a new training protocol based on bimanual playing a computer game for motion-cognitive rehabilitation in children with spastic hemiparetic cerebral palsy

Background: spastic hemiparetic cerebral palsy (cp) occurs due to damage to the hemisphere of the brain responsible for controlling movement. objectives: this study aims to propose a novel bimanual training approach utilizing a specific computer game to improve hand movement function and enhance working memory in children with hemiparetic cp. methods: five children with hemiparetic cp participated in a 15-session intervention three times a week, each lasting 30 minutes, incorporating bimanual training through a computer game. the fugl-meyer assessment (fma-ue) and the corsi block-tapping test evaluated sensorimotor and cognitive abilities. statistical analyses were conducted using spss software. results: the mean fma-ue score before and after the intervention was 51 ± 3.31 and 59.5 ± 1.14, respectively, indicating a statistically significant difference (p = 0.008) and an increase in total upper extremity motor function score. additionally, the mean corsi block-tapping test score for memory span before and after the intervention was 2.3 ± 0.84 and 3.1 ± 1.14, respectively, demonstrating improved cognitive ability. conclusions: the combination of bimanual hand training and video games has been shown to be effective in enhancing motor-cognitive abilities in children with hemiparetic cp.