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Upper limb training using Wii Sports Resort ™ for children with hemiplegic cerebral palsy: a randomized, single-blind trial
Abstract
OBJECTIVE: To investigate whether Wii Sports Resort training is effective and if any benefits are maintained. DESIGN: Randomized, single-blind trial. PARTICIPANTS: Sixty-two hemiplegic children with cerebral palsy (6-13 years). INTERVENTION: Experimental group undertook six weeks of home-based Wii Sports Resort training plus usual therapy, while the control group received usual therapy. MAIN MEASURES: Outcomes were coordination, strength, hand function, and carers' perception of hand function, measured at baseline, six, and 12 weeks by a blinded assessor. RESULTS: There was a trend of mean difference (MD) for the experimental group to have more grip strength by six (MD 4.0 N, 95% confidence interval (CI) -0.8 to 8.8, p = 0.10) and 12 (MD 4.1 N, 95% CI -2.1 to 10.3, p = 0.19) weeks, and to have a higher quantity of hand function according to carers' perception by six (MD 4.5 N, 95% CI -0.7 to 9.7, p = 0.09) and strengthened by 12 (MD 6.4, 95% CI 0.6 to 12.3, p = 0.03) weeks than the control group. There was no difference between groups in coordination and hand function by six or 12 weeks. CONCLUSION: Wii training did not improve coordination, strength, or hand function. Beyond the intervention, carers perceived that the children used their hands more.
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“Therefore, a total of 19 studies (in 20 RCTs) that were published between 2002 and 2016 were included in this review.41-44,46-61”
From Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2018) · cites this paper as [51]
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“All of the studies but 4 51,55,57,58 showed at least 1 positive change in 1 outcome variable (Tab.2) with VR intervention.”
From Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2018) · cites this paper as [51]
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Metadata
- Authors
- Chiu, H.-C., Ada, L., & Lee, H.-M.
- Affiliations
- I-Shou University (TW)
- The University of Sydney (AU)
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2014-05-21
- Volume
- 28
- Issue
- 10
- Pages
- 1015-1024
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2108953565
- Cited by
- 113
- References
- 31
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 14 · 2023: 12 · 2022: 11 · 2021: 9 · 2020: 13 · 2019: 7 · 2018: 7 · 2017: 8 · 2016: 8 · 2015: 3
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Cerebral Palsy and Movement Disorders
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- spastic hemiplegia, video game-based rehabilitation, upper limb training, home-based therapy, grip strength, hand function, motor coordination, children
- MeSH terms
- Adolescent, Cerebral Palsy, Child, Exercise Therapy, Female, Hand, Hemiplegia, Home Care Services, Humans, Male, Prospective Studies, Video Games, Upper Extremity, Virtual Reality Exposure Therapy
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