Date of Award

2018

Degree Type

Selective Evidence-Based Medicine Review

Degree Name

Master of Science in Health Sciences - Physician Assistant

Department

Physician Assistant Studies

Department Chair

John Cavenagh, MBA, PhD, PA-C

Abstract

OBJECTIVE: The objective of this selective EBM review is to determine whether or not video game-based therapy is effective in increasing the physical abilities of children diagnosed with cerebral palsy.

STUDY DESIGN: Systematic review of three English language randomized controlled trials (RCTs), all published after 2006.

DATA SOURCES: Two cross-over RCTs and one single-blind RCT, which analyzed video game-based therapy in children diagnosed with cerebral palsy. All studies were found using PubMed.

OUTCOME MEASURED: Each of the articles analyzed the effects of video game-based therapy on physical abilities, which were assessed by upper limb function, stable balance, and coordination. These outcomes were measured by Quality of Upper Extremities Skills Test, rhythmic weight shift test, and a tracking test, respectively. Analysis of data was done utilizing Wilcoxon signed rank test, Friedman’s analysis of variance, and two-way ANOVA. Significance was determined using p-values for all three studies.

RESULTS: One study found that therapy with the Xbox Kinect significantly improved upper limb function. One study found that therapy with the Nintendo Wii did not significantly improve balance. One study found that therapy with the Nintendo Wii did not significantly improve coordination.

CONCLUSIONS: Evidence is inconclusive. Xbox Kinect may be an alternative to usual therapy. Video game-based therapy may be a useful adjunctive therapy. Further studies should include larger sample sizes and controlled sessions with a therapist present. KEY WORDS:

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