PMID- 32614723
OWN - NLM
STAT- Publisher
LR  - 20240227
IS  - 2161-7856 (Electronic)
IS  - 2161-783X (Linking)
DP  - 2020 Jul 2
TI  - The Effect of a Rehabilitation Specific Gaming Software Platform to Achieve 
      Individual Physiotherapy Goals in Children with Severe Spastic Cerebral Palsy: A 
      Randomized Crossover Trial.
LID - 10.1089/g4h.2019.0097 [doi]
AB  - Cerebral palsy (CP) is the most common cause of permanent neurological 
      disabilities in children. Many children require long-term daily physiotherapy 
      (PT), and videogaming is a promising tool to increase motivation in 
      rehabilitation. The short- and medium-term effects of an intervention with 
      rehabilitation specific videogames were evaluated on individually defined therapy 
      goals, gross motor function, and motivation. Thirty-two children with bilateral 
      spastic CP, Gross Motor Function Classification level III-IV, and 6-15 years were 
      randomized into an intervention group (regular PT and gaming) or a control group 
      (regular PT), followed by a crossover. The effects of both training periods (each 
      12 weeks) were compared using the Goal Attainment Scale (GAS), Trunk Control 
      Measurement Scale (TCMS), Pediatric Balance Scale (PBS), Gross Motor Function 
      Measure-88 (GMFM-88), and Dimensions of Mastery Motivation Questionnaire (DMQ). 
      After 3 months follow-up, children were retested using the GMFM, TCMS, and PBS. 
      The GAS change scores were significantly higher after the intervention compared 
      to the control period (8.5 and 2.4, P < 0.001). The change scores for standing 
      exercises (3.85 and 0.22, P = 0.04) and dynamic sitting balance (5.9 and -1.7, 
      P < 0.001) were also significantly higher. After 3 months follow-up the results 
      did not persist. A combined approach of regular PT and rehabilitation specific 
      gaming showed significant effects on individually defined therapy goals, dynamic 
      sitting balance, and standing exercises. However, the lack of persistent effect 
      indicates that continuous individual goal-oriented PT with the addition of gaming 
      is needed.
FAU - Decavele, Sophie
AU  - Decavele S
AD  - CP Reference Centre, University Hospital Leuven, Leuven, Belgium.
FAU - Ortibus, Els
AU  - Ortibus E
AD  - CP Reference Centre, University Hospital Leuven, Leuven, Belgium.
AD  - Department of Development and Regeneration, University of Leuven (KU Leuven), 
      Leuven, Belgium.
FAU - Van Campenhout, Anja
AU  - Van Campenhout A
AD  - CP Reference Centre, University Hospital Leuven, Leuven, Belgium.
AD  - Department of Development and Regeneration, University of Leuven (KU Leuven), 
      Leuven, Belgium.
AD  - Department of Orthopedics, University Hospital Leuven, Leuven, Belgium.
FAU - Molenaers, Guy
AU  - Molenaers G
AD  - CP Reference Centre, University Hospital Leuven, Leuven, Belgium.
AD  - Department of Development and Regeneration, University of Leuven (KU Leuven), 
      Leuven, Belgium.
AD  - Department of Orthopedics, University Hospital Leuven, Leuven, Belgium.
FAU - Jansen, Bart
AU  - Jansen B
AD  - Department of Electronics and Informatics, Vrije Universiteit Brussel, Brussels, 
      Belgium.
AD  - Imec, Leuven, Belgium.
FAU - Omelina, Lubos
AU  - Omelina L
AD  - Department of Electronics and Informatics, Vrije Universiteit Brussel, Brussels, 
      Belgium.
AD  - Imec, Leuven, Belgium.
FAU - Franki, Inge
AU  - Franki I
AD  - CP Reference Centre, University Hospital Leuven, Leuven, Belgium.
AD  - Department of Development and Regeneration, University of Leuven (KU Leuven), 
      Leuven, Belgium.
LA  - eng
PT  - Journal Article
DEP - 20200702
PL  - United States
TA  - Games Health J
JT  - Games for health journal
JID - 101583709
SB  - IM
OTO - NOTNLM
OT  - Balance
OT  - Cerebral palsy
OT  - Game therapy
OT  - Motor control
OT  - Physical therapy
OT  - Rehabilitation
EDAT- 2020/07/03 06:00
MHDA- 2020/07/03 06:00
CRDT- 2020/07/03 06:00
PHST- 2020/07/03 06:00 [entrez]
PHST- 2020/07/03 06:00 [pubmed]
PHST- 2020/07/03 06:00 [medline]
AID - 10.1089/g4h.2019.0097 [doi]
PST - aheadofprint
SO  - Games Health J. 2020 Jul 2. doi: 10.1089/g4h.2019.0097.