Upper limb training using Wii Sports Resort for children with hemiplegic cerebral palsy: a randomized, single-blind trial

Clin Rehabil. 2014 Oct;28(10):1015-24. doi: 10.1177/0269215514533709. Epub 2014 May 21.


Objective: To investigate whether Wii Sports Resort training is effective and if any benefits are maintained.

Design: Randomized, single-blind trial.

Participants: Sixty-two hemiplegic children with cerebral palsy (6-13 years).

Intervention: Experimental group undertook six weeks of home-based Wii Sports Resort training plus usual therapy, while the control group received usual therapy.

Main measures: Outcomes were coordination, strength, hand function, and carers' perception of hand function, measured at baseline, six, and 12 weeks by a blinded assessor.

Results: There was a trend of mean difference (MD) for the experimental group to have more grip strength by six (MD 4.0 N, 95% confidence interval (CI) -0.8 to 8.8, p = 0.10) and 12 (MD 4.1 N, 95% CI -2.1 to 10.3, p = 0.19) weeks, and to have a higher quantity of hand function according to carers' perception by six (MD 4.5 N, 95% CI -0.7 to 9.7, p = 0.09) and strengthened by 12 (MD 6.4, 95% CI 0.6 to 12.3, p = 0.03) weeks than the control group. There was no difference between groups in coordination and hand function by six or 12 weeks.

Conclusion: Wii training did not improve coordination, strength, or hand function. Beyond the intervention, carers perceived that the children used their hands more.

Keywords: Wii™; Cerebral palsy; hemiplegia; randomized controlled trial; upper limb.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Cerebral Palsy / rehabilitation*
  • Child
  • Exercise Therapy / methods*
  • Female
  • Hand / physiology
  • Hand / physiopathology
  • Hemiplegia / rehabilitation*
  • Home Care Services
  • Humans
  • Male
  • Prospective Studies
  • Upper Extremity / physiology
  • Upper Extremity / physiopathology*
  • Video Games*
  • Virtual Reality Exposure Therapy / instrumentation
  • Virtual Reality Exposure Therapy / methods*