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Clin Rehabil. 2014 Oct;28(10):1015-24. doi: 10.1177/0269215514533709. Epub 2014 May 21.

Upper limb training using Wii Sports Resort for children with hemiplegic cerebral palsy: a randomized, single-blind trial.

Author information

1
Department of Physical Therapy, I-Shou University, Kaohsiung City, Taiwan hsiuchingchiu@isu.edu.tw.
2
Discipline of Physiotherapy, The University of Sydney, Sydney, Australia.
3
Department of Physical Therapy, I-Shou University, Kaohsiung City, Taiwan.

Abstract

OBJECTIVE:

To investigate whether Wii Sports Resort training is effective and if any benefits are maintained.

DESIGN:

Randomized, single-blind trial.

PARTICIPANTS:

Sixty-two hemiplegic children with cerebral palsy (6-13 years).

INTERVENTION:

Experimental group undertook six weeks of home-based Wii Sports Resort training plus usual therapy, while the control group received usual therapy.

MAIN MEASURES:

Outcomes were coordination, strength, hand function, and carers' perception of hand function, measured at baseline, six, and 12 weeks by a blinded assessor.

RESULTS:

There was a trend of mean difference (MD) for the experimental group to have more grip strength by six (MD 4.0 N, 95% confidence interval (CI) -0.8 to 8.8, p = 0.10) and 12 (MD 4.1 N, 95% CI -2.1 to 10.3, p = 0.19) weeks, and to have a higher quantity of hand function according to carers' perception by six (MD 4.5 N, 95% CI -0.7 to 9.7, p = 0.09) and strengthened by 12 (MD 6.4, 95% CI 0.6 to 12.3, p = 0.03) weeks than the control group. There was no difference between groups in coordination and hand function by six or 12 weeks.

CONCLUSION:

Wii training did not improve coordination, strength, or hand function. Beyond the intervention, carers perceived that the children used their hands more.

KEYWORDS:

Wii™; Cerebral palsy; hemiplegia; randomized controlled trial; upper limb

PMID:
24849793
DOI:
10.1177/0269215514533709
[Indexed for MEDLINE]

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