Highlights
- •Xbox Kinect and task-oriented training improved hand function, activity performance, range of motion of fingers, grip strength, and pinch strengths as compared with traditional hand rehabilitation in pediatric hand burns.
- •Xbox Kinect is superior to task-oriented training in improvement of hand function, palmer pinch strength and activity satisfaction.
- •Xbox Kinect and task-oriented training may be an effective rehabilitation for pediatric hand burns.
Abstract
Objective
To assess the efficacy of a motion-sensing, hands-free gaming device and task-oriented
training (TOT) programs on improving hand function, activity performance, and satisfaction
in pediatric hand burns.
Design
A randomized controlled trial.
Setting
Outpatient rehabilitation center.
Participants
Fifty children with deep partial-thickness or full-thickness hand burns. (N=50; mean
age, 10.70±1.64y; range, 7-14y)
Interventions
Children were randomized into 1 of the following 3 groups: the motion-sensing, hands-free
gaming device group that used interactive video games plus traditional rehabilitation
(TR); the TOT group that used real materials plus TR; and the control group that only
received TR, all groups received the interventions 3 days per week for 8 weeks.
Main Outcome Measures
We assessed the children at the baseline and after 8 weeks of intervention. The primary
outcome measures were the Jebsen-Taylor Hand Function Test, Duruoz Hand Index (DHI),
and Canadian Occupational Performance Measure (COPM). The secondary outcome measures
were range of motion (ROM) of the digits, grip strength, and pinch strengths (tip,
palmer, and lateral pinch).
Results
There was a significant increase in all measurements of the motion-sensing, hands-free
gaming device and TOT groups compared with that of the control group postintervention
(P<.05). There was no significant change in Jebsen-Taylor Hand Function Test, COPM performance,
ROM, grip strength, and tip and lateral pinch strengths between the motion-sensing,
hands-free gaming device group and TOT group (P>.05), whereas there was a significant increase in DHI, COPM satisfaction, and palmer
pinch strength (P<.05) in the motion-sensing, hands-free gaming device group compared with the TOT
group postintervention.
Conclusions
The motion-sensing, hands-free gaming device and TOT programs resulted in significant
improvement in hand function, activity performance and satisfaction, ROM of the digits,
grip strength, and pinch strengths in pediatric hand burns compared with the traditional
hand rehabilitation.
Keywords
List of abbreviations:
ADL (activities of daily living), COPM (Canadian Occupational Performance Measure), DHI (Duruoz Hand Index), JTHFT (Jebsen-Taylor Hand Function Test), PHB (pediatric hand burns), ROM (range of motion), TOT (task-oriented training), TR (traditional rehabilitation), VR (virtual reality)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 19, 2021
Footnotes
Clinical Trial Registration No.: NCT04497103.
Disclosures: none.
Identification
Copyright
© 2021 by the American Congress of Rehabilitation Medicine
