Video-Based Games for Upper Limb Rehabilitation in Cerebral Palsy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Istanbul University
- Enrollment
- 30
- Primary Endpoint
- Minnesota Hand Dexterity Test
Study Overview
Brief Summary
The aim of the present study is to compare the effects of Neurodevelopmental Treatment (NDT)-based upper limb rehabilitation and video-game based therapy (VGBT) with Nintendo® Wii and LMC games on upper extremity functions in patients with Cerebral Palsy (CP).
Detailed Description
The investigators hypothesized that VGBT using the Nintendo® Wii and LMC would be a usable tool to train manual dexterity in patients with CP as comprehensive and holistic therapy.
The NDT program for both groups will be routinely applied according to each child's individual needs and included tonus regulation, support of sensation, perception and motor development for gross motor function.
The two different patient-centered rehabilitation programs will be conducted with an average of one hour sessions three times a week for 8 weeks in both groups. The two different patient-centered programs will be as VGBT with Nintendo® Wii and LMC games (Group I) and NDT-based upper limb rehabilitation (Group II).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 5 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The health committee report has received a CP diagnosis
- •Being between 5-18 years of age
- •According to Modifiye Ashworth Scale (MAS), upper extremity spasticity (0), (1), (1+)
- •Ability to adapt to exercises (According to the health report mental level normal or "mild mental retardation"
Exclusion Criteria
- •Botulinium Toxin (BOTOX) injection for the upper extremity in the last 6 months
- •Does not have epileptic epilepsy
- •Any person who has been diagnosed as having any absence of a cardiac or orthopedic condition
- •Admission of family treatment
Arms & Interventions
VGBT with Nintendo® Wii and LMC games
VGBT with Nintendo® Wii and LMC games:
In order to improve the elbow and shoulder functions, Tennis and boxing, the games of Nintendo Wii® Fit WiiSports package that includes shoulder and elbow movements will be used for VGBT with Nintendo® Wii and Leap Motion Controller (LMC) games. In both of the games, the activities are carried out by providing feedback in the context of remote control and sound and vibration notifications.
Intervention: VGBT with Nintendo® Wii and LMC games (Device)
NDT-based upper limb rehabilitation
NDT-based upper limb rehabilitation:
NDT-based upper limb rehabilitation aims to facilitate normal movement for upper extremity activities such as getting dressed and eating etc by using real materials (clothes, spoons, pencils, buttons, rope, etc.). The target activities were practised with the materials such as velcro cylinders, skill cubes, exercise bands, screw sets, therapeutic putty, and tripled coordination tools.
Intervention: NDT-based upper limb rehabilitation (Behavioral)
Outcomes
Primary Outcomes
Minnesota Hand Dexterity Test
Time Frame: Change from baseline to 8 weeks, follow up at two months
Minnesota Manual Dexterity Test (MMDT): is a short version of the Minnesota Dexterity Tests and consists of two timed sub-tests ("placing" and "turning tests") to assess the required manual dexterity to turn and/or place 60 short, round blocks with one or both hands . In this study, the placing sub-test will be used to assess the ability to handle objects, measured by the time required to complete the task.
Secondary Outcomes
- Modified Ashworth Scale(Change from baseline to 8 weeks, follow up at two months)
- Hand and pinch grips(Change from baseline to 8 weeks, follow up at two months)
Investigators
Saime Nilay Arman
Assist.Prof.
Istanbul University