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What you need to know

Xbox Kinect

The Microsoft Xbox Kinect is a motion sensing input device designed for use with the Xbox 360 and the newer Xbox One. It features an RGB camera, depth sensor and multi-array microphone that allow it capture full-body motion in 3D, as well as recognise the voices and faces of its user. It has the ability to analyse the motion of up to 2 people at once, but will detect as many other people as will fit in its display area. However, it may only work in ambient light.

The Kinect was upgraded for the release of the Xbox One and now features three times the fidelity compared to the original and can now track people in the absence of light.

The full body motion capture was made the focal point of a variety of Kinect only games, in which use movements and gestures would control the actions of characters or events in the game.

Evidence

Intended Patient Population

Created primarily as a video game peripheral and general entertainment tool for use with the Xbox's other media applications, the Kinect was never intended for use in therapy. However, therapists were quick to realise the therapeutic potential of relatively cheap motion tracking technology, and began trialling it with neurological populations. Evidence exists for the following populations:

  • Stroke

  • Multiple Sclerosis

  • Parkinson's Disease

  • Cerebral Palsy

Stroke

The efficacy of interactive, motion capture-based rehabilitation on functional outcomes in an inpatient stroke population: a randomized controlled trial

Kim et al., 2018

RCT PEDro: 8/10

Technology: Xbox Kinect + proprietary games created for the study: “Push Museum,” “Apple Run,” and “Fruit Market.”

Deficits Targeted: Upper limb function

The efficacy of interactive, motion capture-based rehabilitation on functional outcomes in an inpatient stroke population: a randomized controlled trial

Cannell et al., 2018

RCT PEDro: 8/10

Technology: Jintronix Rehabilitation System™ (utilises Kinect camera)

Deficits Targeted: Static/dynamic balance, upper limb function, gait

The Effect of a Virtual Reality Game Intervention on Balance for Patients with Stroke: A Randomized Controlled Trial.

Lee, Huang, Ho, Sung., 2017

RCT PEDro (unable to grade)

Technology: Xbox Kinect (games could not be determined)

Deficits Targeted: Static and dynamic balance 

Clinical feasibility of xbox kinect training for stroke rehabilitation: a single-blind randomized controlled pilot study

Türkbey, Kutley, & Gök., 2017

RCT PEDro 7/10

Technology: Xbox Kinect + Bowling from the Kinect Sports package and Mouse Mayhem from the Dr Kawashima’s Body and Brain Exercises 

Deficits Targeted: Upper limb function

 

Effects of Virtual Reality Training using Xbox Kinect on Motor Function in Stroke Survivors: A Preliminary Study.

Park, Lee, Lee & Lee., 2017

RCT PEDro 6/10

Technology: Xbox Kinect + boxing, table tennis, and soccer from the Kinect Sports Pack. Golf, ski, and football from the Kinect Sports Pack 2

Deficits Targeted: Motor function (including static/dynamic balance, gait and upper limb function)

Effect of virtual reality games on stroke patients’ balance, gait, depression, and interpersonal relationships

Park & Song., 2015

RCT PEDro: 3/10

Technology: Xbox Kinect + 10-pin bowling, skiing, and golf. Programs such as ground walking, walking over obstacles, and climbing stairs

Deficits Targeted: Static/dynamic balance and gait

Additional virtual reality training using Xbox Kinect in stroke survivors with hemiplegia.

Lee & Sin., 2013

RCT PEDro 6/10

Technology: Xbox Kinect + boxing and bowling in the Kinect sports pack. Rally Ball, 20,000 Leaks, and Space Pop in the Kinect adventure pack

Deficits Targeted: Upper limb function

Multiple Sclerosis

Virtual Rehabilitation for Multiple Sclerosis Using a Kinect-Based System: Randomized Controlled Trial

Lozano-Quilis et al., 2014

RCT PEDro 5/10

Technology: RemoviEM (Kinect based) + TouchBall, TakeBall, and StepBall games

Deficits Targeted: Dynamic balance and gait

A Telerehabilitation Program Improves Postural Control in Multiple Sclerosis Patients: A Spanish Preliminary Study

Ortiz-Gutierrez et al., 2013

RCT PEDro 5/10​

Technology: Xbox Kinect + Kinect Sports, Kinect Joy Ride, and Kinect Adventures

Deficits Targeted: Postural control

Parkinson's Disease

Effect of virtual reality training on walking distance and physical fitness in individuals with Parkinson's disease.

De Melo et al., 2018

RCT PEDro 6/10

Technology: Xbox Kinect + Fitness Evolved 2012: Run the World

Deficits Targeted: Gait variables and endurance

 

Training healthy persons and individuals with Parkinson's disease to use Xbox Kinect games: a preliminary study

Dantas et al. 2018

RCT, PEDro: (abstract only, unable to grade)

Technology: Xbox Kinect, games could not be determined

Deficits Targeted: "Performance" no other deficits could be determined

 

Effect of European physiotherapy guideline for Parkinson´s disease and Microsoft Kinect® adventures games training on postural control, cognition and quality of life: Randomized clinical trial

Pompeu et al., 2016

RCT, PEDro: (abstract only, unable to grade)

Technology: Xbox Kinect + Kinect Adventures

Deficits Targeted: Postural control and cognition

Cerebral Palsy

Use of virtual reality intervention to improve reaction time in children with cerebral palsy: A randomized controlled trial.

Pourazar, Mirakhori, Hemayattalab & Bagherzadeh., 2018

RCT PEDro: 8/10

Technology: Xbox Kinect + bowling and gold games

Deficits Targeted: Reaction time of upper limb

Effect of Transcranial Direct Current Stimulation Combined With Virtual Reality Training on Balance in Children With Cerebral Palsy: A Randomized, Controlled, Double-Blind, Clinical Trial

Lazzari et al., 2017

RCT PEDro: 8/10

Technology: Xbox Kinect + gait game

Deficits Targeted: Static and dynamic balance

A randomized controlled trial of web-based training to increase activity in children with cerebral palsy.

Mitchell, Ziviani, & Boyd., 2016

RCT PEDro: 7/10

Technology: Mitii (PC application using Kinect)

Deficits Targeted: Funtional strength and gait endurance 

Video-game based therapy performed by children with cerebral palsy: a cross-over randomized controlled trial and a cross-sectional quantitative measure of physical activity.

Zoccolillo et al., 2015

RCT PEDro: 4/10 (as rated here)

Technology: Xbox Kinect according to this SR, unable to verify

Deficits Targeted: Upper limb function

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Stroke
Multiple Sclerosis
Parkinson's Disease
Cerebral Palsy

Interested?

Purchasing

Both iterations of the Kinect have been discontinued by Microsoft, so may be difficult to find in retail stores. Second hand retailers for electronics and video game equipment such as ebay.com are a good place to find both new and second hand Kinect models, where they retail for anywhere between $17-70 AUD depending on condition and accompanying items.

If you wish to use the Kinect with an Xbox console, be prepared to pay:

  • $100-400 AUD for an Xbox 360 depending on condition and rarity

  • $400-800 AUD for an Xbox One console depending on rarity

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Created in 2018 by Burton CRK

Created as part of LaTrobe University's PEEK program

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