Do exergames combined with physical exercise improve upper limb motor function in people with multiple sclerosis?...

Area of Science:

• Neurology
• Rehabilitation Medicine
• Physical Therapy

Background:

• Multiple sclerosis (MS) is a central nervous system inflammatory demyelinating disease impacting upper limb motor function.
• Impaired upper limb function in MS limits daily activities and independence.
• Exergames offer a dual-task context for intensive, functional exercises to enhance sensorimotor recovery.

Purpose of the Study:

• To evaluate the effects of combined Nintendo Wii exergames and physical exercise versus isolated physical exercise on manual dexterity, upper limb function, and muscle strength in people with multiple sclerosis (PwMS).

Main Methods:

• A randomized, blinded, controlled clinical trial involving 14 PwMS.
• Two groups: combined Nintendo Wii exergames and physical exercise (NWG) vs. isolated physical exercise training (PTG).
• Assessments included fine manual dexterity (Nine-hole Peg test), gross manual dexterity (Box and Block test), daily upper limb function, and handgrip strength.

Main Results:

• After 16 sessions (twice weekly), both NWG and PTG demonstrated comparable improvements in fine and gross manual dexterity.
• No significant differences were observed between groups in upper limb functionality or muscle strength outcomes.

Conclusions:

• Combined exergame and physical exercise training yields similar benefits to isolated physical exercise for improving upper limb function in PwMS.
• Exergames may serve as a viable adjunct to traditional physical therapy for this population.