Constraint Induced Movement Therapy Camp for Children with Hemiplegic Cerebral Palsy Augmented by Use of an Exoskeleton to Play Games in Virtual Reality

Roberts, Heather; Shierk, Angela; Clegg, Nancy J.; Baldwin, Deborah; Smith, Linsley; Yeatts, Paul E.; Delgado, Mauricio R.

doi:10.1080/01942638.2020.1812790

Cited by 27 publications

(20 citation statements)

References 39 publications

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“…These findings agreed with those of You et al, who attributed cortical reorganization to VR-based intervention [24]. Similarly, a study by Roberts et al [25] published in 2021 investigated the combined impact of CIMT, robotic therapy, and VR games and found improvement in hand function, as well as occupational performance, that persisted even after six months following treatment.…”

Section: Vr As Interventionsupporting

confidence: 89%

Virtual Reality-Based Intervention for Enhancing Upper Extremity Function in Children With Hemiplegic Cerebral Palsy: A Literature Review

Goyal¹,

Vardhan²,

Naqvi³

2022

Cureus

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Cerebral palsy (CP) is the most common cause of motor disability in the pediatric population, with hemiplegia as one of the most widely seen subtypes of spastic CP. Although most of the children with hemiplegic CP are independent ambulators, deficits in hand function of the affected side remain a major concern of caregivers and children themselves. Children use the unaffected upper extremity to compensate for the weakness in the affected one, which consequently leads to the disuse of the hemiparetic upper extremity. Interactive virtual environments can enhance the activation of brain areas during training by providing feedback that can catalyze neuroplastic changes for improved function. Although numerous studies have been conducted on the impact of virtual reality (VR)-based rehabilitation in adults with stroke, studies on its use in the pediatric population are scarce. The three broad categories of VR systems based on the type of human-computer interactions are feedback-focused, gesture-based, and haptic-based. Preliminary studies have shown promising results of VR intervention in improving motor function, including upper extremity function, in children with hemiplegic CP. It is an engaging and entertaining intervention that adds an advantage of high compliance due to motivation. The current literature consists of studies with highly heterogeneous groups of participants and small sample sizes. Further investigation on children with a specific type of CP with advanced VR systems technology is warranted.

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Section: Vr As Interventionsupporting

confidence: 89%

Virtual Reality-Based Intervention for Enhancing Upper Extremity Function in Children With Hemiplegic Cerebral Palsy: A Literature Review

Goyal¹,

Vardhan²,

Naqvi³

2022

Cureus

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“…The therapy terms conventional therapy and virtual reality therapy refer to the two most discussed therapies in the DNS field. VR-based therapies are mainly integrated with conventional therapy, such as movement [129][130][131], serious game [132][133][134][135][136][137], mirror [138][139][140], and gesture therapy [141,142].…”

Section: Diseases Of the Nervous System (Dns)mentioning

confidence: 99%

Virtual Reality Aided Therapy towards Health 4.0: A Two-Decade Bibliometric Analysis

Liu

Ren

Xiao

et al. 2022

IJERPH

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Health 4.0 aligns with Industry 4.0 and encourages the application of the latest technologies to healthcare. Virtual reality (VR) is a potentially significant component of the Health 4.0 vision. Though VR in health care is a popular topic, there is little knowledge of VR-aided therapy from a macro perspective. Therefore, this paper was aimed to explore the research of VR in aiding therapy, thus providing a potential guideline for futures application of therapeutic VR in healthcare towards Health 4.0. A mixed research method was adopted for this research, which comprised the use of a bibliometric analysis (a quantitative method) to conduct a macro overview of VR-aided therapy, the identification of significant research structures and topics, and a qualitative review of the literature to reveal deeper insights. Four major research areas of VR-aided therapy were identified and investigated, i.e., post-traumatic stress disorder (PTSD), anxiety and fear related disorder (A&F), diseases of the nervous system (DNS), and pain management, including related medical conditions, therapies, methods, and outcomes. This study is the first to use VOSviewer, a commonly used software tool for constructing and visualizing bibliometric networks and developed by Center for Science and Technology Studies, Leiden University, the Netherlands, to conduct bibliometric analyses on VR-aided therapy from the perspective of Web of Science core collection (WoSc), which objectively and visually shows research structures and topics, therefore offering instructive insights for health care stakeholders (particularly researchers and service providers) such as including integrating more innovative therapies, emphasizing psychological benefits, using game elements, and introducing design research. The results of this paper facilitate with achieving the vision of Health 4.0 and illustrating a two-decade (2000 to year 2020) map of pre-life of the Health Metaverse.

