Integrating Upper- and Lower-Limb Exercises in Virtual Reality Video Games: A Novel Approach in Pediatric Clinical Exercise Rehabilitation for Duchenne Muscular Dystrophy

Henry Lai, Darren E. R. Warburton


In clinical exercise rehabilitation, training of the lower extremities is recognized as a key contributor in delaying the decline in functional status and the onset of disability in children with Duchenne muscular dystrophy. Recent evidence revealing the importance of upper-limb exercise as an adjunct intervention has led to the evaluation of clinical trials regarding the integration of exercise modalities involving the upper and lower extremities. One method to integrate both modalities of exercise is through the use of interactive video game (exergaming) technology, which is currently an active area of research to improve neurorehabilitation outcomes in children with developmental disabilities. We propose that a novel approach involving clinical exercises of the upper and lower extremities in virtual reality video games can lead to marked enhancements in the functional status of children with Duchenne muscular dystrophy.


Exergaming; Interactive Video Games; Medicine; Exercise; Physiology; Chronic Disease; Physical Activity; Health Promotion; Exercise Science; Kinesiology

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Copyright (c) 2017 Henry Lai, Darren E. R. Warburton

ISSN: 19206216