Efficacy of neurodevelopmental treatment combined with the Nintendo (R) Wii in patients with cerebral palsy


ACAR G. , Altun G. P. , YURDALAN S. U. , POLAT M. G.

JOURNAL OF PHYSICAL THERAPY SCIENCE, vol.28, no.3, pp.774-780, 2016 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 3
  • Publication Date: 2016
  • Doi Number: 10.1589/jpts.28.774
  • Title of Journal : JOURNAL OF PHYSICAL THERAPY SCIENCE
  • Page Numbers: pp.774-780
  • Keywords: Cerebral palsy, Virtual reality, Nintendo (R) Wii, FUNCTIONAL INDEPENDENCE MEASURE, UPPER EXTREMITY FUNCTION, VIRTUAL-REALITY, MANUAL ABILITY, HAND FUNCTION, LOW-COST, CHILDREN, PROGRAM, THERAPY, REHABILITATION

Abstract

[Purpose] The aim of this study was to investigate the efficiency of Nintendo (R) Wii games in addition to neurodevelopmental treatment in patients with cerebral palsy. [Subjects and Methods] Thirty hemiparetic cerebral palsy patients (16 females, 14 males; mean age, 6-15 years) were included in the study and divided into two groups: a neurodevelopmental treatment+Nintendo Wii group (group 1, n=15) and a neurodevelopmental treatment group (group 2, n=15). Both groups received treatment in 45-minute sessions 2 days/week for six weeks. Use of the upper extremities, speed, disability and functional independence were evaluated using the Quality of Upper Extremity Skills Test, Jebsen Taylor Hand Function Test, ABILHAND-Kids test, and Pediatric Functional Independence Measure (self-care) before and after treatment. [Results] There were statistically significant improvements in all parameters for group 1 and group 2 (except quality of function) after six weeks of treatment. Intergroup analysis showed that group 1 was superior to group 2 in mean change differences in the Jebsen Taylor Hand Function Test. [Conclusion] Our results showed that neurodevelopmental treatment is effective for improving hand functions in hemiplegic cerebral palsy. To provide a enjoyable, motivational, safe, and effective rehabilitation program, the Nintendo (R) Wii may be used in addition to neurodevelopmental treatment.