Inpatient Exergames for Children with Cerebral Palsy following Lower Extremity Orthopedic Surgery: A Feasibility Study. (19th May 2021)

• Record Type: Journal Article
• Authors: Cardenas, Analyssa; Warner, Daniel; Switzer, Lauren; Graham, T.C. Nicholas; Cimolino, Gabriele; Fehlings, Darcy
• Is Part Of: Developmental neurorehabilitation. Volume 24:Number 4(2021)
• Page Start: 230
• Page End: 236
• Publication Date: 2021-05-19
• Subjects: Cerebral palsy -- exergame -- neurotechnology -- orthopedic -- rehabilitation; Children with disabilities -- Rehabilitation -- Periodicals; Developmentally disabled children -- Rehabilitation -- Periodicals; 615.542
• DOI: 10.1080/17518423.2020.1858359
• Languages: English
• ISSNs: 1751-8423

Abstract

ABSTRACT: Objective : Evaluate the feasibility of implementing cycling-based exergames for children with cerebral palsy (CP) following lower extremity orthopedic surgery and explore its impact on pain and well-being. Methods : Ten children with CP were recruited; the first five received physiotherapy (comparison) and next five received fifteen exergame sessions over 3 weeks and physiotherapy (case) (NCT0376907). Feasibility indicators evaluated recruitment, questionnaire and exergame completion. Faces Pain Scale-Revised (FPS-R), PROMIS Pediatric Pain Interference Scale (PPIS), and KIDSCREEN-27 were administered. Wilcoxon signed-rank and effect size ( r ) tests evaluated within-group differences and between-group differences were assessed using Mann–Whitney U tests. Results : All feasibility indicators were met. Large effects for improved case group pain were identified (FPS-R r = 0.60, PPIS r = 0.58), as well as significant improvement in KIDSCREEN-27 total (U = 0.50, p = .05) and psychological well-being (U = 3.00, p = .01) scores, favoring the case group. Conclusions : Incorporating pediatric exergames is feasible and demonstrates potential for improving pain and well-being.