AlSaif Amer A, Alsenany Samira
Department of Physical Therapy, Faculty of Applied Medical Sciences, King Abdulaziz University, Saudi Arabia.
Public Health Department, Faculty of Nursing, King Abdulaziz University, Saudi Arabia.
J Phys Ther Sci. 2015 Jun;27(6):2001-3. doi: 10.1589/jpts.27.2001. Epub 2015 Jun 30.
[Purpose] Motor control and muscle strength impairments are the prime reasons for motor behavior disorders in children with spastic cerebral palsy. These impairments lead to histological changes in muscle growth and the learning of motor skills. Therefore, such children experience reduced muscle force generation and decreased muscle flexibility. We investigated the effect of training with Nintendo Wii Fit games on motor performance in children with spastic cerebral palsy. [Subjects and Methods] Forty children with cerebral palsy spastic diplegia aged 6-10 years diagnosed with level-3 functional capabilities according to the Gross Motor Classification System (GMFCS) were enrolled. Participants were divided randomly into equal groups: group (A) that practiced with the Nintendo Wii Fit game for at least 20 minutes/day for 12 weeks and group (B) that underwent no training (control group). The Movement Assessment Battery for Children-2 (mABC-2) was used to assess motor performance, because it mainly involves motor tasks very similar to those involved in playing Nintendo Wii Fit games, e.g., goal-directed arm movements, balancing, and jumping. [Results] There were significant improvements in the subscales of the motor performance test of those who practiced with the Nintendo Wii, while the control group showed no significant changes. [Conclusion] Using motion interactive games in home rehabilitation is feasible for children with cerebral palsy.
[目的] 运动控制和肌肉力量受损是痉挛型脑瘫患儿运动行为障碍的主要原因。这些损伤会导致肌肉生长的组织学变化以及运动技能的学习。因此，这类儿童会出现肌肉力量生成减少和肌肉灵活性下降的情况。我们研究了使用任天堂Wii Fit游戏进行训练对痉挛型脑瘫患儿运动表现的影响。[对象与方法] 纳入40名年龄在6至10岁、根据粗大运动功能分类系统（GMFCS）诊断为3级功能能力的痉挛型双瘫脑瘫患儿。参与者被随机分为两组：A组每天使用任天堂Wii Fit游戏练习至少20分钟，持续12周；B组不接受训练（对照组）。使用儿童运动评估量表第二版（mABC - 2）来评估运动表现，因为它主要涉及的运动任务与玩任天堂Wii Fit游戏所涉及的任务非常相似，例如目标导向的手臂动作、平衡和跳跃。[结果] 使用任天堂Wii进行练习的患儿在运动表现测试的子量表上有显著改善，而对照组没有显著变化。[结论] 在家中康复中使用运动互动游戏对脑瘫患儿是可行的。
