2019
DOI: 10.3233/prm-170529
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The use of video games combined with conventional physical therapy in children with upper limb fractures: An exploratory study

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Cited by 12 publications
(8 citation statements)
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“…The distress associated with pain can impact negatively on patients’ physical and psychological outcomes including limiting their ROM during ULI therapy [ 44 ], increasing their risk of Post-Traumatic Stress Disorder after a burn injury [ 45 ] or reducing confidence in the care team [ 7 ]. These physiotherapists instead reported increased ROM in all children using HMD-VR, a finding consistent with other work [ 46 ].…”
Section: Discussionsupporting
confidence: 90%
“…The distress associated with pain can impact negatively on patients’ physical and psychological outcomes including limiting their ROM during ULI therapy [ 44 ], increasing their risk of Post-Traumatic Stress Disorder after a burn injury [ 45 ] or reducing confidence in the care team [ 7 ]. These physiotherapists instead reported increased ROM in all children using HMD-VR, a finding consistent with other work [ 46 ].…”
Section: Discussionsupporting
confidence: 90%
“…Several authors did not report any benefit from a short course of PT on elbow function or motion. 44 – 46 Recently, two pilot trials 47 , 48 analyzed the benefits of video gaming in restoring normal elbow function and in reducing pain after conservative or surgical treatment. In particular, tennis, boxing, and bowling gaming could shorten recovery time, 48 and should be considered in the holistic management of elbow injuries.…”
Section: Discussionmentioning
confidence: 99%
“…This period can lead to elbow or wrist stiffness after cast removal and consequently to limitations in a child's daily activities. [ 20 21 22 23 ] Despite this risk, the use of physical therapy after removal of the cast is still on debate, because of strong evidence of autonomous complete functional recovery in children forearm fractures. In contrast, recent studies demonstrated that an upper limb immobilisation, longer than 2 weeks, can produce thinning of its corresponding region on the primary sensory-motor cortex, known as homunculus, and so following physical therapy was strictly recommended.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, recent studies demonstrated that an upper limb immobilisation, longer than 2 weeks, can produce thinning of its corresponding region on the primary sensory-motor cortex, known as homunculus, and so following physical therapy was strictly recommended. [ 20 24 ] Furthermore Colaris et al ., on 2013, reported that long cast immobilisation, in children with both bone forearm fractures, could result in higher limitation of pronation/supination because of severe interosseous membrane contracture and in those cases, physiotherapy was associated with a better functional outcome. [ 23 ] Therefore we believe that immobilisation should be reduced to the minimum, so that early mobilisation could minimise cortical alterations, reduce the risk of joint stiffness, avoiding the need of physiotherapy and granting a faster return to all daily activities.…”
Section: Discussionmentioning
confidence: 99%