EDKP 447

Game Intervention: Table Tilt

The Table Tilt game recreates a platform on the screen that adjusts itself depending on the participant’s position and pressure on the balance board. The participant manipulates the platform by shifting their weight to roll the simulated ball into the hole. In a study by Chiu H-C et al (2018), children with cerebral palsy underwent a training session using the Table Tilt exercise and saw immediate improvements in static balance. Moreover, Table Tilt was also seen to have extremely high adherence, high rates of satisfaction and motivation amongst children. As mentioned, DCD is thought to be on the continuum of cerebral palsy, therefore, it is believed to be an appropriate treatment for the target population.

This game allows participants to have a better understanding of their stability limits; particularly their mechanical stability boundary. With practice, the individual will be able to establish an appropriate area of support, allowing for a better perception of their stability borders and therefore, an improved static balance. This game also allows for an improved integration of the three sensory systems. The visual system allows the children to view their position on the screen as well as the ball. The vestibular system allows them to orient themselves with gravity when they tilt from side to side and the somatosensory system is integrated by gaining proprioceptive feedback from the avatar. This intervention also targets the executive system; where DCD children are expected to identify the ball, select an appropriate response and execute the correct motion to complete the task.
 

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