Family-Engaged Gamified Rehabilitation and Its Associations with Elbow Function Recovery and Rehabilitation Compliance in Pediatric Patients After Lateral Humeral Condyle Fracture
| Author | Yi Zhang | en |
| Author | Yuting Wu | en |
| Issued Date | 2026-10-31 | en |
| Abstract | Background: Children undergoing postoperative rehabilitation for lateral humeral condyle fractures often experience pain-related fear and poor adherence, which adversely affect elbow function recovery. Family-engaged gamified rehabilitation (FEG) has emerged as a promising approach to improve engagement; however, real-world retrospective evidence comparing its effectiveness with that of conventional rehabilitation remains limited. Objectives: To compare FEG with conventional rehabilitation in terms of elbow function, rehabilitation adherence, and pain control in children after surgery for lateral humeral condyle fractures, and to explore the association between functional recovery and adherence. Methods: This retrospective study included children who underwent surgical treatment for lateral humeral condyle fractures and completed rehabilitation at our hospital between January 2024 and January 2025. Propensity score matching (1:1 nearest-neighbor) was used to form matched FEG and standard conventional rehabilitation (SCR) groups, with 52 children in each group. The primary outcome was the Mayo Elbow Performance Score (MEPS) at 6 months postoperatively. Secondary outcomes included MEPS at 3 months, active range of motion (ROM), Wong-Baker FACES Pain Rating Scale scores, rehabilitation adherence, and adverse events. Results: Baseline characteristics were well balanced after matching (P > 0.05). Compared with the SCR group, the FEG group had significantly higher MEPS and ROM at 3 and 6 months and significantly lower FACES scores (all P < 0.001). Rehabilitation adherence at 6 months was also significantly higher in the FEG group (P < 0.01). Gamified rehabilitation was positively correlated with elbow function (r = 0.408, P < 0.001) and rehabilitation adherence (r = 0.263, P < 0.001). Conclusions: Family-engaged gamified rehabilitation was associated with higher exercise adherence and improved recovery of elbow function in children after surgery for lateral humeral condyle fractures, suggesting that it may be a valuable and innovative strategy for pediatric postoperative rehabilitation. | en |
| DOI | https://doi.org/10.5812/ijpediatr-171051 | en |
| URI | https://brieflands.com/journals/ijp/articles/171051 | en |
| Keyword | Lateral Humeral Condyle Fracture | en |
| Keyword | Children | en |
| Keyword | Rehabilitation | en |
| Keyword | Gamification | en |
| Keyword | Family Involvement | en |
| Keyword | Adherence | en |
| Publisher | Brieflands | en |
| Title | Family-Engaged Gamified Rehabilitation and Its Associations with Elbow Function Recovery and Rehabilitation Compliance in Pediatric Patients After Lateral Humeral Condyle Fracture | en |
| Type | Research Article | en |
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