ArticleJMIR serious games2025
Exploring Mixed-Reality Exergames for Sports Rehabilitation: Design Insights and Evaluation Findings.
Article in JMIR serious games, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExergaming, involving physically active play, provides a means for motivating and functional training. It may also offer an innovative solution for rehabilitation after sports injuries such as anterior cruciate ligament (ACL) injury. Rehabilitation is lengthy and only partially prepares athletes for the demands of sports. As a result, only 65% of athletes return to the same performance level as before the injury. Exergames specific to ACL rehabilitation are missing. Their unique combination of physical and cognitive challenge may contribute to preparing patients for their return to sports. Collaboration of sport scientists, game designers, and physiotherapists enables comprehensive and user-centered development of an innovative training concept incorporating the needs of both patients and therapists along with scientific evidence.
objectiveThis project aimed to develop a specific exergame scenario for sports rehabilitation after ACL injuries. A research-driven, user-centered, iterative approach was followed. The project was structured into four phases: (1) assessment of motor performance during a fitness exergame, (2) investigation and establishment of user requirements, (3) development of a new exergame, and (4) validation of the new exergame.
methodsFor assessment of motor performance, lower extremity kinematics during a fitness exergame scenario in the ExerCube were assessed in 24 athletes (6 after ACL injury) using marker-based motion capture. Regarding user requirements, focus groups with physiotherapists and patients were conducted. Development of a new exergame was from the kinematic analysis results and user requirements guided the iterative, interdisciplinary design of a new exergame scenario and movement concept for the ExerCube. For validation, developed exergame scenarios were recurrently evaluated with patient and therapist focus groups and transformed into a final exergame scenario.
resultsFor assessment of motor performance, there was a main effect of exercise in maximal knee valgus, knee internal rotation, and hip flexion with P<.001. Squats showed the lowest knee valgus (4.23°, 95% CI 4.12-4.51) and knee internal rotation angle (3.68°, 95% CI 3.33-4.03). Focus groups revealed that patients want to return to sports as quickly as possible but have concerns about sensory overload during training. Physiotherapists desire a device that allows additional independent training with new therapeutic stimuli. Concerning the development of a new exergame, the movement concept for the new exergame included strength and balance exercises, and a mini-exergame for endurance, reaction, and skill training. Three difficulty levels allow for varying complexity and speed. For validation, focus groups on the newly developed exergame scenarios highlighted their motivational potential, suitability for autonomous use, and the need for therapist-controlled adaptation and integration with conventional tools.
conclusionsThe interdisciplinary, evidence-based approach facilitated a systematic development of requirements for an exergame for rehabilitation, ensuring user-centered implementation. A final evaluation confirmed its motivational potential and applicability, leading to its deployment at all ExerCube locations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.