The use of video games combined with conventional physical therapy in children with upper limb fractures: An exploratory study
Abstract
PURPOSE: To determine the effect of rehabilitation using video games combined with conventional therapy in children with loss of range of motion (ROM) after conservative or surgical treatment of upper limb fractures. METHODS: This retrospective observational study included 12 children (9 boys, 3 girls; mean age: 6.75 ± 2.83 y) treated with combined video game and conventional physical therapy following upper limb fracture. Children completed 60 minutes of combined therapy (20 minutes of game therapy and 40 minutes of physical therapy) two times per week until therapy was no longer warranted. The flexion and extension ROM of the elbow and wrist, pronation and supination of the forearm, and pain during rest and effort were measured at the beginning and end of treatment. RESULTS: Children experienced significantly increased extension (p< 0.001) and flexion (p< 0.01) ROM of the elbow, increased flexion ROM of the wrist (p< 0.05), and reduced pain during effort (p< 0.05) after an average of 6 weeks of combined treatment. CONCLUSION: The use of video games with conventional therapy was effective in reducing pain and recovering ROM in children with upper limb fractures.
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AVGs combined with conventional therapy in adolescents with upper limb fractures produced significant improvements in range of motion and reduction of pain.
“In another study observing the effects of AVGs combined with conventional therapy on adolescents with upper limb fractures, significant improvements in range of motion and a reduction of pain were observed [80]”
From Health Benefits of Video Games in Adolescents and Young Adults (2026) · cites this paper as [80]
AVGs combined with conventional therapy may have potential applications for injury prevention and recovery.
“suggesting potential applications for injury prevention and recovery.”
From Health Benefits of Video Games in Adolescents and Young Adults (2026) · cites this paper as [80]
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References 25 · Cited by 16
- Authors
- Arrebola, L. S., Yi, L. C., & de Oliveira, V. G. C.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Human Movement Sciences Department, Universidade Federal de São Paulo, Baixada Santista Campus, Santos, São Paulo, Brazil
- Corresponding author
- Arrebola, Lucas Simões
- Venue
- Journal of Pediatric Rehabilitation Medicine
- Publisher
- SAGE Publications
- Published
- 2019-04-10
- Volume
- 12
- Issue
- 1
- Pages
- 65-70
- ISSN
- 1874-5393 (ISSN-L)
- 1875-8894
- OpenAlex
- W2921177343
- Cited by
- 16
- References
- 25
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 3
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Bone fractures and treatments
- Health Sciences › Medicine › Rehabilitation › Elbow and Forearm Trauma Treatment
- Social Sciences › Psychology › Developmental and Educational Psychology › Educational Games and Gamification
- Keywords
- video game therapy, game-based rehabilitation, upper extremity fractures, pediatric fractures, physiotherapy, range of motion, elbow, wrist, forearm rotation, children
- MeSH terms
- Conservative Treatment, Child, Child, Preschool, Combined Modality Therapy, Disability Evaluation, Exercise Therapy, Female, Fracture Fixation, Humans, Male, Range of Motion, Articular, Treatment Outcome, Video Games, Children with Disabilities, Recovery of Function, Upper Extremity, Fractures, Bone
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