Tarakci Devrim, Ozdincler Arzu Razak, Tarakci Ela, Tutuncuoglu Fatih, Ozmen Meral
Program of Physiotherapy and Rehabilitation, Institude of Health Science, Istanbul University.
J Phys Ther Sci. 2013 Sep;25(9):1123-7. doi: 10.1589/jpts.25.1123. Epub 2013 Oct 20.
[Purpose] Cerebral palsy is a sensorimotor disorder that affects the control of posture and movement. The Nintendo(®) Wii Fit offers an inexpensive, enjoyable, suitable alternative to more complex systems for children with cerebral palsy. The aim of this study was to investigate the efficacacy of Wii-based balance therapy for children with ambulatory cerebral palsy. [Subjects] This pilot study design included fourteen ambulatory patients with cerebral palsy (11 males, 3 females; mean age 12.07 ± 3.36 years). [Methods] Balance functions before and after treatment were evaluated using one leg standing, the functional reach test, the timed up and go test, and the 6-minute walking test. The physiotherapist prescribed the Wii Fit activities,and supervised and supported the patients during the therapy sessions. Exercises were performed in a standardized program 2 times a week for 12 weeks. [Results] Balance ability of every patient improved. Statistically significant improvements were found in all outcome measures after 12 weeks. [Conclusion] The results suggest that the Nintendo(®) Wii Fit provides a safe, enjoyable, suitable and effective method that can be added to conventional treatments to improve the static balance of patients with cerebral palsy; however, further work is required.
[目的] 脑瘫是一种影响姿势和运动控制的感觉运动障碍。任天堂Wii Fit为脑瘫儿童提供了一种比更复杂系统更便宜、有趣且合适的选择。本研究的目的是调查基于Wii的平衡疗法对能行走的脑瘫儿童的疗效。[对象] 这项初步研究设计纳入了14名能行走的脑瘫患者(11名男性,3名女性;平均年龄12.07±3.36岁)。[方法] 使用单腿站立、功能性伸展测试、定时起立行走测试和6分钟步行测试评估治疗前后的平衡功能。物理治疗师规定Wii Fit活动,并在治疗期间监督和支持患者。锻炼按照标准化方案每周进行2次,共12周。[结果] 每位患者的平衡能力均有所改善。12周后,所有结局指标均有统计学意义的改善。[结论] 结果表明,任天堂Wii Fit提供了一种安全、有趣、合适且有效的方法,可添加到传统治疗中以改善脑瘫患者的静态平衡;然而,还需要进一步的研究。