Is Wii-based motor training better than task-specific matched training for children with developmental coordination disorder? A randomized controlled trial
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Number of pages
SourceDisability and Rehabilitation, 42, 18, (2020), pp. 2611-2620
Article / Letter to editor
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SW OZ BSI OLO
Disability and Rehabilitation
SubjectAll institutes and research themes of the Radboud University Medical Center; Learning and Plasticity; Radboudumc 3: Disorders of movement DCMN: Donders Center for Medical Neuroscience
Purpose: To evaluate in children with developmental coordination disorder (DCD) the effects of Wii-training compared with task-specific matched training (TST). Material and methods: A randomized controlled trial (RCT) was conducted with 32 children having DCD, aged 7-10 years. Children were randomly assigned to the Wii or task-specific training. Both interventions consisted of 16, 60-min sessions over an 8-week period. The primary outcome measure of movement skill was the Movement Assessment Battery for Children-2 (MABC-2), administered by blinded assessors. Measures included total standard scores (TSS), manual dexterity, aiming/catching, and balance component scores. Results: From pre- to post-test, both groups improved significantly on TSS and balance after intervention. The Wii intervention group also improved on manual dexterity. Neither group improved significantly on aiming/catching. Conclusions: Both the Wii and task-specific training improved overall motor performance and balance. On other MABC-2 component scores, treatment effects differed between groups: Task-specific training had more pronounced effects on balance skills, while Wii training had slightly stronger treatment effects than task-specific training on manual dexterity. It was concluded that task-specific training affords stronger benefits for general motor skill than Wii-based training. Whether Wii training can promote clinically significant benefits for upper-limb function remains to be seen.
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