Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Chen, Yuping; Fanchiang, Hsin Chen D.; Howard, Ayanna M.

doi:10.1093/ptj/pzx107

Cited by 173 publications

(189 citation statements)

References 63 publications

Supporting

Mentioning

144

Contrasting

Unclassified

Order By: Relevance

“…These findings are similar to those of Ravi & Kumar and Chen et al (13,14), who reported that MCVGs may be as effective as traditional occupational and physiotherapy methods. One study (42) reported higher compliance in the MCVG group compared with the control group, suggesting that MCVGs are a motivating training method; a finding also reported in other studies (7).…”

Section: Discussionsupporting

confidence: 91%

“…One study (42) reported higher compliance in the MCVG group compared with the control group, suggesting that MCVGs are a motivating training method; a finding also reported in other studies (7). Chen and colleagues (14) found that engineer-built systems had a larger effect than MCVGs. However, such systems are not commercially available, are very large in size and are much more expensive than commercial MCVG, such as the Nintendo or Xbox platforms.…”

Section: Discussionmentioning

confidence: 67%

“…A meta-analysis from 2018, which included 19 randomized controlled trials (RCTs) with a total of 504 participants with CP, found that virtual reality (VR) provided a strong effect (d = 0.861; 95% confidence interval (CI) = 0.51-1.22) on arm and hand function compared with other interventions. They also noted that engineer-built systems are more efficient than commercial consoles (14).…”

Section: Motion-controlled Commercial Video Games As a Training Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of training with motion-controlled commercial video games for hand and arm function in people with cerebral palsy: A systematic review and meta-analysis

Johansen

Strøm²,

Simic³

et al. 2020

J Rehabil Med

View full text Add to dashboard Cite

LAY ABSTRACTThe objective of this study was to examine the effect of motion-controlled commercial video games compared to traditional occupational-and physiotherapy methods on hand and arm function in persons with cerebral palsy. This review has investigated what the already existing Research have found on this subject and the results have been pooled to get a broader view of what effect this Method has for People living With cerebral palsy.The results of this study shows that motion-controlled commercial video games have a greater effect on hand and arm function compared to traditional therapy methods. Which means that motion-controlled commercial video games can be a good Method of training as an addition to traditional methods for therapists working with people with cerebral palsy. Objective: To examine the effect of motion-controlled commercial video games compared with traditional occupational and physiotherapy methods for hand and arm function in persons of all ages with cerebral palsy. Data sources: A systematic literature search was conducted in Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, OTseeker and PEDro for randomized controlled trials involving persons with cerebral palsy using motion-controlled commercial video games as a training method for hand and arm function, compared with traditional therapy. Study selection and data extraction: Screening, data-extraction, risk of bias and quality assessment was carried out independently by 2 of the authors. The risk of bias of each study was assessed using the Cochrane Collaborations Risk of Bias Tool. The quality of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE).Data synthesis: Eight randomized controlled trials, with a total of 262 participants, were included. A random effects meta-analysis showed a statistically significant difference compared to traditional therapy methods in favour of motion-controlled commercial video games. The quality of the evidence was, however, rated as very low. Conclusion: Despite a significantly greater improvement in hand and arm function in favour of motioncontrolled commercial video games, the results of this review should be interpreted with caution with regards to high risk of bias and the low strength of evidence. There is a need for high-powered studies on the effectiveness of training with motion-controlled commercial video games for persons with cerebral palsy, especially in adults.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 67%

Section: Motion-controlled Commercial Video Games As a Training Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of training with motion-controlled commercial video games for hand and arm function in people with cerebral palsy: A systematic review and meta-analysis

Johansen

Strøm²,

Simic³

et al. 2020

J Rehabil Med

View full text Add to dashboard Cite

show abstract

“…This space was set up in response to current evidence reporting the potential of VR for improving motor function and activity level in stroke and cerebral palsy [1,15]. Patients treated by our clinic include a variety of neurologic conditions, but primarily consists of cerebral palsy and traumatic brain injury.…”

Section: Kiosk Model For Pediatric Neurorehabilitation At Schön Clinimentioning

confidence: 99%

Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

O'Neil¹,

Fernandez

Herzog³

et al. 2018

PM&R

View full text Add to dashboard Cite

Virtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for health care providers to augment the dose of task-oriented exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is typically characterized by the use of gamified exergames which feature task-oriented physiotherapy exercises. At present, evidence for the efficacy of this technology is sparse, with some reviews suggesting it is the same or no better than conventional approaches. The purpose of this article is to provide real-world insights on the adoption of a virtual reality by 3 European clinics in 3 different service delivery models. These include an inpatient setting for Parkinson disease, a kiosk model for pediatric neurorehabilitation, and a home-based telerehabilitation model for neurologic patients. Motivations, settings, requirements for the pathology, outcomes, and challenges encountered during this process are reported with the objective of priming clinicians on what to expect when implementing virtual reality in neurorehabilitation.

show abstract

“…There are also several adjunctive interventions that when combined with task-specific motor training may augment the positive effects of training. These include electrical stimulation [65,[92][93][94], hydrotherapy [108,110,111], taping [159][160][161][162][163][164], transcranial direct current stimulation [101,[166][167][168], and virtual reality serious gaming [33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] (yellow lights, weak positive). These interventions warrant more research as children reported finding gaming interventions rewarding and normalizing, and preferred electrical stimulation to wearing ankle-foot orthoses from a comfort perspective [93].…”

Section: Motor Interventionsmentioning

confidence: 99%

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

Novak

Morgan

Fahey

et al. 2020

Curr Neurol Neurosci Rep

663

611

View full text Add to dashboard Cite

Purpose of Review Cerebral palsy is the most common physical disability of childhood, but the rate is falling, and severity is lessening. We conducted a systematic overview of best available evidence (2012-2019), appraising evidence using GRADE and the Evidence Alert Traffic Light System and then aggregated the new findings with our previous 2013 findings. This article summarizes the best available evidence interventions for preventing and managing cerebral palsy in 2019. Recent Findings Effective prevention strategies include antenatal corticosteroids, magnesium sulfate, caffeine, and neonatal hypothermia. Effective allied health interventions include acceptance and commitment therapy, action observations, bimanual training, casting, constraint-induced movement therapy, environmental enrichment, fitness training, goal-directed training, hippotherapy, home programs, literacy interventions, mobility training, oral sensorimotor, oral sensorimotor plus electrical stimulation, pressure care, stepping stones triple P, strength training, task-specific training, treadmill training, partial body weight support treadmill training, and weight-bearing. Effective medical and surgical interventions include anti-convulsants, bisphosphonates, botulinum toxin, botulinum toxin plus occupational therapy, botulinum toxin plus casting, diazepam, dentistry, hip surveillance, intrathecal baclofen, scoliosis correction, selective dorsal rhizotomy, and umbilical cord blood cell therapy. Summary We have provided guidance about what works and what does not to inform decision-making, and highlighted areas for more research.

show abstract

Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Abstract: Then compared with other interventions, VR seems to be an effective intervention for improving motor function in children with CP.

Cited by 173 publications

References 63 publications

Effectiveness of training with motion-controlled commercial video games for hand and arm function in people with cerebral palsy: A systematic review and meta-analysis

Effectiveness of training with motion-controlled commercial video games for hand and arm function in people with cerebral palsy: A systematic review and meta-analysis

Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

Contact Info

Product

Resources

About