Interventions
For the kinect-based CIMT group, the treatment was provided by our kinect-based CIMT games, called “Adventure Island” and “Kitten Island” [For the therapist-based CIMT group, the intervention was provided according to personal goals and preferences. The intervention was mainly delivered by the therapist and the family members were encouraged to assist and participate in the intervention. As in the kinect-based CIMT group, training program in the therapist-based CIMT group were the categories of arm-reaching, manipulation, and arm-hand tasks. During each intervention session, 2 to 3 age-appropriate therapeutic games, such as board games, crafts, and manipulation activities, were chosen based on the CIMT principles and the child’s interests. To provide intensive structured training, the difficulties of the therapeutic games were graded by the therapists according to each child’s ability and progression. Appropriate feedback was also given by the therapists to enhance motor learning. To restrain the less-affected UE, the gentle restraint methods of applied verbal instruction and gentle physical guidance were used. A detailed description of this friendly-CIT intervention can be found in our previous study [