Cerebral palsy
Conditions
Interventions
F04.754.137.506.662
Two groups randomly assigned. Wii-therapy group and standar-therapy group or control group. Every group have 19 children (ambulatory patients with congenital cerebral palsy Telethon neurological cente
Device
Other
Sponsors
Universidad de Talca
Telethon Maule, Chile
Eligibility
Age
7 Years to 14 Years
Inclusion criteria
Inclusion criteria: Participants with cerebral palsy type spastic diplegia and hemiplegia (male and female); 7-14 years old; Gross Motor Function Classification System (GMFCS) level I and II y volunteers with informed consent and assent
Exclusion criteria
Exclusion criteria: Neurodegenerative diseases & vestibular disorders; mdministration of high and/or moderate doses of anticonvulsants or similar drugs; moderate and severe cognitive impairment; associated impairment of the type visual and auditory uncorrected; osteotendon and muscle previous surgeries in the last 6 months and access Nintendo Wii at home
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Standing postural balance is a construct defined by the center of pressure (COP) which will be measured in two conditions (eyes open and eyes closed) with the laboratory equipment force platform (AMTI OR67). Increased COP variables is indicative of poor standing balance. Primary outcome is the COP area, used to calculate the sample size. Six weeks Wii therapy should reduce the area of the COP ;Expected results at the end of the Wii therapy significantly was reduced the primary outcome COP area compared to the control group. Statistical method to analyze the results were: Shapiro-Wilk test and Levene were used to measure the normality and homogeneity of variance, respectively. Mann-Whitney test was used for to determine the differences between the therapies. Friedman's with one-way ANOVA post-hoc pairwise comparisons (Wilcoxon signed-ranks test) were used to determine the effect over time in each type of therapy and types of cerebral palsy. The variables were measured before therapy (week 0), during (week 2 and 4) at the end of therapy (week 6) and follow up (week 8 and 10). P value less than 0.05 was considered statisticallysignificant. Finally, the results of this research showed that the balance standing improved in children with cerebral palsy Wii therapy group (12.63cm2; 20.38cm2, respectively). The effects of therapy Wii dissipate 2 to 4 weeks after the end of therapy. Standard therapy had no effect on time. | — |
Secondary
| Measure | Time frame |
|---|---|
| Others COP variables secundary outcome are: standard deviation (dispersion of COP displacement from the mean position during a time interval) and velocity (determine how fast were the COP displacements) both are in medial-lateral (M-L) and anterior-posterior (A-P) directions where the increase of these variables will indicate postural balance deficiency. Six weeks of therapy Wii are expected to decline a secondary variable.;Statistical method to analyze the results were: Shapiro-Wilk test and Levene were used to measure the normality and homogeneity of variance, respectively. Mann-Whitney test was used for to determine the differences between the therapies. Friedman's with one-way ANOVA post-hoc pairwise comparisons (Wilcoxon signed-ranks test) were used to determine the effect over time in each type of therapy and types of cerebral palsy. The variables were measured before therapy (week 0), during (week 2 and 4) at the end of therapy (week 6) and follow up (week 8 and 10). P value less than 0.05 was considered statisticallysignificant. Six weeks of therapy Wii significantly decrease the standard deviation in the AP axis in children with cerebral palsy. Therefore, the Wii therapy improved standing balance on this variable, compared to the control group (12.38cm; 20.63cm, respectively). | — |
Countries
Chile
Contacts
Public ContactMauricio Ríos
Fondo Nacional de Investigación y Desarrollo en Salud (FONIS)
Outcome results
None listed