Wang Tien-Ni, Chen Yu-Lun, Shieh Jeng-Yi, Chen Hao-Ling
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
OTJR (Thorofare N J). 2021 Apr;41(2):90-100. doi: 10.1177/1539449220984110. Epub 2021 Jan 12.
Constraint-induced therapy (CIT) is highly effective yet not accessible to many families. Integrating commercial exergaming in home-based CIT may support the availability and attainability of the intervention. The study compared the effects of supplementary use of Nintendo Wii in home-based CIT with dose-equivalent conventional CIT. Eighteen children with cerebral palsy were randomly assigned to 8 weeks of CIT (CIT) or 4 weeks of CIT, followed by 4 weeks of Wii-augmented CIT (CIT-Wii). Outcome measures included the Bruininks-Oseretsky Test of Motor Proficiency (Manual Dexterity), the ABILHAND-Kids, the WeeFIM (Self-Care), the Test of Playfulness, the Engagement Questionnaire, and the Parenting Stress Index-Short Form. Both groups significantly improved motor outcomes and playfulness. The CIT group demonstrated greater improvement in self-care skills, whereas parental stress decreased only in the CIT-Wii group. CIT-Wii yields no significant difference in treatment effects from conventional CIT and may provide psychosocial benefits.
强制性诱导疗法（CIT）非常有效，但许多家庭无法获得。将商业性运动游戏融入家庭式CIT可能会提高该干预措施的可及性和可获得性。该研究比较了在家中补充使用任天堂Wii进行CIT与剂量等效的传统CIT的效果。18名脑瘫儿童被随机分配接受为期8周的CIT（CIT组）或为期4周的CIT，随后是为期4周的Wii增强CIT（CIT-Wii组）。结果指标包括布伦南克-奥塞茨基运动能力测试（手部灵活性）、ABILHAND-Kids、儿童功能独立性测量量表（自我护理）、趣味性测试、参与问卷和简明育儿压力指数。两组的运动结果和趣味性均有显著改善。CIT组在自我护理技能方面有更大改善，而仅CIT-Wii组的父母压力有所降低。CIT-Wii与传统CIT在治疗效果上无显著差异，且可能带来心理社会益处。
