Research Article  |   March 2017
Feasibility of Pediatric Game-Based Neurorehabilitation Using Telehealth Technologies: A Case Report
Author Affiliations
  • Grace Reifenberg, BS, is Student Research Assistant, Child & Adolescent Health, Rehabilitation, & Evaluation (CAHRE) Lab, The Ohio State University, Columbus
  • Gabrielle Gabrosek, BA, is Student Research Assistant, CAHRE Lab, The Ohio State University, Columbus
  • Kelly Tanner, PhD, OTR/L, is Director of Occupational Therapy Research, Nationwide Children’s Hospital, Columbus, OH
  • Karen Harpster, PhD, OTR/L, is Director of Occupational Therapy Research, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
  • Rachel Proffitt, OTD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia
  • Andrew Persch, PhD, OTR/L, BCP, is Director, CAHRE Lab, and Assistant Professor, Division of Occupational Therapy, The Ohio State University, Columbus; andrew.persch@osumc.edu
Article Information
Neurologic Conditions / Pediatric Evaluation and Intervention / Special Issue
Research Article   |   March 2017
Feasibility of Pediatric Game-Based Neurorehabilitation Using Telehealth Technologies: A Case Report
American Journal of Occupational Therapy, March 2017, Vol. 71, 7103190040p1-7103190040p8. doi:10.5014/ajot.2017.024976
American Journal of Occupational Therapy, March 2017, Vol. 71, 7103190040p1-7103190040p8. doi:10.5014/ajot.2017.024976
Abstract

This case report is the first in a series of reports designed to determine the feasibility of implementing game-based neurorehabilitation using telehealth technologies (GbN+TT) for children with cerebral palsy, evaluate the responsiveness of relevant outcome measures to changes in motor impairment and activity participation after intervention, and identify technological challenges associated with implementation of GbN+TT. The participant completed more than 56 hr of game-based neurorehabilitation over 8 wk using the Timocco platform in his home. The primary measures of motor impairment (Bruininks–Oseretsky Test of Motor Proficiency, Second Edition) and function (Pediatric Motor Activity Log) were both sensitive to change. Results indicate that it is feasible to administer GbN+TT to a child with cerebral palsy and monitor outcomes using standardized assessments.