Special Educational Needs

Title Effectiveness of virtual reality using Wii gaming technology in children with Down syndrome
Design Quasi-randomised controlled trial
Participants 105 children with Down syndrome (DS) aged 7-12
Intervention
  • Group 1: Active video gaming (Nintendo Wii)
  • Group 2: Standard occupational therapy
  • Each intervention group received a 1-h session 2 days per week for 24 weeks.
Comparator Control group
Major outcomes
  1. Bruininks–Oseretsky Test of Motor Proficiency-Second Edition (BOT-2)
  2. Developmental Test of Visual Motor Integration (VMI)
  3. Test of Sensory Integration Function (TSIF)
Settings Intervention administered by therapists
Main results Both treatment groups performed better than the control group in all measures at post-intervention. Of the two intervention groups, children who received Wii therapy demonstrated the largest increase in post intervention scores on the BOT-2 gross motor subtests.
Conclusion The results indicated that active video gaming (Wii) improved motor proficiency, visual-integrative abilities, and sensory integrative functions for children with DS. It could be used as adjuvant therapy to other proven successful rehabilitative interventions in treating children with DS.
Link https://pubmed.ncbi.nlm.nih.gov/21071171/
Reference Wuang, Y. P., Chiang, C. S., Su, C. Y., & Wang, C. C. (2011). Effectiveness of virtual reality using Wii gaming technology in children with Down syndrome. Research in Developmental Disabilities, 32(1), 312–321. https://doi.org/10.1016/j.ridd.2010.10.002

Title Changes in cardiometabolic markers in children with Prader–Willi syndrome and nonsyndromic obesity following participation in a home-based physical activity intervention
Design Pre-post intervention study
Participants 18 children with Prader-Willi syndrome, 30 nonsyndromic children with obesity
Intervention “Active Play @ Home” intervention was a 24-week physical activity programme comprising age-appropriate playground-based and active video games completed on 4 days / week.
Comparator Post-intervention
Major outcomes Physical activity, body composition, blood samples for: glucose, insulin, insulin resistance (HOMA-IR), lipids, and cytokines.
Settings Home, playground
Main results All children (n = 48) showed a significant decrease in Interleukin-8 (3.64 ± 0.24 vs. 3.06 ± 0.22 pg/mL). Children with obesity who did not gain or lost body fat percentage (n = 18) demonstrated a significant decrease in HOMA-IR (3.17 ± 0.39 vs. 2.72 ± 0.34) and an increase in high-density lipoprotein (44.30 ± 2.51 vs. 47.29 ± 2.59 mg/dL). All other measurements showed no significant changes.
Conclusion The most favourable changes in cardiometabolic factors were observed in children with nonsyndromic obesity who demonstrated no gain or a decrease in body fat percentage.
Link https://pubmed.ncbi.nlm.nih.gov/30280511/
Reference Rubin, D. A., Duran, A. T., Haqq, A. M., Gertz, E. R., & Dumont-Driscoll, M. (2018). Changes in cardiometabolic markers in children with Prader–Willi syndrome and nonsyndromic obesity following participation in a home-based physical activity intervention. Pediatric Obesity, 13(11), 734–743. https://doi.org/10.1111/ijpo.12462