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Computer Games Physiotherapy for Children with Cystic Fibrosis

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Virtual, Augmented Reality and Serious Games for Healthcare 1

Part of the book series: Intelligent Systems Reference Library ((ISRL,volume 68))


Sufferers of cystic fibrosis and other chronic lung diseases benefit from daily physiotherapy such as Positive Expiratory Pressure (PEP). For children, however, such repetitive daily exercises become a burden and may lead to confrontation with the family. Using a system comprised of a PEP mask, a computer-connected pressure monitor and a suite of games of varying types, a series of tests will determine with both objective statistics and subjective feedback how effective the system is at encouraging children and young adults to participate in daily therapy. With longer and more advanced games, coupled with unobtrusive data gathering functionality, we determine what effect long-term use of such a game system has on young sufferers. The study has shown that games based PEP physiotherapy is a desirable, viable alternative that can perform at least similarly to the existing approaches in terms of the amount of time children spend engaging in breathing exercises and with potentially many additional benefits including the capture of detailed data about the amount and quality of physiotherapy which is currently impossible with conventional, non-computerized methods.

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  1. Ratjen, F., Doring, G.: Cystic fibrosis. Lancet 361(9358), 681–689 (2003)

    Article  Google Scholar 

  2. Russell, P.J., Hertz, P.E., McMillan, B.: Biology: The Dynamic Science. Brooks/Cole Pub Co, Monterey (2011)

    Google Scholar 

  3. Trust, C.F.: Retrieved from What is Cystic Fibrosis:, July 2012

  4. Flume, P.A., Mogayzel Jr, P.J., Robinson, K.A., Rosenblatt, R.L., Quittell, L., Marshall, B.C.: Cystic fibrosis pulmonary guidelines: pulmonary complications: hemoptysis and pneumothorax. Am. J. Respir. Crit. Care Med. 182, 298–306 (2010)

    Article  Google Scholar 

  5. Schans, C.V., Prasad, A., Main, E.: Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis. Cochrane Database Syst. Rev. 2, CD001401 (2000)

    Google Scholar 

  6. Trust, C.F.: Retrieved from Physiotherapy:, July 2012

  7. Flume, P.A., Robinson, K.A., OSullivan, B.P., Finder, J.D., Vender, R.L., Willey-Courand, D.B., et al.: Cystic fibrosis pulmonary guidelines: airway clearance therapies. Resp. Care 54, 522–537 (2009)

    Google Scholar 

  8. van der Schans, C., Prasad, A., Main, E.: Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis. Cochrane Database Syst. Rev. Issue 2. Art. No.: CD001401 (2000). doi:10.1002/14651858.CD001401

  9. Arias Llorente, R.P., Bousoño García, C.: Treatment compliance in children and adults with Cystic Fibrosis. J. Cyst. Fibros. 7(5), 359–367 (2007)

    Article  Google Scholar 

  10. Prasad, S.A., Cerny, F.J.: Factors that influence adherence to exercise and their effectiveness: application to cystic fibrosis. Pediatric Pulmonol. 34(1), 66–72 (2002)

    Article  Google Scholar 

  11. Senior Physiotherapist.: Breathing games’ for young children with cystic fibrosis. Cambridge University Hospitals, NHS Foundation Trust, Cambridge (2012)

    Google Scholar 

  12. Bingham, P.M., Bates, J.H., Thompson-Figueroa, J., Lahiri, T.: A breath biofeedback computer game for children with cystic fibrosis. Clin. Pediatr. 49(4), 337–342 (2010)

    Article  Google Scholar 

  13. Pediatrics, A.A.: Retrieved from Video Games May Help Clear Airway Of Cystic Fibrosis Patients. ScienceDaily.:, May 2011

  14. Bingham, P.M., Lahiri, T., Ashikaga, T.: Pilot trial of spirometer games for airway clearance practice in cystic fibrosis. Resp. Care 57(8), 1278–1284 (2012)

    Article  Google Scholar 

  15. Oikonomou, A., Day, D.: Using serious games to motivate children with cystic fibrosis to engage with mucus clearance physiotherapy. In Leonard Barolli FX (Ed.) The Sixth International Conference on Complex, Intelligent, and Software Intensive Systems, pp. 34–39. IEEE, Palermo, Italy (2012)

    Google Scholar 

  16. Medical, S.: Retrieved from Acapella Vibratory PEP Systems:, August 2012

  17. Pyle.: Retrieved from Digital Manometer PDMM01:, August 2012

  18. Electronics, M.: Retrieved from MPVZ4006GW6U Board Mount Pressure/Force Sensor:, August 2012

  19. Wilson, S.H., Cooke, N.T., Edwards, R.H., Spiro, S.G.: Predicted normal values for maximal respiratory pressures in caucasian adults and children. Thorax 39(7), 535–538 (1984)

    Article  Google Scholar 

  20. SensorWiki.: Retrieved from Air Pressure:, August 2012

  21. Nakamura, J., Csikszentmihalyi, M.: The concept of flow. In: Lopez, S.J., Snyder, C.R. (eds.) Handbook of Positive Psychology, pp. 89–92. Oxford University Press, Oxford (2001)

    Google Scholar 

  22. BBC.: Retrieved from CBeebies, August 2012

  23. YoyoGames. : Retrieved from Compare Gamemaker versions:, August 2012

  24. Wisconsin, U.: Retrieved from Cystic Fibrosis (CF) Treatment: Positive Expiratory Pressure (PEP):, August 2012

  25. College, C.: Retrieved from Breath Biofeedback:, August 2012

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Correspondence to Minhua Ma .

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Oikonomou, A., Hartescu, D., Day, D., Ma, M. (2014). Computer Games Physiotherapy for Children with Cystic Fibrosis. In: Ma, M., Jain, L., Anderson, P. (eds) Virtual, Augmented Reality and Serious Games for Healthcare 1. Intelligent Systems Reference Library, vol 68. Springer, Berlin, Heidelberg.

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54815-4

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