Effect of Virtual Reality on Upper Extremity Function in Children With Cerebral Palsy

Chen, Yu Ping; Lee, Shih‐Yu; Howard, Ayanna M.

doi:10.1097/pep.0000000000000046

Cited by 79 publications

(74 citation statements)

References 41 publications

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“…Recent systematic reviews consider constraint‐induced movement therapy as an effective intervention; however, future research is needed to establish the efficacy of various models and dosages . The use of neuromuscular electrical stimulation, virtual reality, and parent education and counselling are consistent with the recent evidence; but future research is needed to make conclusive recommendations. There is limited‐to‐no evidence for the use of myofascial release, sensory integration, suit therapy, and proprioceptive neurofacilitation techniques in children with CP, and it is suggested that these techniques should not be used .…”

Section: Discussionmentioning

confidence: 99%

Treatment and re/habilitation of children with cerebral palsy in India: a scoping review

Jindal

MacDermid

Rosenbaum

et al. 2019

Develop Med Child Neuro

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Aim To describe the nature and extent of the literature addressing the medical and its re/habilitative management of cerebral palsy (CP) in India. Method Online worldwide scholarly databases, research hosting directories, Indian publishing houses, and grey literature were used to identify papers published between 2005 and 2016. We retrieved 144 English language papers that described the medical and rehabilitative management of Indian children with CP. Results Quantitative, qualitative, and mixed research designs are published by a variety of health care professionals in India. Intervention (45%) and observational studies (30%) predominate. Outcomes were categorized using the World Health Organization's International Classification of Functioning, Disability and Health framework, with body structure and function most reported and activity/participation least reported; 57% described its re/habilitation interventions and 43% were medical interventions. Interpretation There is a substantial body of CP research in India that focuses on interventions to reduce impairments, with minimal attention given to activities and participation, environmental, and personal factors. Twenty‐six per cent of studies are published in what appear to be ‘predatory journals’. This paper serves as an alert about the presence of ‘predatory journals’ in medicine that may introduce publication bias, which can distort results reported in those studies individually, or from conclusions drawn in reviews that contain those studies. What this paper adds Cerebral palsy research in India focuses on interventions to reduce impairment. Activities, participation, and environmental factors are minimally addressed. Quantitative studies are more common than qualitative studies. Many Indian studies are published in journals that are not indexed in worldwide databases of scholarly journals.

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Section: Discussionmentioning

confidence: 99%

Treatment and re/habilitation of children with cerebral palsy in India: a scoping review

Jindal

MacDermid

Rosenbaum

et al. 2019

Develop Med Child Neuro

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“…13,86,87,14,88,15,89, 85,90 The nine systematic reviews were completed between 2009–2015 and varied in focus. (Table 1) Within the reviews, there were 12 randomized controlled trials (RCT) and 85 other types of intervention studies suggesting a relatively large amount of research on VR and SG in pediatrics.…”

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

“…Customized systems are superior to SG in balance and mobility studies in people post-stroke and with upper extremity function in children with CP. 89,103 One problem with these customized systems is that many are developed and tested and then discarded because no method exists to transfer them out of the lab and into the clinic. To address this gap, clinician scientists and engineers from Spain, Portugal and the US have created an online resource, Open Rehabilitation Initiative, to share executable versions of the VR and SGs.…”

Section: Bridging the Gap From Evidence To Practicementioning

confidence: 99%

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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Use of virtual reality (VR) and serious games (SGs) interventions within rehabilitation as motivating tools for task specific training for individuals with neurological conditions are fast-developing. Within this perspective paper we use the framework of the IV STEP conference to summarize the literature on VR and SG for children and adults by three topics: Prevention; Outcomes: Body-Function-Structure, Activity and Participation; and Plasticity. Overall the literature in this area offers support for use of VR and SGs to improve body functions and to some extent activity domain outcomes. Critical analysis of clients' goals and selective evaluation of VR and SGs are necessary to appropriately take advantage of these tools within intervention. Further research on prevention, participation, and plasticity is warranted. We offer suggestions for bridging the gap between research and practice integrating VR and SGs into physical therapist education and practice.

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“…A review of interactive computer play for individuals with CP reported a moderate level of evidence for improved gross motor outcomes yet inconclusive evidence for upper limb motor function . A meta‐analysis examining the effect of specific virtual reality technologies in children with CP found a strong effect on upper limb function . Young children were identified as the best responders, and engineer‐built virtual reality systems had a greater effect than commercially available systems .…”

mentioning

confidence: 99%

Randomized controlled trial of web‐based multimodal therapy for unilateral cerebral palsy to improve occupational performance

James

Ziviani

Ware

et al. 2015

Develop Med Child Neuro

118

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Aim The study aimed to investigate the effectiveness of a web‐based therapy programme, ‘Move it to improve it’ (Mitii™), in children with unilateral cerebral palsy (UCP) on occupational performance, upper limb function, and visual perception. Method Participants (n=102) were matched in pairs and randomized to intervention (Mitii for 20wks; 26 males, mean age 11y 8mo [2y 4mo], Manual Ability Classification System level I=11, II=39, III=1) or control (standard care; 25 males, mean age 11y 10mo [2y 5mo], Manual Ability Classification System level I=13, II=37). Outcomes were the Assessment of Motor and Process Skills (AMPS), Assisting Hand Assessment, Jebsen–Taylor Test of Hand Function (JTTHF), Melbourne Assessment of Unilateral Upper Limb Function (MUUL), Canadian Occupational Performance Measure (COPM), and Test of Visual Perceptual Skills (TVPS‐3). Results Participants completed on average 32.4 hours of Mitii (range 3.7–74.7h). The Mitii group demonstrated significantly greater post‐intervention scores than the comparison group on the AMPS, JTTHF dominant upper limb, COPM, and TVPS‐3. The differences between groups were not clinically significant. There were no differences between groups on measures of impaired upper limb function. Interpretation Mitii delivers individualized, web‐based therapy at home and has potential to increase therapy dose. Mitii can be considered as an option to enhance occupational performance and visual perception for children with UCP.

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Effect of Virtual Reality on Upper Extremity Function in Children With Cerebral Palsy

Abstract: Virtual reality is a viable tool to improve UE function in children with CP. However, a more vigorous research design is needed to make a conclusive recommendation.

Cited by 79 publications

References 41 publications

Treatment and re/habilitation of children with cerebral palsy in India: a scoping review

Treatment and re/habilitation of children with cerebral palsy in India: a scoping review

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Randomized controlled trial of web‐based multimodal therapy for unilateral cerebral palsy to improve occupational performance

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