Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis

Saranda Bekteshi; Marco Konings; Inti Vanmechelen; Jan Deklerck; Els Ortibus; Jean-Marie Aerts; Hans Hallez; Petra Karlsson; Bernard Dan; Elegast Monbaliu

doi:10.1080/17518423.2020.1770890

Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis

Saranda Bekteshi
, Marco Konings
, Inti Vanmechelen
, Jan Deklerck
, Els Ortibus
, Jean-Marie Aerts
, Hans Hallez
, Petra Karlsson
, Bernard Dan
, Elegast Monbaliu

Research output: Contribution to journal › Article › peer-review

17 Citations (Scopus)

Abstract

OBJECTIVES: To investigate the operational competences screen navigation and dwell function underlying eye gaze performance, and the relation of dystonia and choreoathetosis with eye gaze performance in children with dyskinetic cerebral palsy (DCP).

METHODS: During a 5-week intervention, ten participants with DCP played eye gaze video games daily for 30 minutes. Six games were used to assess task performance, fixation count, and eye movement accuracy during four measurements. Dystonia and choreoathetosis were evaluated using the Dyskinesia Impairment Scale.

RESULTS: Eye gaze performance improved over time (p = .013). Moderate to strong within-subject correlations were found between eye movement accuracy and task performance, and between eye movement accuracy and fixation count. No significant correlations were found with the movement disorders.

CONCLUSIONS: Eye gaze technology shows great potential to be a successful computer interface for children with severe DCP, thereby potentially improving their communication skills, participation levels, and quality of life.

Original language	English
Pages (from-to)	548-556
Number of pages	9
Journal	Developmental neurorehabilitation
Volume	23
Issue number	8
DOIs	https://doi.org/10.1080/17518423.2020.1770890
Publication status	Published - Nov 2020

Bibliographical note

Funding Information:
This project was supported by a grant of the European Regional Development Fund (ERDV, We-Lab for HTM, project nr. 1047). We thank all participants and the involved special education schools for children with motor disabilities: Dominiek Savio, Gits; Ten Dries, Landegem; Heder, Antwerp; and Sint-Lodewijk, Kwatrecht. Wholehearted gratitude to Patrick Hellin, Valerie D’hoker, Els Linsen, Peggy Firlefijn, and other therapists for their invaluable help.

Funding Information:
This work was supported by the European Regional Development Fund (ERDV, We-Lab for HTM, project no. 1047). This project was supported by a grant of the European Regional Development Fund (ERDV, We-Lab for HTM, project nr. 1047). We thank all participants and the involved special education schools for children with motor disabilities: Dominiek Savio, Gits; Ten Dries, Landegem; Heder, Antwerp; and Sint-Lodewijk, Kwatrecht. Wholehearted gratitude to Patrick Hellin, Valerie D’hoker, Els Linsen, Peggy Firlefijn, and other therapists for their invaluable help.

Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

Adolescent
Athetosis/etiology
Cerebral Palsy/complications
Child
Child, Preschool
Dyskinesias/etiology
Dystonia/etiology
Eye Movements
Female
Fixation, Ocular
Humans
Male
Pilot Projects
Psychomotor Performance
Task Performance and Analysis
Video Games

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Bekteshi, S., Konings, M., Vanmechelen, I., Deklerck, J., Ortibus, E., Aerts, J.-M., Hallez, H., Karlsson, P., Dan, B., & Monbaliu, E. (2020). Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis. Developmental neurorehabilitation, 23(8), 548-556. https://doi.org/10.1080/17518423.2020.1770890

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title = "Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis",

abstract = "OBJECTIVES: To investigate the operational competences screen navigation and dwell function underlying eye gaze performance, and the relation of dystonia and choreoathetosis with eye gaze performance in children with dyskinetic cerebral palsy (DCP).METHODS: During a 5-week intervention, ten participants with DCP played eye gaze video games daily for 30 minutes. Six games were used to assess task performance, fixation count, and eye movement accuracy during four measurements. Dystonia and choreoathetosis were evaluated using the Dyskinesia Impairment Scale.RESULTS: Eye gaze performance improved over time (p = .013). Moderate to strong within-subject correlations were found between eye movement accuracy and task performance, and between eye movement accuracy and fixation count. No significant correlations were found with the movement disorders.CONCLUSIONS: Eye gaze technology shows great potential to be a successful computer interface for children with severe DCP, thereby potentially improving their communication skills, participation levels, and quality of life.",

keywords = "Adolescent, Athetosis/etiology, Cerebral Palsy/complications, Child, Child, Preschool, Dyskinesias/etiology, Dystonia/etiology, Eye Movements, Female, Fixation, Ocular, Humans, Male, Pilot Projects, Psychomotor Performance, Task Performance and Analysis, Video Games",

author = "Saranda Bekteshi and Marco Konings and Inti Vanmechelen and Jan Deklerck and Els Ortibus and Jean-Marie Aerts and Hans Hallez and Petra Karlsson and Bernard Dan and Elegast Monbaliu",

