title: NeuroGame Therapy to improve wrist control in children with cerebral palsy: a case series.
abstract: OBJECTIVE
  This case series examines the feasibility, specificity, and preliminary effectiveness of NeuroGame Therapy (NGT) for improving wrist control in four children with cerebral palsy (CP). NGT uses surface electromyographic (sEMG) signals routed through motivating computer games to improve motor control.
  
  
  METHODS
  Primary outcomes of NGT included feasibility (hours of play) and specificity (changes in sEMG activity during game play). Secondary outcomes included changes in co-contraction, range of motion, segmental alignment, and spontaneous upper extremity function following intervention.
  
  
  RESULTS
  Participants completed a mean of 8.8 hours of NGT over 5-6 weeks. Participants demonstrated dramatic improvement of the sEMG activity during game play. Several participants also showed improvements in range of motion, co-contraction, and spontaneous upper extremity function following NGT.
  
  
  CONCLUSIONS
  This case series provides evidence for the feasibility, specificity, and effectiveness of NGT. Future studies will pair NGT with functional practice to improve transfer of learning to daily activities.
authors.affiliation: Department of Rehabilitation Medicine, University of Washington , Seattle, WA , USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Rios
authors.forename: T
authors.initials: T
authors.lastname: Gilbertson
authors.forename: S W
authors.initials: SW
authors.lastname: McCoy
authors.forename: R
authors.initials: R
authors.lastname: Price
authors.forename: K
authors.initials: K
authors.lastname: Gutman
authors.forename: K E F
authors.initials: KE
authors.lastname: Miller
authors.forename: A
authors.initials: A
authors.lastname: Fechko
authors.forename: C T
authors.initials: CT
authors.lastname: Moritz
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D004576:Electromyography; D005081:Exercise Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular / Q000502:physiology*; D012107:Research Design; D016896:Treatment Outcome; D014953:Wrist / Q000503:physiopathology*