PTOtherJMIR rehabilitation and assistive technologies2022

Programs Using Stimulation-Regulating Technologies to Promote Physical Activity in People With Intellectual and Multiple Disabilities: Scoping Review.

Giulio E Lancioni, Nirbhay N Singh, Mark O'Reilly and 3 others

PMID 35389365

WHAT IT FOUND

Stimulation-regulating technologies were reported to increase physical activity or improve physical condition in people with intellectual and multiple disabilities, but the review could not compare the approaches directly.

Key findings

01This scoping review included 42 studies and 465 participants exposed to intervention conditions.

02The included studies divided into 27 response-contingent stimulation studies with 112 participants and 15 video game studies with 353 participants.

03The included studies reported positive, mainly positive, partially positive, or inconclusive outcomes, and the review notes that the study groups used different outcome measures and participant profiles.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The search was limited to English-language articles, so relevant studies in other languages may have been missed. The search used free-text terms rather than indexed terms, which may have made it less precise. Studies involving autism spectrum disorder were excluded, limiting the picture for that population. The included studies used different designs, outcome measures, session lengths, and participant profiles, so the review cannot compare the technologies directly. The response-contingent studies used single-subject designs with few participants, and the video game studies varied in design and outcomes. The review did not assess whether video game participants found the game stimulation enjoyable or preferred it. The practicality of both approaches may require staff time, skills, and technical setup.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not read this review as proof that these technologies work for every patient with intellectual or multiple disability. The included studies used different participants, measures, and designs, and the review says the results cannot be easily compared and contrasted.

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