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, cilt.28, sa.3, ss.774-780, 2016 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Sayı: 3
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1589/jpts.28.774
  • Dergi Adı: JOURNAL OF PHYSICAL THERAPY SCIENCE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.774-780
  • Anahtar Kelimeler: 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
  • Marmara Üniversitesi Adresli: Evet

Özet

[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.