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Game Related  Illnesses and Injuries The accused, documented and related Alan Au – May 27, 2010 Games for Health 2010
Who Am I? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Am I Playing?
This talk is about: ,[object Object],[object Object],[object Object],[object Object]
People Are Getting Hurt (?)
Why Should We Care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.theesa.com/facts/pdfs/ESA_EF_2009.pdf http://www.pewinternet.org/~/media//Files/Reports/2008/PIP_Teens_Games_and_Civics_Report_FINAL.pdf.pdf http://www.pewinternet.org/~/media//Files/Reports/2008/PIP_Adult_gaming_memo.pdf.pdf
Some Recent Headlines ,[object Object],[object Object],[object Object]
Blogs and Websites ,[object Object],[object Object]
A Long Tradition ,[object Object],[object Object],[object Object],McCowan, T. C. Space Invaders Wrist. N Engl J Med. 1981 May 28;304(22):1368. Griffiths, M. Video games and health. BMJ 2005;331:122-123. Sparks D, Chase D, et al. Wii have a problem: a review of self-reported Wii related injuries. Inform Prim Care. 2009;17(1):55-7.
What’s in PubMed? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Checking PubMed (t+1 year) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Console Safety Manuals http://www.nintendo.com/consumer/manuals/index.jsp
Highlights From the Manuals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],i.e. “Don’t open up your console.” http://www.xbox.com/en-US/support/familysettings/healthygamingguide.htm http://www.nintendo.com/consumer/manuals/index.jsp http://www.us.playstation.com/Support/Manuals/PS3
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burns ,[object Object],[object Object],[object Object],[object Object],[object Object]
Radio Interference ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Rajani R, Kumar A, et al. Cardiac Pacemakers and Wii BMJ 2008;337:a3103 http://americanheart.mediaroom.com/index.php?s=43&item=543
Electromagnetic Interference ,[object Object],[object Object],[object Object],[object Object],[object Object],Thaker JP, Patel MB, et al. Electromagnetic interference with pacemakers caused by portable media players. Heart Rhythm. 2008 Apr;5(4):538-44. Bassen, H. Low frequency magnetic emissions and resulting induced voltages in a pacemaker by iPod portable music players. Biomed Eng Online. 2008 Feb 1;7:7. Chiu CC, Huh J, et al. A prospective pediatric clinical trial of digital music players: do they interfere with pacemakers? J Cardiovasc Electrophysiol. 2009 Jan;20(1):44-9. Nagatomo T, Abe H, et al. Electromagnetic interference with a bipolar pacemaker by an induction heating (IH) rice cooker. Int Heart J. 2009 Jan;50(1):133-7.
Repetitive Stress Injury ,[object Object],[object Object],[object Object],[object Object],http://www.bls.gov/news.release/osh2.nr0.htm
Fake Plastic Guitar vs. Real Guitar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lateral Epicondylitis ,[object Object],[object Object],[object Object],[object Object],[object Object],Jayanthi N., Sallay P., et al. Skill-level related injuries in recreational competition tennis players. Med Sci Tennis 2005. 10:12–15.  Struijs, PA, Kerkhoffs, GM, et al. Conservative treatment of lateral epicondylitis: brace versus physical therapy or a combination  of both-a randomized clinical trial. Am J Sports Med 2004; 32:462.
Rashes and Sores ,[object Object],[object Object],[object Object],[object Object],[object Object],Kasraee B, Masouyé I, Piguet V (April 2009). "PlayStation palmar hidradenitis". Br. J. Dermatol. 160 (4): 892–4. Wood, J. The "How!" sign—a central palmar blister induced by overplaying on a Nintendo console. Arch Dis Child. 2001 April; 84(4):288.
Bruises and Bumps ,[object Object],[object Object],[object Object],[object Object]
Foot Injury ,[object Object],[object Object],[object Object],[object Object],Eley, K. A Wii Fracture. N Engl J Med. 2010 Feb 4;362:473-474.  (letter to the editor) 2010
Fall Risk ,[object Object]
Eyestrain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Misawa T, Shigeta S, et al. [Effects of video games on visual function in children] Nippon Eiseigaku Zasshi. 1991 Feb;45(6):1029-34.  (in Japanese)
Photosensitive Epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],Quirk J., Fish D., et al. Incidence of photosensitive epilepsy: a prospective national study. Electroencephalography and Clinical  Neurophysiology. 1995;95(4):260-267
Motion Sickness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.hqda.army.mil/ari/pdf/RR%201832.pdf
Physiological Stress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hebert S., Beland R. et al. Physiological stress response to video-game playing: the contribution of built-in music. Life Sciences 76 (2005) 2371–2380.
