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Comparing treatments for children with cerebral Palsy

Comparing treatments for children with cerebral Palsy. P.I.C.O. “ Do children with Cerebral Palsy improve in function ability more when incorporating a gaming console into their physical therapy, than when receiving standard physical therapy?”.

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Comparing treatments for children with cerebral Palsy

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  1. Comparing treatments for children with cerebral Palsy P.I.C.O. “Do children with Cerebral Palsy improve in function ability more when incorporating a gaming console into their physical therapy, than when receiving standard physical therapy?” Conventional PT V.S. Interactive Gaming in conjunction with Conventional PT Conventional Treatment of Kids with Cerebral Palsy -Increased motor activity has been shown to lead to better physical and mental health. (2) -Moderate evidence supports physical therapy intervention for UE function-ability and neuro-development. (1) -Muscle strength and cardiorespiratory fitness were emphasized, there is evidence to support the use of physical fitness interventions. (4) -There are many gaps in our current knowledge. (4) Conventional Treatment Including Interactive Video Gaming -The Wii or IVG should not be used in place of conventional therapy. (5) -Further research is needed on the benefits of IVG in kids with CP in addition to conventional therapy. (5) -There are evidence based positive outcomes in using the Wii at the functional and impairment levels. (3) -The Wii did not improve UE movement quality but did make daily activates easier. (8) -Wii Fit and Wii Balance board are not effective methods in improving balance in children with CP. (6) -Incorporating the Wii into therapy can induce MET levels of >3.0 to ACSM’s daily exercise recommendations. (7) What Wii Think -IVG (specifically the WII) should not replace conventional PT in treatment of children with CP. -If used appropriately, IVG can be used as a means of general exercise and motivation in conjunction with conventional PT interventions. -IVG is a valuable, convenient resource that should be an available treatment option for Children with CP. -There is an evident need for the development of physical therapy centered gaming and further research on this topic. Conventional Treatment Including Interactive Video Gaming -Current studies used various sport simulating games including, but not limited to: boxing, tennis, and basketball 1)Anttila, H., Autti-Rämö, I., Suoranta, J., Mäkelä, M., & Malmivaara, A. (2008). Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC pediatrics, 8(1), 14. (2) Damiano, D. L. (2006). Activity, activity, activity: rethinking our physical therapy approach to cerebral palsy. Physical therapy, 86(11), 1534-1540. (3) Deutsch J, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P. Use of a Low-Cost, Commercially Available Gaming Console (Wii) for Rehabilitation of an Adolescent With Cerebral Palsy. Physical Therapy [serial online]. October 2008;88(10):1196-1207. Available from: SPORTDiscus with Full Text, Ipswich, MA. Accessed September 26, 2013 (4) Fowler, E. G., Kolobe, T. H., Damiano, D. L., Thorpe, D. E., Morgan, D. W., Brunstrom, J. E., ... & Stevenson, R. D. (2007). Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: section on pediatrics research summit proceedings. Physical Therapy, 87(11), 1495-1510. (5) Hamilton A. Hernandez, T.C. Nicholas Graham, Darcy Fehlings, Lauren Switzer, Zi Ye, Quentin Bellay, MdAmeerHamza, Cheryl Savery, TadeuszStach. Design of an Exergaming Station for Children with Cerebral Palsy. ACM Annual Conference on Human Factors in Computing Systems. 2012; 2619-2628 (6) Jelsma J, Pronk M, Ferguson G, & Jelsma-Smit D (2012). The effect of the Nintendo Wii Fit on balance control and gross motor function of children with spastic hemiplegic cerebral palsy. Developmental neurorehabilitation PMID (7) Ramstrand N, Lygnegård F. Can balance in children with cerebral palsy improve through use of an activity promoting computer game?. Technology & Health Care [serial online]. November 2012;20(6):501-510. Available from: Academic Search Premier, Ipswich, MA. Accessed November 4, 2013. (8) Taylor M, McCormick D, Shawis T, Impson R, Griffin M. Activity-promoting gaming systems in exercise and rehabilitation. Journal Of Rehabilitation Research & Development [serial online]. December 15, 2011;48(10):1171-1186. Available from: SPORTDiscus with Full Text, Ipswich, MA. Accessed November 4, 2013. (9) Winkels D, Kottink A, Temmink R, Nijlant J, Buurke J. Wii™-habilitation of upper extremity function in children with cerebral palsy. An explorative study. Developmental Neurorehabilitation [serial online]. February 2013;16(1):44-51. Available from: PsycINFO, Ipswich, MA. Accessed November 4, 2013.

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