note = "Funding Information: This project was supported by a grant of the European Regional Development Fund (ERDV, We-Lab for HTM, project nr. 1047). We thank all participants and the involved special education schools for children with motor disabilities: Dominiek Savio, Gits; Ten Dries, Landegem; Heder, Antwerp; and Sint-Lodewijk, Kwatrecht. Wholehearted gratitude to Patrick Hellin, Valerie D{\textquoteright}hoker, Els Linsen, Peggy Firlefijn, and other therapists for their invaluable help. Funding Information: This work was supported by the European Regional Development Fund (ERDV, We-Lab for HTM, project no. 1047). This project was supported by a grant of the European Regional Development Fund (ERDV, We-Lab for HTM, project nr. 1047). We thank all participants and the involved special education schools for children with motor disabilities: Dominiek Savio, Gits; Ten Dries, Landegem; Heder, Antwerp; and Sint-Lodewijk, Kwatrecht. Wholehearted gratitude to Patrick Hellin, Valerie D{\textquoteright}hoker, Els Linsen, Peggy Firlefijn, and other therapists for their invaluable help. Publisher Copyright: {\textcopyright} 2020 Taylor \& Francis Group, LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2020",

month = nov,

doi = "10.1080/17518423.2020.1770890",

language = "English",

volume = "23",

pages = "548--556",

journal = "Developmental neurorehabilitation",

issn = "1751-8423",

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Bekteshi, S, Konings, M, Vanmechelen, I, Deklerck, J, Ortibus, E, Aerts, J-M, Hallez, H, Karlsson, P, Dan, B & Monbaliu, E 2020, 'Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis', Developmental neurorehabilitation, vol. 23, no. 8, pp. 548-556. https://doi.org/10.1080/17518423.2020.1770890

TY - JOUR

T1 - Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy

T2 - A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis

AU - Bekteshi, Saranda

AU - Konings, Marco

AU - Vanmechelen, Inti

AU - Deklerck, Jan

AU - Ortibus, Els

AU - Aerts, Jean-Marie

AU - Hallez, Hans

AU - Karlsson, Petra

AU - Dan, Bernard

AU - Monbaliu, Elegast

N1 - Funding Information: This project was supported by a grant of the European Regional Development Fund (ERDV, We-Lab for HTM, project nr. 1047). We thank all participants and the involved special education schools for children with motor disabilities: Dominiek Savio, Gits; Ten Dries, Landegem; Heder, Antwerp; and Sint-Lodewijk, Kwatrecht. Wholehearted gratitude to Patrick Hellin, Valerie D’hoker, Els Linsen, Peggy Firlefijn, and other therapists for their invaluable help. Funding Information: This work was supported by the European Regional Development Fund (ERDV, We-Lab for HTM, project no. 1047). This project was supported by a grant of the European Regional Development Fund (ERDV, We-Lab for HTM, project nr. 1047). We thank all participants and the involved special education schools for children with motor disabilities: Dominiek Savio, Gits; Ten Dries, Landegem; Heder, Antwerp; and Sint-Lodewijk, Kwatrecht. Wholehearted gratitude to Patrick Hellin, Valerie D’hoker, Els Linsen, Peggy Firlefijn, and other therapists for their invaluable help. Publisher Copyright: © 2020 Taylor & Francis Group, LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2020/11

Y1 - 2020/11

N2 - OBJECTIVES: To investigate the operational competences screen navigation and dwell function underlying eye gaze performance, and the relation of dystonia and choreoathetosis with eye gaze performance in children with dyskinetic cerebral palsy (DCP).METHODS: During a 5-week intervention, ten participants with DCP played eye gaze video games daily for 30 minutes. Six games were used to assess task performance, fixation count, and eye movement accuracy during four measurements. Dystonia and choreoathetosis were evaluated using the Dyskinesia Impairment Scale.RESULTS: Eye gaze performance improved over time (p = .013). Moderate to strong within-subject correlations were found between eye movement accuracy and task performance, and between eye movement accuracy and fixation count. No significant correlations were found with the movement disorders.CONCLUSIONS: Eye gaze technology shows great potential to be a successful computer interface for children with severe DCP, thereby potentially improving their communication skills, participation levels, and quality of life.

AB - OBJECTIVES: To investigate the operational competences screen navigation and dwell function underlying eye gaze performance, and the relation of dystonia and choreoathetosis with eye gaze performance in children with dyskinetic cerebral palsy (DCP).METHODS: During a 5-week intervention, ten participants with DCP played eye gaze video games daily for 30 minutes. Six games were used to assess task performance, fixation count, and eye movement accuracy during four measurements. Dystonia and choreoathetosis were evaluated using the Dyskinesia Impairment Scale.RESULTS: Eye gaze performance improved over time (p = .013). Moderate to strong within-subject correlations were found between eye movement accuracy and task performance, and between eye movement accuracy and fixation count. No significant correlations were found with the movement disorders.CONCLUSIONS: Eye gaze technology shows great potential to be a successful computer interface for children with severe DCP, thereby potentially improving their communication skills, participation levels, and quality of life.

KW - Adolescent

KW - Athetosis/etiology

KW - Cerebral Palsy/complications

KW - Child

KW - Child, Preschool

KW - Dyskinesias/etiology

KW - Dystonia/etiology

KW - Eye Movements

KW - Female

KW - Fixation, Ocular

KW - Humans

KW - Male

KW - Pilot Projects

KW - Psychomotor Performance

KW - Task Performance and Analysis

KW - Video Games

UR - https://www.scopus.com/pages/publications/85087051093

U2 - 10.1080/17518423.2020.1770890

DO - 10.1080/17518423.2020.1770890

M3 - Article

C2 - 32496837

SN - 1751-8423

VL - 23

SP - 548

EP - 556

JO - Developmental neurorehabilitation

JF - Developmental neurorehabilitation

IS - 8

ER -

Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis

Abstract

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