Efficacy of neurodevelopmental treatment combined with the Nintendo® Wii in patients with cerebral palsy
Open accessAbstract
[Purpose] The aim of this study was to investigate the efficiency of Nintendo(®) Wii games in addition to neurodevelopmental treatment in patients with cerebral palsy. [Subjects and Methods] Thirty hemiparetic cerebral palsy patients (16 females, 14 males; mean age, 6-15 years) were included in the study and divided into two groups: a neurodevelopmental treatment+Nintendo Wii group (group 1, n=15) and a neurodevelopmental treatment group (group 2, n=15). Both groups received treatment in 45-minute sessions 2 days/week for six weeks. Use of the upper extremities, speed, disability and functional independence were evaluated using the Quality of Upper Extremity Skills Test, Jebsen Taylor Hand Function Test, ABILHAND-Kids test, and Pediatric Functional Independence Measure (self-care) before and after treatment. [Results] There were statistically significant improvements in all parameters for group 1 and group 2 (except quality of function) after six weeks of treatment. Intergroup analysis showed that group 1 was superior to group 2 in mean change differences in the Jebsen Taylor Hand Function Test. [Conclusion] Our results showed that neurodevelopmental treatment is effective for improving hand functions in hemiplegic cerebral palsy. To provide a enjoyable, motivational, safe, and effective rehabilitation program, the Nintendo(®) Wii may be used in addition to neurodevelopmental treatment.
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Nineteen studies reported in twenty randomized controlled trials, published between 2002 and 2016, were included in the review.
“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 [48]
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Calabrò, R. S., Calderone, A., Maggio, M. G., Speciale, F., Bruschetta, D., Lanza, M., & Quartarone, A. (2026) · BMC Sports Science Medicine and Rehabilitation · doi:10.1186/s13102-025-01509-4
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Feng, C., Yang, L., Cheng, L., Xiong, B., Lin, Z., & Huang, C. (2026) · JMIR Serious Games · doi:10.2196/98694
Altun, G. P., & Alpözgen, A. Z. (2026) · Physical & Occupational Therapy In Pediatrics · doi:10.1080/01942638.2026.2709463
Erturan, S., Burak, M., & Elbasan, B. (2026) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2026.101639
Zhang, L., Zhang, X., Zhang, R., Yu, Y., Yang, Z., & Yang, L. (2026) · Frontiers in Neurology · doi:10.3389/fneur.2026.1922187
- Authors
- Acar, G., Altun, G. P., Yurdalan, S., & Polat, M. G.
- Affiliations
- Marmara University (TR)
- TEMAS Pediatric Therapy and Special Education Center, Turkey
- Corresponding author
- Acar, Gönül
- Venue
- Journal of Physical Therapy Science
- Publisher
- Society of Physical Therapy Science
- Published
- 2016
- Volume
- 28
- Issue
- 3
- Pages
- 774-780
- ISSN
- 0915-5287 (ISSN-L)
- 2187-5626
- PMC
- PMC4842438
- OpenAlex
- W2334779471
- Cited by
- 62
- References
- 35
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 8 · 2023: 9 · 2022: 13 · 2021: 5 · 2020: 8 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 1
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Journal of Physical Therapy Science (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Neurology › Botulinum Toxin and Related Neurological Disorders
- Keywords
- cerebral palsy, hemiplegia, Nintendo Wii, video game-based rehabilitation, neurodevelopmental treatment, hand function, upper limb function, functional independence, children
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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