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Effect of Wii-habilitation on spatiotemporal parameters and upper limb function post-burn in children
Nadia L Radwan1, Marwa M Ibrahim2, Waleed S Mahmoud3
1Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt; Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia.
Insights
Nintendo Wii sports intervention significantly improved upper limb function and spatiotemporal parameters in children with limb burns compared to traditional therapy. This "Wii-habilitation" offers an effective rehabilitation tool for pediatric burn survivors.
Area of Science:
- Pediatric Rehabilitation
- Burn Injury Management
- Rehabilitative Technology
Background:
- Limb burns can lead to significant functional impairments and reduced quality of life in children.
- Effective rehabilitation strategies are crucial for optimizing recovery and function after pediatric burns.
Purpose of the Study:
- To compare the efficacy of Nintendo Wii sports intervention combined with traditional therapy versus traditional therapy alone for improving spatiotemporal parameters and upper limb function in children with post-burn injuries.
- To evaluate the impact of a novel 'Wii-habilitation' approach on functional recovery in pediatric burn patients.
Main Methods:
- A randomized controlled study involving 30 children (7-12 years) with upper limb burns.
- Utilized Vicon3-D motion analysis for spatiotemporal parameters and Jebsen hand function test for upper limb function assessment.
- Compared a study group (Wii sports + traditional therapy) with a control group (traditional therapy only) over six weeks.
Main Results:
- The Wii-habilitation group showed significant improvements in movement duration and peak velocity for hand-to-head, hand-to-mouth, and hand-to-shoulder tasks compared to the control group.
- Enhanced time to peak velocity percentage and significant improvements in Jebsen hand function test scores were observed in the Wii-habilitation group.
- These findings indicate superior functional gains with the integration of Nintendo Wii sports into the rehabilitation regimen.
Conclusions:
- Nintendo Wii sports intervention, termed 'Wii-habilitation,' is an effective adjunct to traditional therapy for pediatric burn rehabilitation.
- This approach shows promise for enhancing motor control, functional recovery, and overall quality of life in children with limb burns.
- Wii-habilitation can be recommended as a valuable tool in the management of pediatric burn injuries.
Background:
Limb burns can cause different functional disorders that greatly impact one's quality of life.
Aim:
The purpose of the current study was to compare the effect of Nintendo Wii sports intervention, and traditional treatment methods on spatiotemporal parameters and upper limb function post-burn in children.
Methods:
Thirty children their age ranging from 7-12 years, with dominant side upper limb burn participated in the study.Vicon3-D motion analysis system and Jebsen hand function test were used to evaluate spatiotemporal parameters (movement duration, peak velocity, and time to peak velocity percentage in three functional tasks) and upper limb function respectively. The children were randomly divided into study and control groups. The study group was rehabilitated with Wii training in addition to traditional therapy, while the control group rehabilitated only with the traditional therapy program. For the study group, the games selected were Wii Bowling, Baseball, and Tennis. Both groups were trained for 60 min daily, three times/week for six weeks. The outcomes were measured pre and post the treatment period.
Results:
The whole-time duration and peak velocity improved significantly in the study group across the hand to head task (p = 0.001, p < 0.001, respectively), hand to mouth (p = 0.001), and hand to shoulder (p < 0.001, p = 0.0018, respectively) compared with the control group. The time to peak velocity percentage was enhanced significantly in the study group (p < 0.001) than the control group in all three-measured tasks. Moreover, the Jebsen hand function test improved significantly (p < 0.001) in the study group than in the control group.
Conclusion:
Wii-habilitation could be advised as an effective tool in the rehabilitation program of children with post-burn injuries.
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