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August 19, 2026Open Access

"Physiotherapy is Boring and Tiring": The Motivational Impact of Nintendo Wii Fit Plus Exergaming in Children with Cerebral Palsy — A Single-Arm Pre-Post Pilot Study

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Authors

GBGhaith BaccariUniversity of SfaxSCSoumaya ChaabeneUniversity of Sfax

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Overview

Single-arm pilot study reveals Nintendo Wii Fit Plus exergaming significantly improves volitional motivation in children with cerebral palsy, suggesting exergaming enhances rehabilitation engagement.

Key Points

  • To evaluate the motivational impact of a Nintendo Wii Fit Plus exergaming intervention on children with cerebral palsy using the Pediatric Volitional Questionnaire.
  • Conducted a single-arm pre-post pilot study over seven weeks (March–May 2023) in Sfax, Tunisia, enrolling N=8 children with cerebral palsy.
  • Delivered individualized Nintendo Wii Fit Plus sessions lasting at least 30 minutes, three times per week.
  • Assessed volitional motivation before and after the intervention using the Pediatric Volitional Questionnaire (PVQ) and analyzed data with the Wilcoxon signed-rank test.
  • Overall mean PVQ scores improved significantly from 1.06 ± 0.17 at baseline to 3.80 ± 0.22 post-intervention (Z = -2.52, p = 0.012, r = 0.89).
  • Motivation increased across all volitional stages, including exploration (1.00 to 3.75), competency (1.00 to 3.90), and achievement (1.18 to 3.75), with most post-intervention scores reaching the highest level of spontaneous engagement.

Cite This Study

Baccari et al. (2026) studied this question.

synapsesocial.com/papers/6a85633c03308d306e2d64e4https://doi.org/10.5281/zenodo.21968783
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1PRELIMINARY EVIDENCE FOR VIRTUAL REALITY EXERGAMING (NINTENDO® WII FIT PLUS™) IN BALANCE AND GAIT REHABILITATION OF CHILDREN WITH CEREBRAL PALSY — A Single-Arm Pre-Post Pilot Study2026
  2. 2Effectiveness of Wii-Fit Combined with Conventional Exercises on the Functional Mobility and Balance of Children with Cerebral Palsy and Their Typically Growing Peers2024 · 4 citations
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  5. 5Achieving Gameplay Independence in Virtual Reality Exergames for Individuals With Mild Intellectual Disabilities: Pilot Study2025