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The Effect of a Video-Based Game Exercise Program on Motor Skills, Proprioception, and Cognitive Functions in
Elif Diril1, Burak Menek2, Ahmet Emir3
1Department of Occupational Therapy, Institute of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.
Occupational Therapy International
|February 14, 2025
Summary
Video game therapy combined with occupational therapy significantly improved cognitive and physical functions in adults with intellectual disability (ID). These interventions enhanced attention, motor skills, and overall functional performance in the study participants.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Developmental Psychology
Background:
- Individuals with intellectual disability (ID) often face challenges in attention, learning, and motor skills.
- Current therapeutic approaches for ID require innovative strategies to address these multifaceted difficulties.
Purpose of the Study:
- To investigate the impact of video game-based therapy programs on cognitive and physical functions in adults with mild to moderate intellectual disability.
- To compare the efficacy of different combinations of video game therapy and occupational therapy.
Main Methods:
- A three-arm randomized trial involving 45 adults (aged 18-30) with mild to moderate ID.
- Intervention groups included home-based/supervised video game therapy with occupational therapy, supervised video game therapy with occupational therapy, and occupational therapy alone.
- Cognitive function (attention) was assessed using MOXO d-CPT, while physical-motor functionality was evaluated via sit-to-stand, joint position sense, and nine-hole peg tests.
Main Results:
- All groups demonstrated significant improvements in attention, functional performance, proprioception, and fine motor skills (p < 0.05).
- Group 1 (home-based/supervised video game therapy + occupational therapy) showed superior results in specific physical parameters compared to Group 3 (occupational therapy only).
- While Group 1 also showed advantages in the sit-to-stand test over Group 2, overall significant differences between groups were not consistently observed across all measures (p > 0.017).
Conclusions:
- Video game-based exercises integrated with occupational therapy interventions offer a promising approach to enhance cognitive and physical functions in adults with ID.
- This combined therapy approach can effectively improve attention, functional performance, proprioception, and fine motor skills.
- The findings support the integration of technology-driven therapeutic strategies in managing the diverse needs of individuals with intellectual disabilities.

