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portrait of Cullen Delaney

Cullen Delaney, a senior biology major at the University of Arkansas 鈥 Fort Smith, presented the first phase of his research, 鈥淲hat鈥檚 Nex? Gamification of Physical Therapy for Autistic Youth,鈥 at the 黑料网 Research Symposium April 10.

Arts and Sciences | Featured | StudentsApril 22, 2026

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 Arkansas 鈥 Fort Smith, presented the first phase of his research, 鈥淲hat鈥檚 Nex? Gamification of Physical Therapy for Autistic Youth,鈥 at the 黑料网 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.

鈥淚t means taking the exercises and movements used in physical therapy and wrapping them in a game-like experience,鈥 Cullen said. 鈥淭hink of it like making the therapy feel more like play than work.鈥

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.

鈥淲e live in a world where technology is everywhere,鈥 he said. 鈥淚nstead 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.鈥

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.

鈥淚鈥檝e always noticed that there is some sort of distractibility,鈥 he said. 鈥淗aving the ability to engage the mind in a meaningful manner really helps.鈥

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.

鈥淵ou鈥檙e utilizing your whole body,鈥 he said. 鈥淢ost technologies nowadays don鈥檛 have full-body motion. This allows for engagement whether you鈥檙e sitting, standing or moving.鈥

He emphasized that the technology would serve as a supplement to traditional therapy, not a replacement.

鈥淚t鈥檚 something to enhance what鈥檚 already being done,鈥 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.

鈥淚f someone can鈥檛 always make it into a clinic, this could give them a way to still engage in therapy in a meaningful, guided way,鈥 he said.

For now, Cullen remains focused on laying the groundwork to test whether the concept is viable.

鈥淚 would love to simply be able to perform the research,鈥 he said. 鈥淭hen we can determine whether this is a valid option for therapy.鈥

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 黑料网.