Play for health (P4H): una nueva herramienta en telerehabilitación / Play for health (P4H): a new tool for telerehabilitation

Introducción. Play for Health (P4H) es un sistema de telerehabilitación abierto y de bajo coste basado en el uso de videojuegos y métodos de interacción para mejorar déficits físicos y cognitivos. El propósito principal de este trabajo es presentar P4H, valorar su aceptación y describir la repercusión organizativa que ha supuesto su introducción en el Servicio de Rehabilitación. Material y métodos. Se ha utilizado la estructura básica de P4H junto con 3 videojuegos y 6 métodos de interacción. Se ha aplicado a modo de prueba sobre 40 pacientes con diferentes déficits en un entorno controlado y sin exclusión de otros tipos de terapia. Resultados. Tras 9 meses de utilización preliminar se constata la buena aceptación y valoración por parte de pacientes y personal sanitario, la ausencia de problemas en su utilización y su facilidad de aprendizaje. La implantación de P4H ha supuesto un cambio en el método de trabajo de los terapeutas, dedicando más tiempo a tareas de planificación y control, y la creación de sinergias con el equipo de técnicos. Conclusión. P4H es una herramienta de fácil uso y con gran potencial de expansión que posibilita un enfoque integral del tratamiento cognitivo, físico y social. La incorporación del aspecto lúdico a la terapia, a través de los videojuegos, ha facilitado la aceptación, adherencia e implicación del paciente (AU)

Introduction. Play for Health (P4H) is an open and low cost system of telerehabilitation based on the use of video games and interaction methods to improve physical and cognitive deficits.The main purpose of this paper is to present P4H, assess its acceptance and describe the organizational impact resulting from its introduction in the clinical Rehabilitation Service.Methods and material: We have used the basic structure of P4H platform along with 3 video games and 6 methods of interaction. On a trial basis, it was applied on 40 patients with different deficits in a controlled environment and without exclusion of other types of therapy. Results. After 9 months of preliminary use, its good acceptance and evaluation by the patients and health care personnel, absence of problems and the ease of learning in its use has been seen. The implementation of P4H has meant a change in the method of work of the therapists, who now may be spending more time on planning and control tasks, and the creation of synergies with the technical team. Conclusion. P4H is an easy-to-use tool with great potential for expansion that enables a comprehensive approach to cognitive, physical and social treatment. The addition of the playful aspect to the therapy, through video games, has facilitated acceptance, adherence and involvement of the patient (AU)

Assessment of abdominal sonography in the diagnosis of tumors of the gastroduodenal tract.

This prospective study was conducted to assess the sensitivity, specificity, and predictive values of abdominal sonography for detecting tumors of the gastroduodenal tract. All examinations were carried out by the same sonographer who was unaware of endoscopic features and the results of X-ray examinations. The stomach was identified in 99% of the 423 patients examined. In fasting conditions, values were 64.6% and 72.4% using the 3.5-MHz and 7.5-MHz transducer, respectively, and increased up to 94.3% and 93.2% for fluid-filled stomachs. Of a total of 72 tumors identified by endoscopic examination, 56 were detected ultrasonographically. There were 16 false-negative and 3 false-positive results, for a sensitivity of 77.8% (95% CI, 66.4% to 86.7%), specificity of 99.1%, positive predictive value of 94.9%, and negative predictive value of 95.5%. Conventional ultrasound is a simple, rapid, and useful method to detect tumors of the gastroduodenal tract, particularly in the fluid-filled stomach. A high resolution is obtained with 7.5-MHz transducers, especially for tumors of the antropyloric region.