The Effect of Wii-Based Interactive Virtual Games on Spasticity, Gait, Balance, and Trunk Control of Children with Mild Cerebral Palsy: A Randomized Controlled Trial

Sefa Eldemir; Selvin Balki

Makale detayları

The Effect of Wii-Based Interactive Virtual Games on Spasticity, Gait, Balance, and Trunk Control of Children with Mild Cerebral Palsy: A Randomized Controlled Trial

Yazarlar:

Sefa Eldemir | Selvin Balki

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Fizyoterapi

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1019-1028

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334426

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: The purpose of this study was to examine the impact of Nintendo Wii treatment NWT on spasticity, balance, gait, and trunk control in individuals with mild cerebral palsy CP. Method: This randomized controlled trial included a total of 35 individuals with mild CP: the Nintendo Wii therapy group WiiG, n:17 and the control group CG, n:18. The individuals in both groups received conventional physiotherapy CPT for 40 minutes in two sessions per week for 8 consecutive weeks. The WiiG received Nintendo Wii Treatment NWT for 20 minutes in two sessions per week for 8 consecutive weeks using the Nintendo Wii Fit gaming console in addition to CPT. The Modified Ashworth Scale MAS, Functional Forward Reach Test FFRT, Functional Sideways Reach Test FSRT, 10-meter walking test 10-mWT, and Trunk Impairment Scale TIS were evaluated before and after the intervention. Group x time interaction was demonstrated using the ANOVA 22 factorial Analysis of Variance. Results: Right elbow flexor MAS decreased only in the WiiG p0.035 but did not differ between both groups p0.05. Furthermore, FFRT, FSRT, 10-mWT, and all sub-tests of TIS scores improved in the WiiG p0.05, while only TIS-Trunk Coordination increased in the CG p0.023. Conclusion: NWT in addition to conventional physiotherapy, has positive effects on balance, gait, and trunk control in the rehabilitation process of CP. More research is needed to better understand the effects of NWT on spasticity.

 Aim: The purpose of this study was to examine the impact of Nintendo Wii treatment NWT on spasticity, balance, gait, and trunk control in individuals with mild cerebral palsy CP. Method: This randomized controlled trial included a total of 35 individuals with mild CP: the Nintendo Wii therapy group WiiG, n:17 and the control group CG, n:18. The individuals in both groups received conventional physiotherapy CPT for 40 minutes in two sessions per week for 8 consecutive weeks. The WiiG received Nintendo Wii Treatment NWT for 20 minutes in two sessions per week for 8 consecutive weeks using the Nintendo Wii Fit gaming console in addition to CPT. The Modified Ashworth Scale MAS, Functional Forward Reach Test FFRT, Functional Sideways Reach Test FSRT, 10-meter walking test 10-mWT, and Trunk Impairment Scale TIS were evaluated before and after the intervention. Group x time interaction was demonstrated using the ANOVA 22 factorial Analysis of Variance. Results: Right elbow flexor MAS decreased only in the WiiG p0.035 but did not differ between both groups p0.05. Furthermore, FFRT, FSRT, 10-mWT, and all sub-tests of TIS scores improved in the WiiG p0.05, while only TIS-Trunk Coordination increased in the CG p0.023. Conclusion: NWT in addition to conventional physiotherapy, has positive effects on balance, gait, and trunk control in the rehabilitation process of CP. More research is needed to better understand the effects of NWT on spasticity.

 Aim: The purpose of this study was to examine the impact of Nintendo Wii treatment NWT on spasticity, balance, gait, and trunk control in individuals with mild cerebral palsy CP. Method: This randomized controlled trial included a total of 35 individuals with mild CP: the Nintendo Wii therapy group WiiG, n:17 and the control group CG, n:18. The individuals in both groups received conventional physiotherapy CPT for 40 minutes in two sessions per week for 8 consecutive weeks. The WiiG received Nintendo Wii Treatment NWT for 20 minutes in two sessions per week for 8 consecutive weeks using the Nintendo Wii Fit gaming console in addition to CPT. The Modified Ashworth Scale MAS, Functional Forward Reach Test FFRT, Functional Sideways Reach Test FSRT, 10-meter walking test 10-mWT, and Trunk Impairment Scale TIS were evaluated before and after the intervention. Group x time interaction was demonstrated using the ANOVA 22 factorial Analysis of Variance. Results: Right elbow flexor MAS decreased only in the WiiG p0.035 but did not differ between both groups p0.05. Furthermore, FFRT, FSRT, 10-mWT, and all sub-tests of TIS scores improved in the WiiG p0.05, while only TIS-Trunk Coordination increased in the CG p0.023. Conclusion: NWT in addition to conventional physiotherapy, has positive effects on balance, gait, and trunk control in the rehabilitation process of CP. More research is needed to better understand the effects of NWT on spasticity.

 Amaç: Bu çalışmanın amacı hafif serebral palsili SP bireylerde Nintendo Wii tedavisinin NWT spastisite, denge, yürüyüş ve gövde kontrolü üzerine etkisini araştırmaktır. Yöntem: Bu randomize kontrollü çalışmaya hafif SPli toplam 35 kişi dahil edildi: Nintendo Wii teedavi grubu WiiG, n:17 ve kontrol grubu CG, n:18. Her iki gruptaki bireylere 8 hafta boyunca haftada iki seans olmak üzere 40 dakika süreyle Konvansiyonel Fizyoterapi KFT uygulandı. WiiG, CPTye ek olarak 8 hafta boyunca haftada iki seans 20 dakika Nintendo Wii Fit oyun konsolu kullanılarak NWT aldı. Modifiye Ashworth Ölçeği MAS, Fonksiyonel İleri Uzama Testi FİUT, Fonksiyonel Yan Uzama Testi FYUT, 10 metre yürüme testi 10-mYT ve Gövde Bozukluk Ölçeği GBÖ tedavi öncesi ve sonrasında değerlendirildi. Grup x zaman etkileşimi ANOVA 22 faktöriyel Varyans Analizi kullanılarak gösterilmiştir. Bulgular: WiiG sağ dirsek fleksör MAS azaldı p0,035 ancak her iki grup arasında farklılık göstermedi p0.05. Ayrıca, FFRT, FSRT, 10-mWT ve TISin tüm alt test puanları WiiGde iyileşirken p0.05, CGde sadece TIS-Gövde Koordinasyonu arttı p0.023. Sonuç: Geleneksel fizyoterapiye ek olarak NWTnin SP rehabilitasyonunda denge, yürüme ve gövde kontrolü üzerinde olumlu etkileri vardır. NWTnin spastisite üzerindeki etkilerini daha iyi anlamak için daha fazla çalışma yapılmalıdır.

Makale detayları

The Effect of Wii-Based Interactive Virtual Games on Spasticity, Gait, Balance, and Trunk Control of Children with Mild Cerebral Palsy: A Randomized Controlled Trial

Yazarlar:

Sefa Eldemir | Selvin Balki

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Fizyoterapi

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1019-1028

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334426

pISSN:

2536-4499

Cerebral palsy

spasticity

balance

gait

trunk control

virtual reality

physiotherapySerebral palsi

spastisite

denge

yürüme

gövde kontrolü

sanal gerçeklik

fizyoterapi

Sayı

Makale detayları

Yazarlar: Sefa Eldemir | Selvin Balki

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Fizyoterapi

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1019-1028

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001334426

pISSN: 2536-4499

Sayı

Yazarlar:

Sefa Eldemir | Selvin Balki

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Fizyoterapi

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1019-1028

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334426

pISSN:

2536-4499