
Cullen Delaney, a senior biology major at the University of 㽶ƵAPP – Fort Smith, presented the first phase of his research, “What’s Nex? Gamification of Physical Therapy for Autistic Youth,” at the UAFS Research Symposium April 10.
Gaming System Could Improve Physical Therapy for Autistic Youth
Written By: Tina Alvey Dale
Cullen Delaney is developing a research project aimed at transforming how physical therapy is delivered to autistic children by turning exercises into interactive, game-like experiences.
Cullen, a senior biology major at the University of 㽶ƵAPP – Fort Smith, presented the first phase of his research, “What’s Nex? Gamification of Physical Therapy for Autistic Youth,” at the UAFS Research Symposium April 10. The project examines whether incorporating motion-based gaming technology into therapy sessions can improve engagement and outcomes for children on the autism spectrum.
“It means taking the exercises and movements used in physical therapy and wrapping them in a game-like experience,” Cullen said. “Think of it like making the therapy feel more like play than work.”
The idea is rooted in a challenge many therapists often face trying to maintain attention and participation among young patients, particularly those with autism spectrum disorder, said Cullen of Sallisaw. Traditional therapy settings can sometimes lead to distraction or reluctance to engage, slowing progress, he said.
His approach would use a motion-tracking gaming system known as the Nex Playground, a small device that connects to a television and allows users to interact with games using full-body movement rather than handheld controllers. The system uses a camera and infrared sensors to track motion in real time.
Cullen said the technology could offer a more immersive alternative to earlier systems such as the Nintendo Wii or Xbox Kinect, both of which have been studied for therapeutic use. Prior research into gamification, he said, suggests that game-based approaches can increase patient motivation and even reduce perceived pain in some medical settings.
“We live in a world where technology is everywhere,” he said. “Instead of trying to push it away, the idea is to utilize it in an appropriate manner to see if it will improve engagement and learning.”
Cullen, who is a licensed physical therapist assistant working in a pediatric clinic in Sallisaw, said his professional experience helped shape the project. He regularly works with children, including those with autism and other developmental conditions, and has observed how attention and motivation can affect therapy outcomes.
“I’ve always noticed that there is some sort of distractibility,” he said. “Having the ability to engage the mind in a meaningful manner really helps.”
The research aims to identify not only whether gamification improves participation, but also how to measure meaningful therapeutic progress within a game-based system. Cullen said he hopes to eventually develop a practical framework or tool that clinicians and families could adopt.
The concept, however, is not without controversy. Concerns about screen time and its potential effects on child development have led some to question the role of technology in therapeutic settings, he said.
While Cullen acknowledges those concerns, he argues that motion-based systems differ from passive screen use.
“You’re utilizing your whole body,” he said. “Most technologies nowadays don’t have full-body motion. This allows for engagement whether you’re sitting, standing or moving.”
He emphasized that the technology would serve as a supplement to traditional therapy, not a replacement.
“It’s something to enhance what’s already being done,” he said.
Cullen says he is now looking for clinicians, statisticians, and organizational partners to help move the project forward into the testing phase and pursue the necessary approvals.
Long term, he envisions expanding the technology use beyond clinics, potentially allowing therapists to monitor and guide patients remotely through interactive sessions.
“If someone can’t always make it into a clinic, this could give them a way to still engage in therapy in a meaningful, guided way,” he said.
For now, Cullen remains focused on laying the groundwork to test whether the concept is viable.
“I would love to simply be able to perform the research,” he said. “Then we can determine whether this is a valid option for therapy.”
Cullen received the June and Jim Alexander Scholarship, the Robert and Mary Young Scholarship, the Richard and Barbara Hartigan Scholarship, and the Billie and David West Carnall Wheeler Scholarship at UAFS.