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The present study aimed to examine the effects of playing Nintendo Wii games on upper extremity functions compared with conventional physiotherapy, in children with obstetric brachial plexus injury (OBPI). Twenty-two patients with brachial plexus injuries were enrolled. The patients were divided into two groups by simple randomization. The control group (conventional physiotherapy group [CTG]: n = 11) received conventional physiotherapy for 6 weeks (40 minutes per day, for 4 days per week). The study group, called Nintendo Wii group (NWG; n = 11), received conventional physiotherapy as well as tennis, baseball, and boxing games with Nintendo Wii on days when there was no physical therapy. The upper extremity range of motion (ROM) was evaluated using a digital goniometer, motor function was assessed using the Active Movement Scale (AMS), and shoulder functions were assessed with the Mallet Scoring System (MSS). Virtual reality treatment had a positive effect on shoulder flexion, forearm pronation, wrist flexion, ROM, and functionality (p < 0.05). There was a significant improvement in shoulder abduction and shoulder external rotation in the CTG (p < 0.05). There was no significant difference in the MSS values of either groups (p > 0.05). As per the AMS, in the NWG, the shoulder internal rotation increased significantly (p < 0.05). Nintendo Wii treatment used in addition to conventional physiotherapy may be effective in increasing upper extremity functions in children with OBPI. Clinical Trials Number NCT04605601.

Purpose: The aim of this study is to appreciate the soft tissue mobilization applied on the subscapularis intended to increase shoulder range of motion, function and decrease the pain will produce improvement on shoulder pathology. Methods: Patients with 48 shoulder pain and limitation were included in the study. They were divided into soft tissue mobilization (STM) group and conventional physiotherapy programme (CPP) group randomly. All patients got treatment at the clinic, including 15 sessions of 25 minutes. The first group received conventional physiotherapy treatment. The second group received soft tissue mobilization. Pain was evaluated with Visual Analog Scale (VAS), shoulder joint movements were evaluated with goniometer, overhead reach test, functionality was evaluated with Shoulder Pain and Disability Index. The cases were evaluated before, immediately after and 3 weeks after the end of treatment. Results: There were statistically significant differences in pain and range of motion results among the groups (p˂0.05). Effect sizes were large for STM group in VAS, external rotation range of motion, over head reach test parameters. However, STM group’s effect size was lower than CPP group in flexion range of motion. Conclusion: Soft tissue mobilization was found to be more effective on pain, range of motion, functionality than classical shoulder rehabilitation.

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