Arrebola Lucas Simões, Yi Liu Chiao, de Oliveira Vanessa Gonçalves Coutinho
Human Movement Sciences Department, Universidade Federal de São Paulo, Baixada Santista Campus, Santos, São Paulo, Brazil.
Physical Therapy Department, Institute of Medical Assistance to the State Public Servant, São Paulo, Brazil.
J Pediatr Rehabil Med. 2019;12(1):65-70. doi: 10.3233/PRM-170529.
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.
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.
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.
The use of video games with conventional therapy was effective in reducing pain and recovering ROM in children with upper limb fractures.
确定在保守治疗或手术治疗上肢骨折后活动范围（ROM）受限的儿童中，使用电子游戏结合传统疗法进行康复治疗的效果。
这项回顾性观察研究纳入了12名儿童（9名男孩，3名女孩；平均年龄：6.75±2.83岁），他们在接受上肢骨折治疗后接受了电子游戏和传统物理治疗相结合的治疗。儿童每周进行两次60分钟的联合治疗（20分钟游戏治疗和40分钟物理治疗），直至不再需要治疗。在治疗开始和结束时测量肘部和腕部的屈伸ROM、前臂的旋前和旋后，以及休息和用力时的疼痛情况。
经过平均6周的联合治疗后，儿童肘部的伸展（p<0.001）和屈曲（p<0.01）ROM显著增加，腕部的屈曲ROM增加（p<0.05），用力时的疼痛减轻（p<0.05）。
将电子游戏与传统疗法结合使用，对于减轻上肢骨折儿童的疼痛和恢复ROM有效。
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