Background: Effective drugs for type 1A Charcot-Marie-Tooth (CMT1A) disease are not available. Various forms of moderate exercise are beneficial, but few data are available on the effectiveness of exercise in CMT1A children.
Aim: To investigate the feasibility and effectiveness of exercises to improve ankle strength and limb function in a child with CMT1A.
Setting: Outpatient clinic.
Population: Nine-year-old boy with CMT1A.
Methods: The rehabilitation program consisted of ankle exercises and Kinect videogame-directed physical activities (using an Xbox 360 console/movement sensor) that aimed to improve balance and limb strength. The program was given 3 times a week for 5 weeks. The child was assessed at baseline, after 5 weeks, and 3 and 6 months after.
Results: By the end of follow-up, child balance and endurance had improved, but ankle strength did not.
Conclusions: The encouraging results for balance and endurance justify further studies on videogame-directed activities in CMT1A children/adolescents.
Keywords: Charcot-Marie-Tooth disease; childhood; rehabilitation; strength training; videogame-directed exercises.