【論文摘要】Effects of Exercise With Augmented-Reality-Based App on Motor Skills for Children With Tourette Syndrome

【論文摘要】用擴增實境手機應用程式做運動對患有妥瑞症兒童身體協調能力的影響

Yi-Ru Wang(王羿茹) ； Pei-Chieh Chan(詹沛潔) ； Jie Lin(林潔) ； Wei-Tzu Wu(吳唯慈) ； Huei-Shyong Wang(王煇雄) ； Wen-Yu Liu(劉文瑜)

《物理治療》 48卷2期 (2023/06) Pp. 169-170

https://doi.org/10.6215/FJPT.202306.P63

摘要

Background and Purpose: Tourette syndrome (TS) is a common neurodevelopmental disorder with tics. Previous reports suggested that exercise may improve motor coordination and reduce symptoms of tics in children with TS. With the COVID-19 pandemic, telemedicine and home-based exercise became popular. The purpose of this study was to explore the effect of the exercise with the Augmented-Reality (AR)-Based App on motor skills for children with TS. Methods: Seven children with TS (age 6-9 years) are recruited. They were asked to exercise with the Augmented-Reality-Based Exercise App, Active Arcade, which is a program using AR models to provide virtual targets for children to interact while doing exercise. They were trained for 30 minutes each time for 2 weeks, 3 times a week. The main outcome measures were Bruininks-Oseretsky Tests of Motor Proficiency, Second Edition (BOT-2). Paired t-test were used with a significance level of 0.05. The effect size was calculated using Cohen’s d. Results: The mean scores of all subtests did not reach statistical significance, but the post-mean scores were higher than the pre-mean scores in upper-limb coordination, manual coordination, balance, body coordination, running speed agility, and strength and agility with large effect size (ES > 0.8), as well as in fine motor precision, fine manual control, upper-limb coordination, and strength with medium effect size (ES > 0.5). The total score of BOT-2 was statistically significantly improved after training (p = 0.001). Conclusions: The preliminary results suggested that using AR as an adjunct with pre-selected exercise can improve manual coordination, body coordination, and strength and agility. The absence of a significant difference in the subtests may be due to the small sample size. Clinical Relevance: The results of this study can provide a reference for home exercise training with AR-based APP for children with TS.