A New Training Protocol Based on Bimanual Playing a Computer Game for Motion-Cognitive Rehabilitation in Children with Spastic Hemiparetic Cerebral Palsy

IF 0.4 4区医学 Q4 PEDIATRICS Iranian Journal of Pediatrics Pub Date : 2023-09-15 DOI:10.5812/ijp-136889

Parisa Hosseini, Ehsan Tahami, Afsaneh Zeinalzadeh, Narges Hashemi, Mehran Beiraghi Toosi, Javad Akhondian Yazdi, Hamid Reza Kobravi

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Abstract

Background: Spastic hemiparetic cerebral palsy (CP) occurs due to damage to the hemisphere of the brain responsible for controlling movement. Objectives: This study aims to propose a novel bimanual training approach utilizing a specific computer game to improve hand movement function and enhance working memory in children with hemiparetic CP. Methods: Five children with hemiparetic CP participated in a 15-session intervention three times a week, each lasting 30 minutes, incorporating bimanual training through a computer game. The Fugl-Meyer Assessment (FMA-UE) and the Corsi block-tapping test evaluated sensorimotor and cognitive abilities. Statistical analyses were conducted using SPSS software. Results: The mean FMA-UE score before and after the intervention was 51 ± 3.31 and 59.5 ± 1.14, respectively, indicating a statistically significant difference (P = 0.008) and an increase in total upper extremity motor function score. Additionally, the mean Corsi block-tapping test score for memory span before and after the intervention was 2.3 ± 0.84 and 3.1 ± 1.14, respectively, demonstrating improved cognitive ability. Conclusions: The combination of bimanual hand training and video games has been shown to be effective in enhancing motor-cognitive abilities in children with hemiparetic CP.

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一种基于双手玩电脑游戏的痉挛型偏瘫儿童运动认知康复训练新方案

背景:痉挛性偏瘫脑瘫(CP)是由于控制运动的大脑半球受损而发生的。目的:本研究旨在提出一种利用特定电脑游戏来改善偏瘫性脑瘫儿童手部运动功能和增强工作记忆的新方法。方法:5名偏瘫性脑瘫儿童参加每周一次、每次持续30分钟的双手训练，并通过电脑游戏进行干预。Fugl-Meyer评估(FMA-UE)和Corsi块敲击测试评估感觉运动和认知能力。采用SPSS软件进行统计分析。结果:干预前后FMA-UE平均评分分别为51±3.31分和59.5±1.14分，差异有统计学意义(P = 0.008)，上肢运动功能总分升高。干预前后记忆广度Corsi块敲击测验得分均值分别为2.3±0.84分和3.1±1.14分，认知能力得到改善。结论:双手训练和视频游戏的结合已被证明对增强偏瘫性脑瘫儿童的运动认知能力有效。

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来源期刊

Iranian Journal of Pediatrics 医学-小儿科

CiteScore

0.90

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.