Task-oriented game therapy enhances upper extremity functions for children with cerebral palsy

Area of Science:

• Pediatric Rehabilitation
• Neurology
• Game-Based Therapy

Background:

• Cerebral palsy (CP) significantly impacts hand function in children.
• Standard physiotherapy (PT) is a cornerstone of CP management.
• Novel therapeutic approaches are needed to enhance hand function outcomes.

Purpose of the Study:

• To compare the efficacy of Fruit Ninja® game (FNG) therapy combined with standard PT versus standard PT with sham-FNG therapy.
• To evaluate the impact on hand functions, grip strength, and range of motion (ROM) in children with CP.

Main Methods:

• A randomized controlled trial involving twenty children with CP.
• Experimental group received standard PT plus FNG therapy (20-min sessions, 3x/week for 6 weeks).
• Sham group received standard PT plus sham-FNG therapy (video tracking).

Main Results:

• Both groups showed significant within-group improvements in various hand function measures.
• The experimental group demonstrated statistically significant superior improvements in hand functions compared to the sham group.
• Specific improvements noted in grip strength, wrist mobility, and functional dexterity tests (9-HPT, BBT).

Conclusions:

• Fruit Ninja® game therapy is a beneficial adjunct to standard physiotherapy for improving hand function in children with CP.
• This game-based intervention shows promise for enhancing motor skills and overall hand function in pediatric CP rehabilitation.
• Further research can explore long-term effects and optimal integration of such therapies.