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Automatic assessment of upper limb function during play of the action video game, circus challenge: validity and sensitivity to change

Lookup NU author(s): Dr Javier Serradilla, Dr Jian Shi, Yafeng Cheng, Professor Graham MorganORCiD, Charlotte Lambden, Professor Janet Eyre


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We present an evaluation of the cross-sectional and longitudinal validity (sensitivity to change) of a new algorithm to assess upper limb function generated automatically during play of a bespoke, professionally-written action video game (Circus Challenge Assessment Game, CCAG). The subjects were 33 patients with hemiplegia after stroke (aged 33-81 years), who played the CCAG on 8 separate occasions over a 12 week period; 19 in the chronic phase after stroke, with stable function; 14 in the acute phase during recovery of function. A convergent construct validation process was used by correlating the scores of the CCAG with a validated, clinically assessed reference, the Chedoke Arm and Hand Assessment Inventory (CAHAI). Cross- sectional validity was demonstrated using the between-subjects correlation coefficient (r = .998, p???value < .001); longitudinal validity by the within-subjects correlation coefficient (overall, r = .54, p???value < .001; chronic, r = .33, p???value < .001; acute, r = .63, p ??? value < .001). There was no difference between the CCAG and CAHAI in the classification of pa- tients to acute and chronic groups (comparing ROC curves, p ??? value = .50), demonstrating similar sensitivity to change. This is the first time a serious game can achieve automatic in- game assessment to a clinical standard, solely using low cost, commodity hardware and professionally written action video games and demonstrates the potential for remote monitoring of patients during home based rehabilitation programs.

Publication metadata

Author(s): Serradilla J, Shi JQ, Cheng Y, Morgan G, Lambden C, Eyre JA

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: 3rd International Conference on Serious Games and Applications for Health (SeGAH)

Year of Conference: 2014

Pages: 1-7

Online publication date: 26/03/2015

Acceptance date: 01/01/1900

Publisher: IEEE


DOI: 10.1109/SeGAH.2014.7067073

Library holdings: Search Newcastle University Library for this item

ISBN: 9781479948239