Effect of Wii training on hand function in children with hemiplegic cerebral palsy

Area of Science:

• Pediatrics
• Neurology
• Rehabilitation Science

Background:

• Hemiplegic cerebral palsy (HCP) significantly impacts hand function in children.
• Therapeutic interventions are crucial for improving motor skills and quality of life in affected children.

Purpose of the Study:

• To evaluate the efficacy of Nintendo Wii training on hand function in children diagnosed with HCP.
• To assess changes in spasticity, grip strength, and overall hand function following a 12-week Wii intervention program.

Main Methods:

• A randomized controlled trial involving 40 children (8-12 years) with HCP.
• The experimental group engaged in 12 weeks of Wii training (40 minutes/day, 3 times/week) alongside usual care.
• The control group received only usual care. Spasticity, grip strength, and hand function were measured at baseline and post-intervention.

Main Results:

• Wii training significantly decreased spasticity (0.4 points on modified Ashworth scale) compared to the control group.
• Both power grip strength (+1.6 kg) and pinch grip strength (+1.2 kg) showed significant increases in the Wii group.
• Hand function, measured by the Peabody developmental motor scale, improved by 6 points more than in the control group.

Conclusions:

• Wii training, when combined with usual care, is an effective intervention for improving hand function in children with HCP.
• The intervention demonstrates benefits in reducing spasticity and enhancing grip strength.
• Nintendo Wii offers a novel and engaging therapeutic tool for pediatric rehabilitation in cerebral palsy.