Video-Based Games for Upper Limb Rehabilitation in Cerebral Palsy

Istanbul University

Status: Completed

Conditions: Rehabilitation; Cerebral Palsy

Treatments: Behavioral: NDT-based upper limb rehabilitation; Device: VGBT with Nintendo® Wii and LMC games

Study type: Interventional

Funder types: Other

Identifiers

NCT03622970

108400987

Details and patient eligibility

About

The aim of the present study is to compare the effects of Neurodevelopmental Treatment (NDT)-based upper limb rehabilitation and video-game based therapy (VGBT) with Nintendo® Wii and LMC games on upper extremity functions in patients with Cerebral Palsy (CP).

Full description

The investigators hypothesized that VGBT using the Nintendo® Wii and LMC would be a usable tool to train manual dexterity in patients with CP as comprehensive and holistic therapy.

The NDT program for both groups will be routinely applied according to each child's individual needs and included tonus regulation, support of sensation, perception and motor development for gross motor function.

The two different patient-centered rehabilitation programs will be conducted with an average of one hour sessions three times a week for 8 weeks in both groups. The two different patient-centered programs will be as VGBT with Nintendo® Wii and LMC games (Group I) and NDT-based upper limb rehabilitation (Group II).

Enrollment: 30 patients

Sex: All

Ages: 5 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

The health committee report has received a CP diagnosis

• Being between 5-18 years of age
• According to Modifiye Ashworth Scale (MAS), upper extremity spasticity (0), (1), (1+)
• Ability to adapt to exercises (According to the health report mental level normal or "mild mental retardation"

Exclusion criteria

• Botulinium Toxin (BOTOX) injection for the upper extremity in the last 6 months
• Does not have epileptic epilepsy
• Any person who has been diagnosed as having any absence of a cardiac or orthopedic condition
• Admission of family treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

VGBT with Nintendo® Wii and LMC games

Experimental group

Description:

VGBT with Nintendo® Wii and LMC games: In order to improve the elbow and shoulder functions, Tennis and boxing, the games of Nintendo Wii® Fit WiiSports package that includes shoulder and elbow movements will be used for VGBT with Nintendo® Wii and Leap Motion Controller (LMC) games. In both of the games, the activities are carried out by providing feedback in the context of remote control and sound and vibration notifications.

Treatment:

Device: VGBT with Nintendo® Wii and LMC games

NDT-based upper limb rehabilitation

Active Comparator group

Description:

NDT-based upper limb rehabilitation: NDT-based upper limb rehabilitation aims to facilitate normal movement for upper extremity activities such as getting dressed and eating etc by using real materials (clothes, spoons, pencils, buttons, rope, etc.). The target activities were practised with the materials such as velcro cylinders, skill cubes, exercise bands, screw sets, therapeutic putty, and tripled coordination tools.

Treatment:

Behavioral: NDT-based upper limb rehabilitation