Kassee Caroline, Hunt Carolyn, Holmes Michael W R, Lloyd Meghann
Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, ON, Canada.
Medical Services, Grandview Children's Centre, Oshawa, ON, Canada.
J Pediatr Rehabil Med. 2017 May 17;10(2):145-154. doi: 10.3233/PRM-170439.
This pilot study compared a Nintendo Wii intervention to single-joint resistance training for the upper limb in children ages 7 to 12 with spastic hemiplegic cerebral palsy (CP). Children were randomized to Wii training (n= 3), or resistance training (n= 3) and trained at home for 6 weeks. Pre, post and 4-week follow-up measures were collected. Outcome measures were the Melbourne Assessment (MA2), and ABILHAND-Kids, and grip strength. Compliance, motivation and feasibility of each intervention was explored using daily logbook responses and questionnaires. Descriptive statistics were used. Three children improved in the MA2, two of which were in the Wii training group. Improvements in the ABILHAND-Kids were minimal for all participants. Grip strength improvements were observed in 3 participants, two of which were in the resistance training group. The Wii training group reported higher compliance and more consistently positive responses to motivation and feasibility questions. Therefore, Wii training may be an effective home-based rehabilitation strategy, and is worth exploring in a larger trial. Implications of Wii training in the context of motivation theory are discussed.
这项试点研究比较了任天堂Wii干预与针对7至12岁痉挛性偏瘫型脑瘫（CP）儿童上肢的单关节阻力训练。儿童被随机分为Wii训练组（n = 3）或阻力训练组（n = 3），并在家中训练6周。收集了训练前、训练后及4周随访的测量数据。结果指标包括墨尔本评估（MA2）、儿童版ABILHAND以及握力。通过每日日志回复和问卷调查探讨了每种干预措施的依从性、动机和可行性。采用描述性统计方法。MA2中有3名儿童有所改善，其中2名在Wii训练组。所有参与者在儿童版ABILHAND上的改善微乎其微。3名参与者的握力有所提高，其中2名在阻力训练组。Wii训练组报告的依从性更高，对动机和可行性问题的回答更一致且积极。因此，Wii训练可能是一种有效的家庭康复策略，值得在更大规模的试验中进行探索。本文讨论了Wii训练在动机理论背景下的意义。
