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Effects of Video Games–Based Task-Oriented Activity Training (Xbox 360 Kinect) on Activity Performance and Participation in Patients With Juvenile Idiopathic Arthritis

A Randomized Clinical Trial

Arman, Nilay, PhD, PT; Tarakci, Ela, PhD, PT; Tarakci, Devrim, PhD, PT; Kasapcopur, Ozgur, MD

American Journal of Physical Medicine & Rehabilitation: March 2019 - Volume 98 - Issue 3 - p 174–181
doi: 10.1097/PHM.0000000000001001
Original Research Articles: CME Article . 2019 Series . Number 3
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Objective The aim of the study was to compare the effects of two different task-oriented activity training programs on activity performance and participation in children/adolescents with juvenile idiopathic arthritis.

Design Sixty-two patients were randomized into group I and group II for task-oriented activity training. In group I, activities of daily living were practiced using real materials from daily life, and in group II, activities of daily living were practiced using video-based games (Xbox 360 Kinect) for 3 d/wk for 8 wks. Pain by the Numeric Rating Scale, upper limb muscle, grip, and pinch strengths by a dynamometer, activity performance and participation by the Childhood Health Assessment Questionnaire, Canadian Occupational Performance Measure, and Duruoz Hand Index were evaluated.

Results After treatment in both groups, significant changes were found in the Numeric Rating Scale, muscle strength, grips strength, Childhood Health Assessment Questionnaire, Canadian Occupational Performance Measure, and Duruoz Hand Index (P < 0.05). Group II was statistically superior to group I in changes of almost all upper limb muscle strengths, palmar pinch strength, Canadian Occupational Performance Measure satisfaction, and Duruoz Hand Index scores (P < 0.05).

Conclusion Video games–based task-oriented activity training is an alternative and feasible treatment for children/adolescents with juvenile idiopathic arthritis. This new method may have widespread applicability in future research, given the rapidly growing interest in virtual reality–based therapy in rehabilitation.

To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME

CME Objectives Upon completion of this article, the reader should be able to: (1) Understand the rehabilitation benefits of task–oriented activity in patients with neurologic and musculoskeletal conditions; (2) Appreciate the role of video games-based task oriented activity in rehabilitation; and (3) Appropriately incorporate video games-based task oriented activity in the rehabilitation program of individuals with Juvenile Idiopathic Arthritis.

Level Advanced

Accreditation The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

From the Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey (NA); Department of Neurological Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey (ET); Division of Ergotherapy, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey (DT); and Department of Pediatric Rheumatology, Medical Faculty of Cerrahpasa Istanbul University-Cerrahpasa, Istanbul, Turkey (OK).

All correspondence should be addressed to: Nilay Arman, PhD, PT, Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Demirkapi Cad. Karabal Sk. Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi Bahcesi ici, 34740 Bakirkoy/ISTANBUL/TURKIYE.

This project is registered with ClinicalTrials.gov (Clinical Trial Number: NCT02954718) and supported by Research Fund of Istanbul University (Project Number: 51144).

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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