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“…This study is a prospective case series in succession to the Roberts et al [16] study to investigate the dosage-effect relationship to promote improved hand function using a pCIMT camp-based protocol for children with UCP. A convenience sample of 15 children with UCP aged 5 to 15 years-old (9 male, 6 female, MACS I = 3, MACS II = 11, and MACS III = 1) that attended two pCIMT camp sessions at a pediatric orthopedic hospital in southeastern United States between the summers of 2014-2019.…”

Section: Participants and Settingmentioning

confidence: 99%

“…A literature review conducted by expert panelists in CIMT recommended that additional areas for future research should investigate the role of the environment including the effect of group-based training programs, and investigate the impact of innovative training methods, such as computer games and virtual reality [15]. In 2021, Roberts et al [16] published the results of a pilot study of an augmented pCIMT camp aimed to fill these gaps. The implementation of the group-based, augmented pCIMT demonstrated statistically and clinically significant positive effects on the independence in occupational performance and improved bimanual hand skills [16].…”

Section: Introductionmentioning

confidence: 99%

“…In 2021, Roberts et al [16] published the results of a pilot study of an augmented pCIMT camp aimed to fill these gaps. The implementation of the group-based, augmented pCIMT demonstrated statistically and clinically significant positive effects on the independence in occupational performance and improved bimanual hand skills [16]. However, further analysis of the long-term effects caused by repeat doses of the augmented pCIMT camp in children with UCP is needed.…”

Section: Introductionmentioning

confidence: 99%

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Improved Hand Function in Children with Cerebral Palsy with Repeat Doses of Group Based Hybrid Pediatric Constraint-Induced Movement Therapy

et al. 2022

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The study’s aim is to analyze the improved hand function and bimanual performance with unilateral cerebral palsy (CP) from repeat doses of an augmented, group-based pediatric constraint-induced movement therapy (pCIMT) camp. Fifteen children with unilateral CP (ages 5–15 years, 9 male, 6 female, Manual Abilities Classification System (MACS) I = 3, MACS II = 11, and MACS III = 1) participated in two sessions of an annual pCIMT camp. Participants attended 10 days of camp where they received group-based training wearing a constraint for a total of 50 h, received bilateral, occupation-based activities for 10 h (60 h total) including 30 min each day on the Hocoma Armeo®Spring. The Assisting Hand Assessment (AHA) was administered pre-intervention and post-intervention. Our results discovered a mean interval dose 1 and 2 was 511 days. Dose 1 mean AHA score at baseline was 55.93 ± 12.78 and 66.53 ± 12.85 at post. Dose 2 mean AHA score as 58.13 ± 12.80 and post 66.53 ± 12.82. In conclusion, there was an overall significant bimanual functional improvement based on AHA scores that indicate, regardless of which camp session, scores improved from pre-intervention to post-intervention. There was a generalized upward trend in improved hand function of a group-based pCIMT, and diminished effects between doses were reversed with repeat doses.

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Constraint Induced Movement Therapy Camp for Children with Hemiplegic Cerebral Palsy Augmented by Use of an Exoskeleton to Play Games in Virtual Reality

Cited by 27 publications

References 39 publications

Virtual Reality-Based Intervention for Enhancing Upper Extremity Function in Children With Hemiplegic Cerebral Palsy: A Literature Review

Virtual Reality-Based Intervention for Enhancing Upper Extremity Function in Children With Hemiplegic Cerebral Palsy: A Literature Review

Virtual Reality Aided Therapy towards Health 4.0: A Two-Decade Bibliometric Analysis

Improved Hand Function in Children with Cerebral Palsy with Repeat Doses of Group Based Hybrid Pediatric Constraint-Induced Movement Therapy

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