Wii Sport Games Versus Task-oriented Training on Gait in Children With Unilateral Cerebral Palsy
Phase: NA
Conditions: Cerebral Palsy
Sponsor: South Valley University

Official Title of Study: - 
Wii Sport Training Versus Task Oriented Training 
for Gait in children with Unilateral Cerebral Palsy 
Document Date: - 08/24/2020. 
Human Subjects protection review 
board approval date: - 10/01/2017

Wii Sport Training Versus Task Oriented Training 
for Gait in children with Unilateral Cerebral Palsy 
 
 
PURPOSE: 
 
This study will aimed to assess the efficacy of Wii Sport training versus 
Task Oriented training for gait in children with unilateral cerebral palsy. 
 
BACKGROUND: 
Cerebral palsy (CP) is the most common cause of childhood disability 
and is seen in 2–2.5 out of 1,000 births. The non-progressive lesion in the 
brain that causes CP, has devastating effects on the musculoskeletal 
system. These effects, like spasticity, imbalance between agonist and 
antagonist muscles, and decreased voluntary muscle control, can result in 
contractures and deformities.  
Hemiplegic CP is a subtype in which one side of the body is involved. It 
affects about 1 in 1,300 live births. It is characterized by a clinical pattern 
of unilateral motor impairment. The severity of motor impairment varies 
widely, depending on the site and severity of brain lesion. Early brain 
injury impacts concomitantly on motor, gait, balance and cognitive 
development and function. 
 
Virtual reality (VR) is a simulated experience that can be similar to or 
completely different from the real world. Applications of virtual reality 
can include entertainment (i.e. video games) and educational purposes 
(i.e. medical or military training). Other, distinct types of VR style 
technology include augmented reality and mixed reality. 
 
Task-oriented training involves practicing real-life tasks (such as walking 
or answering a telephone), with the intention of acquiring or reacquiring a 
skill (defined by consistency, flexibility and efficiency). 
 
Task oriented training is a therapeutic approach based on the system 
theory of motor control. This was given by Bernstein in 1967 to retain the 
patients with movement disorders. This approach utilizes a training 

program that focuses on specific functional tasks to engage the 
neuromuscular and musculoskeletal system. 
 
HYPOTHESES: 
H0 there is no significance difference between Wii Sport training versus 
Task Oriented training for gait in children with unilateral cerebral palsy. 
H1 there is a significance difference between Wii Sport training versus 
Task Oriented training for gait in children with unilateral cerebral palsy. 
RESEARCH QUESTION: 
 
Is there is significant effect of difference between Wii Sport training 
versus Task Oriented training for gait in children with unilateral cerebral 
palsy. 
Subjects: 
Sixty unilateral cerebral palsy children will recruited from outpatient 
clinics to participate in this current study.  
The children were divided in to 3 equal groups, group 1 study G that will 
receive traditional PT program for 30 min plus Wii Sport Training for 30 
min, and group 2 study G that will receive traditional PT program for 30 
min plus Task Oriented training for 30 min. and control G3 that will 
receive traditional PT program for 60 min. All children conducted in this 
study pre and after 3 successful months. 
Inclusion criteria: 
1) Their children will from both sex.  
2) their ages will range from seven to nine years. 
3) they will have mild to moderate spasticity . 
Exclusion criteria: 
1) 
Children with visual or auditory problems. 
2) 
Children with history of epilepsy. 
3) 
Children with structural joints deformities of the lower 
limbs. 
4) 
Children with history of surgical interference in lower limbs 
less than one year. 
5) 
Children with convulsions and fixed contractures. 

6) 
Uncooperative children. 
letter to be provided to the person(s) providing the consent. 
 
 
I am                              freely and voluntarily consent to participate in a 
research program under the direction of M.Sc. 
A thorough description of the procedure has been explained and I understand 
that I may withdraw my consent and discontinue participation in this research 
at any time without prejudice to me. 
 
  Note: Attach a copy of the Consent Form, Participant Information 
Sheet (if applicable).  
 
 
PARTICIPANT WITHDRAWAL  
a) Describe how the participants will be informed of their right to 
withdraw from the project.  
All parents will sign a written consent form after receiving information about 
the study purpose, whole procedures, possible benefits, privacy and use of data 
to ensure full cooperation. Parents well understand that they may withdraw their 
consent and discontinue participation in the research at any time without 
prejudice to them. 
 
b) Explain any consequences for the participant of withdrawing 
from the study and indicate what will be done with the participant’s 
data if they withdraw. 
 
All data of withdrawn participant will be excluded from analysis.