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.

中文翻译：

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虚拟现实和任务导向训练对小儿手部烧伤手功能和活动表现的影响：一项随机对照试验

客观的

评估运动感应、免提游戏设备和面向任务的训练 (TOT) 计划对改善小儿手部烧伤的手部功能、活动表现和满意度的功效。

设计

一项随机对照试验。

环境

门诊康复中心。

参与者

50 名儿童手部深度局部或全层烧伤。（N=50；平均年龄，10.70±1.64 岁；范围，7-14 岁）

干预

儿童被随机分为以下 3 组中的 1 组：使用互动视频游戏和传统康复 (TR) 的动作感应、免提游戏设备组；使用真材实料加TR的TOT组；和仅接受TR的对照组，所有组均接受干预，每周3天，共8周。

主要观察指标

我们在基线和 8 周干预后对儿童进行了评估。主要结果指标是 Jebsen-Taylor 手功能测试、Duruoz 手指数 (DHI) 和加拿大职业绩效指标 (COPM)。次要结果测量是手指的运动范围 (ROM)、握力和捏力（尖端、手掌和侧捏力）。

结果

与干预后的对照组相比，运动感应、免提游戏设备和 TOT 组的所有测量值均显着增加（P <.05）。Jebsen-Taylor 手部功能测试、COPM 表现、ROM、握力以及动作感应、免提游戏设备组和 TOT 组之间的尖端和横向捏力没有显着变化（P > .05），而与 TOT 组相比，运动感应、免提游戏设备组的DHI、COPM 满意度和手掌捏力（P <.05）显着增加。

结论

与传统手部康复相比，动作感应、免提游戏设备和 TOT 程序显着改善了手部功能、活动表现和满意度、手指的 ROM、握力和小儿手部烧伤的捏力。