Effect of Wii-habilitation on spatiotemporal parameters and upper limb function post-burn in children

Nadia L Radwan; Marwa M Ibrahim; Waleed S Mahmoud

doi:10.1016/j.burns.2020.09.010

Effect of Wii-habilitation on spatiotemporal parameters and upper limb function post-burn in children

Burns. 2021 Jun;47(4):828-837. doi: 10.1016/j.burns.2020.09.010. Epub 2020 Oct 4.

Authors

Nadia L Radwan¹, Marwa M Ibrahim², Waleed S Mahmoud³

Affiliations

¹ Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt; Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia. Electronic address: nadiaradwan18@yahoo.com.
² Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt; Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia.
³ Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia; Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

PMID: 33092897
DOI: 10.1016/j.burns.2020.09.010

Abstract

Background: Limb burns can cause different functional disorders that greatly impact one's quality of life.

Aim: The purpose of the current study was to compare the effect of Nintendo Wii sports intervention, and traditional treatment methods on spatiotemporal parameters and upper limb function post-burn in children.

Methods: Thirty children their age ranging from 7-12 years, with dominant side upper limb burn participated in the study.Vicon3-D motion analysis system and Jebsen hand function test were used to evaluate spatiotemporal parameters (movement duration, peak velocity, and time to peak velocity percentage in three functional tasks) and upper limb function respectively. The children were randomly divided into study and control groups. The study group was rehabilitated with Wii training in addition to traditional therapy, while the control group rehabilitated only with the traditional therapy program. For the study group, the games selected were Wii Bowling, Baseball, and Tennis. Both groups were trained for 60 min daily, three times/week for six weeks. The outcomes were measured pre and post the treatment period.

Results: The whole-time duration and peak velocity improved significantly in the study group across the hand to head task (p = 0.001, p < 0.001, respectively), hand to mouth (p = 0.001), and hand to shoulder (p < 0.001, p = 0.0018, respectively) compared with the control group. The time to peak velocity percentage was enhanced significantly in the study group (p < 0.001) than the control group in all three-measured tasks. Moreover, the Jebsen hand function test improved significantly (p < 0.001) in the study group than in the control group.

Conclusion: Wii-habilitation could be advised as an effective tool in the rehabilitation program of children with post-burn injuries.

Keywords: Hand function test; Nintendo wii; Spatiotemporal parameters; Upper limb burn.; Upper limb kinematics; Virtual reality.

MeSH terms

Burns / complications
Burns / diagnostic imaging*
Burns / physiopathology
Child
Exercise Therapy / psychology
Exercise Therapy / standards*
Exercise Therapy / statistics & numerical data
Female
Humans
Male
Pediatrics / methods
Pediatrics / statistics & numerical data
Recovery of Function / physiology
Spatio-Temporal Analysis
Treatment Outcome
Upper Extremity / diagnostic imaging*
Upper Extremity / physiopathology
Video Games / psychology
Video Games / standards*
Video Games / statistics & numerical data