Hearing Loss ,[object Object],[object Object],[object Object],[object Object],[object Object],Harrison, R. Noise-induced hearing loss in children: A ‘less than silent’ environmental danger. Paediatr Child Health. 2008 May; 13(5): 377–382.  2010
Medical Addiction ,[object Object],[object Object],[object Object],[object Object],[object Object],Wood, R. Problems with the Concept of Video Game "Addiction": Some Case Study Examples. Int J Ment Health Addiction (2008) 6:169–178.
Addiction vs. Overuse ,[object Object],[object Object]
Sleep Deprivation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Woolems, A.G., Peszka, J.J., Mastin, D.F.  The Effect of Console/Computer Game Play on Sleepiness and Sleep Hygiene.  Sleep 2009;32:A415. Oka Y, Suzuki S, Inoue Y. Bedtime activities, sleep environment, and sleep/wake patterns of Japanese elementary school children. Behav Sleep Med. 2008;6(4):220-33. Jan Van den Bulck. Television Viewing, Computer Game Playing, and Internet Use and Self-Reported Time to Bed and Time out of Bed in Secondary-School Children.  Sleep 2004;27(1):101-4. 2010
Other Side-effects? ,[object Object],[object Object],[object Object],Fife, C., Smith, L., et al. Dying to Play Video Games: Carbon Monoxide Poisoning From Electrical Generators Used After Hurricane Ike. Pediatrics 2009;123;e1035-e1038.
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ How to win at Wii tennis…” aau  uw.edu @

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Games for Health 2010 - Game Related Illnesses and Injuries

  • 1. Game Related Illnesses and Injuries The accused, documented and related Alan Au – May 27, 2010 Games for Health 2010
  • 2.
  • 3. What Am I Playing?
  • 4.
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  • 12. Console Safety Manuals http://www.nintendo.com/consumer/manuals/index.jsp
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Hinweis der Redaktion

  1. http://www.escapistmagazine.com/articles/view/issues/issue_205/6143-Designing-Religion
  2. Still playing some of the same games No longer “playing” Farmville
  3. http://www.pewinternet.org/~/media//Files/Reports/2008/PIP_Adult_gaming_memo.pdf In the United States: 25% under 18, 49% 18-49, 26% 50+ according to ESA Essential Facts 2008. Virtual world: 11% of teens, 6% of adults MMO: 21% of teens, 9% of adults * No 2010 update YET
  4. China imposes online gaming curbs (BBC News 2005) Lawsuit Claims Microsoft Xbox Sparked Fire That Killed Baby (Information Week 2007) Detox For Video Game Addiction? Experts Say Gaming Can Be A Compulsion As Strong As Gambling (CBS News 2006) Wii Fit Death (The Sun 2009) New Video Game Tied To Rash of Head Explosions (The Onion 2008) Guitar hero? Pitcher hurt playing video games (MSNBC 2006)
