ABSTRACT

Objective: Evaluate the feasibility of implementing cycling-based exergames for children with cerebral palsy (CP) following lower extremity orthopedic surgery and explore its impact on pain and well-being.

Methods: Ten children with CP were recruited; the first five received physiotherapy (comparison) and next five received fifteen exergame sessions over 3 weeks and physiotherapy (case) (NCT0376907). Feasibility indicators evaluated recruitment, questionnaire and exergame completion. Faces Pain Scale-Revised (FPS-R), PROMIS Pediatric Pain Interference Scale (PPIS), and KIDSCREEN-27 were administered. Wilcoxon signed-rank and effect size (r) tests evaluated within-group differences and between-group differences were assessed using Mann–Whitney U tests.

Results: All feasibility indicators were met. Large effects for improved case group pain were identified (FPS-R r = 0.60, PPIS r = 0.58), as well as significant improvement in KIDSCREEN-27 total (U = 0.50, p = .05) and psychological well-being (U = 3.00, p = .01) scores, favoring the case group.

Conclusions: Incorporating pediatric exergames is feasible and demonstrates potential for improving pain and well-being.

摘要

目的：评估在下肢骨科手术后对患有脑瘫（CP）的儿童实施以自行车为基础的运动游戏的可行性，并探讨其对疼痛和幸福感的影响。

方法：招募了10名患有CP的儿童；前五个接受了理疗（比较），接下来的五个接受了为期3周的15场运动会，并接受了理疗（案例）（NCT0376907）。可行性指标评估了招聘，问卷调查和游戏完成情况。修订了面部疼痛量表（FPS-R），PROMIS儿科疼痛干扰量表（PPIS）和KIDSCREEN-27。使用Mann–Whitney U检验评估Wilcoxon的秩和检验和效应量（r）检验，评估组间差异和组间差异。

结果：符合所有可行性指标。确定了改善病例组疼痛的较大效果（FPS-R r = 0.60，PPIS r = 0.58），以及KIDSCREEN-27总和（U = 0.50，p = .05）和心理健康的显着改善（U = 3.00，p = 0.01）得分，则有利于病例组。

结论：纳入儿科运动会是可行的，并显示出改善疼痛和福祉的潜力。