Investigation of the effects of the NintendoWii-Fit training on balance and advanced motor performance in children with spastic hemiplegic cerebral palsy: A Randomized Controlled Trial

Abstract

ABSTRACT BACKGROUND:The Nintendo®Wii-Fit offers an inexpensive, enjoyable, suitable alternative to more complex systems for children with cerebral palsy. OBJECTIVE:The aim of this study was to investigate the effects of Nintendo®Wii-Fit training on balance and advanced motor performance of children with spastic hemiplegic Cerebral Palsy (CP). METHODS:Thirty children with spastic hemiplegic CP who were 7-14 years of age, had Gross Motor Function Classification System (GMFCS) levels I and II, regularly participated in routine physiotherapy program twice a week. Children were randomly assigned to either the Nintendo®Wii-Fit training or the control groups. Nintendo®Wii-Fit training group were continued twice a week in addition to physiotherapy program. The Gross Motor Function Measure (GMFM), Gross Motor Performance Measure (GMPM), the Timed up and go (TUG) test, Pediatric Balance Scale (PBS), Pediatric Evaluation of Disability Inventory (PEDI) mean scores were recorded. RESULTS: Both groups had significant differences in the GMFM and GMPM scores, durations of single leg and tandem standing, and PBS (p