise Training Using Active Video Games on Balance, Motor Proficiency, Foot and Ankle Ability, and Intrinsic Motivation in Children with Chronic Ankle Instability: A Randomized Controlled Trial
ABSTRACT
Background:
Children with chronic ankle instability (CAI) frequently experience ankle unsteadiness, causing trips, falls, and ankle sprain injuries resulting in poor quality of life. A specific exercise program focused on physical and psychological purposes in children with CAI is needed.
Objective:
The purpose of this study was to investigate the feasibility of a 4-week home-based exercise training using active video games (AVGs) on balance, motor proficiency, foot and ankle ability, and intrinsic motivation in children with CAI.
Methods:
Sixty children with CAI (10 ± 2 years) were randomly assigned to an experimental group (AVGs; n = 30) or a control group (CG; n = 30). The AVGs group played 2-selected video games, i.e., catching fish and Russian Block, while the CG group received the exercise program for CAI. Both programs were scheduled for 30 minutes per day, 3 times per week for four weeks at home. The single-leg stance test was used to assess static balance. The walking forward on a line and standing long jump tests were used to assess motor proficiency. The foot and ankle ability measure (FAAM) and the intrinsic motivation inventory (IMI) questionnaire were used to assess foot and ankle ability and intrinsic motivation, respectively. Assessments were conducted at baseline and after 4 weeks.
Results:
In the AVGs group, the single leg stand test (eyes open on floor and foam conditions), the FAAM (ADL subscale), and intrinsic motivation (interest/enjoyment, pressure/tension, and value/usefulness dimensions) were improved compared with the CG group (all P<.05). The motor proficiency did not differ between the two groups at the end of the 4-week program (P>.05).
Conclusions:
A 4-week home-based exercise training using AVGs can be beneficial and may be an effective approach for improving balance, foot and ankle ability, and enhancing positive motivation by increasing interest/enjoyment and value/usefulness and lower pressure/tension dimensions in children with CAI that require long-term rehabilitation sessions. Clinical Trial: Thai Clinical Trials Registry (TCTR20220727002)
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