• Girl of 7 years old

  • No motivation during exercises

  • leukaemia

Case study: Movement activation in leukaemia

Liza’s story

Liza, a 7 year old girl was diagnosed with leukemia at the beginning of this year. She is currently in hospital where she is undergoing two consecutive induction chemotherapy sessions. Throughout this treatment it is important that Liza keeps moving as much as possible.

Given her busy daily schedule and the side effects of the intensive and persistent drug treatment, Liza is not always motivated to go through half an hour of movement therapy. However, applying her exercises in a playful way shows a clear improvement in this area.

Goals

  • Activate and move

  • Monitoring of general condition

  • Stimulating power

  • Stimulation of endurance

  • Getting fun out of the activities

Integration of Matti within therapy

How can Matti support Liza?

Since motivating and activating Liza is central to her therapy, Matti can be used in different ways. Variety is essential here, but also the ability to adapt the exercises to Liza’s changing physical condition prevails in this case. Through various analysis tools, the therapist follows up Liza quickly, easily and frequently.

Hold position

See how the game is played and where the settings are adjusted to suit your patient.

  • This tool allows the therapist to chart Liza’s balance over time. Matti accurately measures how long Liza can maintain her balance in tandem, toe and heel position and allows the therapist to compare the unipodal position of the preferred and non-preferred leg. As Matti takes care of the registration of quantitative data, the therapist can focus full attention on qualitative performance.

  • The increasing time, centrally displayed on the laptop, is an extra motivator for Liza to stay as long as possible. In this way, she always tries to break her previous result.

Bunny Hop Test

See how the game is played and where the settings are adjusted to suit your patient.

  • With this tool Liza’s jumping ability and endurance can be evaluated over time.

  • In this test, the therapist can set a specific jump height that Liza must achieve in her successive performances. On the screen, both the therapist and Liza receive immediate feedback as to whether this goal has been achieved or not.

  • By displaying the jumps over time on the screen, it is also clearly visible after how many performances the jump height increases or decreases (e.g. due to fatigue).

  • Depending on Liza’s endurance, the duration of this exercise can be shortened to counteract any frustration.

Depending on Liza’s situation, the therapy can also be used:

  • Cross Jump Test: This test evaluates dynamic balance and endurance.
  • Vertical and Horizontal Jump Test: These tests both evaluate Liza’s explosive strength.

In order to allow Liza to move as much as possible and to prevent her motivation from diminishing throughout the therapy, the following exergames can be used on the Matti platform.

Simon Says

See how the game is played and where the settings are adjusted to suit your patient.

  • Depending on Liza’s physical condition, this game can be played in different ways and in different starting positions. The therapist can use the whole mat (via the X-form) or indicate where the four coloured buttons should be located (via the Free Form).

  • The difficulty of the game can be fully adapted to Liza’s cognitive abilities. On days when she is tired and has difficulty concentrating, the maximum length of the colour sequence can be shortened. If the challenge for Liza were to diminish, the exercise can also start with a longer sequence, requiring her to concentrate well from the very beginning. 

Dance Game

See how the game is played and where the settings are adjusted to suit your patient.

  • Here, too, the implementation can be adapted according to the wishes of the therapist and Liza himself. Depending on the layout on the mat, the game is given a completely different interpretation and feel. In combination with varying the starting position, this exercise can be particularly challenging.

  • Different melodies keep the game interesting and allow Liza to choose which music she wants to dance to. By increasing the level of difficulty within the same melody, the exercise also remains very challenging.

  • By displaying the jumps over time on the screen, it is also clearly visible after how many performances the jump height increases or decreases (e.g. due to fatigue). 

  • Depending on Liza’s endurance, the duration of this exercise can be shortened to counteract any frustration.

Runner Game

See how the game is played and where the settings are adjusted to suit your patient.

  • Depending on Liza’s level of fatigue, an intensive version (requiring continuous pedalling on site) or a less stressful version (where the ball moves by itself) can be chosen..

  • The type of obstacles and the associated actions (e.g. jumping and bending) can be adapted according to Liza’s objectives and capabilities.

  • By increasing the duration of the exercise the endurance can be extra stimulated.