The NDT Program for both groups was applied according to each child’s individual needs and included tonus regulation, support of sensation, perception and motor development, facilitating normal movement for upper extremity activities, upper extremity functional skills training, and daily living activities such as getting dressed and eating.
Before starting the Nintendo Wii games, the patients were informed about the content of each game and had one practice session, during which the children were supported verbally and physically until they achieved the correct movements.
In this study, use of the upper extremity was evaluated using the Quality of Upper Extremity Skills Test (QUEST), which has been tested for validity and reliability in children with neuromotor dysfunction. This test indicates four domains: dissociated movement, grasp, weight-bearing, and protective extension21).
Hand function speed was assessed with the Jebsen Taylor Hand Function Test (JTHFT), which has been shown to be reliable and normative for children22, 23). In this study, the subtests to assess hand function included turning over cards 3 × 5 inches (7.5 cm × 12.5 cm) in size, simulated feeding, picking up small common objects, stacking checkers, picking up large objects, and picking up large heavy objects. The time (in seconds) taken to perform seven fine motor hand tasks was measured.