  5. Infrequently updated, but more on the way with MS and Sony controllers out soon?
  6. McCowan, T. C. Space Invaders Wrist. N Engl J Med. 1981 May 28;304(22):1368. (letter to the editor, too old to find online) http://www.bmj.com/cgi/content/full/331/7509/122 (Mark Griffiths article online) http://www.working-well.org/articles/games.html (some more online resources) http://openurl.ingenta.com/content/nlm?genre=article&issn=1476-0320&volume=17&issue=1&spage=55&aulast=Sparks
  7. Update PubMed numbers for 2010
  8. PubMed doesn’t like the term “videogame” (without the space). I updated this 3/17/2010
  9. http://www.xbox.com/en-US/support/familysettings/healthygamingguide.htm http://www.nintendo.com/consumer/manuals/index.jsp http://www.us.playstation.com/Support/Manuals/PS3 Mindwire v5 – the controller that shocks you; not what that “shock” warning is about
  10. PubMed says 8 hits, but those are mostly burn recovery, or burn-related training Toshiba (?) had a battery overheating problem, had to issue a recall
  11. Rajani R, Kumar A, et al. Cardiac pacemakers and Wii BMJ 2008;337:a3103 [BMJ letter] http://americanheart.mediaroom.com/index.php?s=43&item=543
  12. Thaker JP, Patel MB, et al. Electromagnetic interference with pacemakers caused by portable media players. Heart Rhythm. 2008 Apr;5(4):538-44. Bassen, H. Low frequency magnetic emissions and resulting induced voltages in a pacemaker by iPod portable music players. Biomed Eng Online. 2008 Feb 1;7:7. Chiu CC, Huh J, et al. A prospective pediatric clinical trial of digital music players: do they interfere with pacemakers? J Cardiovasc Electrophysiol. 2009 Jan;20(1):44-9. http://www.nytimes.com/2008/04/08/health/08real.html Nagatomo T, Abe H, et al. Electromagnetic interference with a bipolar pacemaker by an induction heating (IH) rice cooker. Int Heart J. 2009 Jan;50(1):133-7. Wii uses bluetooth
  13. PubMed say 6 hits for “guitar hand injury” but includes stuff like “Modification of a hand splint to permit playing of the guitar.” PubMed says 13 hits for “guitar injury” and 126 for “guitar” Google says 87,600 hits for “guitar hand injury” “ Endless Set List” is a Rock Band thing “ Iron Bladder” is RB2, which is endless set list w/o pausing
  14. Acute Wiiitis. N Engl J Med 356;23 Jayanthi N., Sallay P., et al. Skill-level related injuries in recreational competition tennis players. Med Sci Tennis 2005. 10:12–15. Struijs, PA, Kerkhoffs, GM, Assendelft, WJ, Van Dijk, CN. Conservative treatment of lateral epicondylitis: brace versus physical therapy or a combination of both-a randomized clinical trial. Am J Sports Med 2004; 32:462. Wii sales numbers from NPD? Seems to be most commonly cited “Wii” injury Bhangu A, Lwin M, et al. Wimbledon or bust: Nintendo Wii related rupture of the extensor pollicis longus tendon. J Hand Surg Eur Vol. 2009 Jun;34(3):399-400.
  15. (3RD Space Gaming Vest) http://tngames.com/ “ Waggle” is a technical term. 
  16. http://www.healthfinder.gov/newsletters/pain020810.aspx http://content.nejm.org/cgi/content/short/362/5/473 (letter to the editor)
  17. Ip J, Robaei D, et al. Prevalence of Eye Disorders in Young Children With Eyestrain Complaints. American Journal of Ophthalmology 2006;142(3):495-497. (not gaming article) Misawa T, Shigeta S, et al. [Effects of video games on visual function in children] Nippon Eiseigaku Zasshi. 1991 Feb;45(6):1029-34. (article in Japanese)
  18. 2% of all epilepsy cases in Great Britain (1995), up to 5.7% if only looking at 7-19 year olds. J. A. Quirk, D. R. Fish, et al. Incidence of photosensitive epilepsy: a prospective national study. Electroencephalography and Clinical Neurophysiology. 1995;95(4):260-267
  19. http://www.loonygames.com/content/1.2/feat/index6.php has some old links (mostly dead) http://www.hitl.washington.edu/publications/r-96-3/ http://www.hqda.army.mil/ari/pdf/RR%201832.pdf
  20. Look up on PubMed if movies causes stress
  21. http://www.dangerousdecibels.org/hearingloss.cfm
  22. 2007 APA debate “ The fact that some people play video games excessively is not in dispute, but defining the point at which the behaviour becomes problematic is far from clear.” – (Wood 2002) “ The evidence so far suggests that genuinely excessive players are likely to have other underlying problems, and/or have inadequate time management skills. Excessive video game playing is therefore likely to be a symptom and not the cause of their problem.” – (Wood 2002) Wood, R. Problems with the Concept of Video Game "Addiction": Some Case Study Examples. Int J Ment Health Addiction (2008) 6:169–178. http://www.ama-assn.org/ama/no-index/about-ama/17694.shtml
  23. S Korea child 'starves as parents raise virtual baby' (March 5, 2010) http://news.bbc.co.uk/2/hi/8551122.stm
  24. http://www.olganon.org Fife, C., Smith, L., et al. Dying to Play Video Games: Carbon Monoxide Poisoning From Electrical Generators Used After Hurricane Ike. Pediatrics 2009;123;e1035-e1038.