An Intensive Virtual Reality Program Improves Functional Balance and Mobility of Adolescents With Cerebral Palsy

Brien, Marie; Sveistrup, Heidi

doi:10.1097/pep.0b013e318227ca0f

Cited by 111 publications

(83 citation statements)

References 25 publications

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“…Hence, findings of the current work are consistent with those found by Brien [30], Deutsch [19], Luna-Oliva [18], Tarakci [4], JELSMA [29], and Morris [31] conducted using different balance tests in population of children with cerebral palsy. However, unlike findings in the current research, Ramstrand's work suggested lack of impact of implementing exercises in virtual reality on improvement of balance in children with cerebral palsy [32].…”

Section: Resultssupporting

confidence: 82%

Virtual Reality Practice, Computer Games, and Improvement of Cerebral Palsy Balance: A Single Subject Study

Boroumand

Mehraban

Dadgou

et al. 2017

Journal of Modern Rehabilitation

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Introduction: Virtual reality is a novel technology which creates attractive environment using computer hardware and software. In these virtual realities people can actively participate and use their motor and cognitive abilities. Current study aimed at investigating effect of virtual reality on the balance of children with cerebral palsy. Materials and Methods:This research is a single subject study with ABA design conducted on three children with cerebral palsy (GMFCSΙ level). Basic phase and intervention phase of investigation lasted for 2 and 4 weeks, respectively. Intervention sessions were repeated 3 times per week like base line phase. In each intervention session, children performed different computer games for 21 minutes. These games require center of pressure displacement in the frontal and sagittal planes. Follow-up phase was implemented 2 to 3 months after completion of intervention phase. Changes were measured using following measurement tools: pediatric reach test (PRT), Timed Up and Go (TUG), 10-meter walking (10MW) and subtest of balance and lower limb strength test, including Bruininks-Oseretsky of Motor Proficiency (BOMP). Finally results were investigated using visual analysis and C Statistics. Results:Comparison of PRT tests and subtest of balance and lower limb strength test, including BOMP suggested significant improvement in static balance (P=0.000), jumping ability, and dynamic balance of children participating in the research and durability of this improvement in follow-up phase, though investigation of TUG and 10MW test results showed no significant improvement. Conclusion:Results in this research showed that using virtual reality can improve balance in children with cerebral palsy.

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Section: Resultssupporting

confidence: 82%

Virtual Reality Practice, Computer Games, and Improvement of Cerebral Palsy Balance: A Single Subject Study

Boroumand

Mehraban

Dadgou

et al. 2017

Journal of Modern Rehabilitation

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“…Results from their study support two major findings: (i) the data suggest that functional balance and mobility in adolescents with CP can improve with an intense, short duration VR intervention and (ii) improvements in outcome measures are maintained for at least one month following VR training. 14 It is difficult to say whether the changes observed in gross motor function were due to the training program, to a learning effect or to natural changes. 12 However, these results indicate that there may be some potential for training with a VR environment (like Nintendo Wii) to have an impact on gross motor function, and research studies should be conducted to explore this hypothesis.…”

Section: Brien Et Almentioning

confidence: 99%

“…Straker et al 6 , Gordon et al 12 and Brien et al 14 claim that virtual reality can improve motor ability in this population.…”

mentioning

confidence: 99%

Motor learning through virtual reality in cerebral palsy - a literature review

Massetti¹,

Silva²,

Ribeiro³

et al. 2014

Medical Express

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Cerebral palsy is a well-recognized neurodevelopmental condition beginning in early childhood and persisting throughout life. It is considered the most common non-progressive neurological disease of childhood. Subjects with cerebral palsy present complex motor skill disorders, the primary deficits being abnormal muscle tone that affects posture and movement, alterations of balance and of motor coordination, decrease in strength and loss of selective motor control, with secondary issues of contracture and bone deformity. This population may have difficulties in motor skill learning processes. Skill learning is learning as a result of repeated exposure and practice. Due to the increasing use of virtual reality in rehabilitation and the significance of motor development learning of subjects with cerebral palsy, we have recognized the need for studies in this area. The purpose of this study was to investigate the results of previous studies on motor learning using virtual reality with patients with cerebral palsy. Initially, 40 studies were found, but 30 articles were excluded, as they did not fulfil the inclusion criteria. The data extracted from the ten eligible studies is summarized. The studies showed benefits from the use of virtual reality in children with cerebral palsy in gross motor function and improvements in motor learning with skill transfer to real-life situations. Therefore, virtual reality seems to be a promising resource and a strategic option for care of these children. However, there are few studies about motor learning with virtual reality use. The long term benefits of virtual reality therapy are still unknown.

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“…Furthermore, there is now a growing evidence base to support their use in a variety of different rehabilitation applications including mobility and aerobic fitness [13][14][15], post-stroke rehabilitation of hand-arm function [16][17][18], balance [14,[19][20][21], pain distraction while undergoing treatment/therapy [22], and treatment of amblyopia ("lazy eye") [23].…”

Section: Introductionmentioning

confidence: 99%

A Game-Based Virtualized Reality Approach for Simultaneous Rehabilitation of Motor Skill and Confidence

Thin

2012

Advances in Human-Computer Interaction

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Virtualized reality games offer highly interactive and engaging user experience and therefore game-based approaches (GBVR) may have significant potential to enhance clinical rehabilitation practice as traditional therapeutic exercises are often repetitive and boring, reducing patient compliance. The aim of this study was to investigate if a rehabilitation training programme using GBVR could simultaneously improve both motor skill (MS) and confidence (CON), as they are both important determinants of daily living and physical and social functioning. The study was performed using a nondominant hand motor deficit model in nonambidextrous healthy young adults, whereby dominant and nondominant arms acted as control and intervention conditions, respectively. GBVR training was performed using a commercially available tennis-based game. CON and MS were assessed by having each subject perform a comparable real-world motor task (RWMT) before and after training. Baseline CON and MS for performing the RWMT were significantly lower for the nondominant hand and improved after GBVR training, whereas there were no changes in the dominant (control) arm. These results demonstrate that by using a GBVR approach to address a MS deficit in a real-world task, improvements in both MS and CON can be facilitated and such approaches may help increase patient compliance.

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An Intensive Virtual Reality Program Improves Functional Balance and Mobility of Adolescents With Cerebral Palsy

Abstract: Functional balance and mobility in adolescents with cerebral palsy classified at GMFCS level I improve with intense, short duration VR intervention, and changes are maintained at 1-month posttraining.

Cited by 111 publications

References 25 publications

Virtual Reality Practice, Computer Games, and Improvement of Cerebral Palsy Balance: A Single Subject Study

Virtual Reality Practice, Computer Games, and Improvement of Cerebral Palsy Balance: A Single Subject Study

Motor learning through virtual reality in cerebral palsy - a literature review

A Game-Based Virtualized Reality Approach for Simultaneous Rehabilitation of Motor Skill and Confidence

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