Efficiency of image visualization simulator technology for physical rehabilitation of children with cerebral palsy through play

Abstract

The number of children born with cerebral palsy (CP) remains stably high. Novel approaches for rehabilitation of such patients are being sought. This study aimed to define the efficiency of the image visualization technologies in play activity for the physical rehabilitation of children with cerebral palsy. Sixteen boys with spastic diplegia aged 7–9 participated in the study. They were divided into treatment group (TG) and control group (CG), 8 children each. The TG patients were trained using the virtual reality based Krisaf training simulator twice a week for 40 minutes during 8 months. The child was suspended in the horizontal position and looked at the monitor through the specialised eyeglasses. Under the conditions of the marine environment immersion simulation with reduced gravity children performed motor tasks through play: searched for treasures, competed with dolphins etc. The CG patients attended the physical therapy lessons. Rehabilitation lessons using the virtual reality based Krisaf training simulator for children affected with spastic cerebral palsy led to a significant improvement of motor skills. Various motion tests showed an improvement over baseline, the average indicators increased 1.30–1.48 times. The difference between TG and CG results was statistically significant. In the CG referred to physical therapy the indicators increase was less than 10%, in the TG the increase reached 30–40%. It was concluded that the use of virtual reality based technologies promotes the optimization of neurophysiological processes in the motor analyzer cortical areas and better adaptation to motor loads.

Gaming Technology for Pediatric Neurorehabilitation: A Systematic Review

“…Our search identified nine longitudinal studies as reported in Table 1 (34)(35)(36)(37)(38)(39)(40)(41)(42). According to the PEDro scores, one of the most interesting paper was the one by Choi et al (35), showing that children with chronic brain injury (including CP), treated by virtual reality and occupational therapy, significantly improved upper-limb dexterity functions, performance of daily activities, and forearm supination, as compared to the control group.…”

“…Wider improvements were observed for children with more severe motor impairment. Gorelik et al (38) showed that the Krisaf training simulator-based rehabilitation led to significant refinement of motor capabilities in children with spastic CP. Also, Tarakci et al (39) reported a significant balance improvement in children and adolescents with CP treated by using Nintendo-Wii-Fit balance board.…”

The Arrival of the Metaverse in Neurorehabilitation: Fact, Fake or Vision?

“…The disease represents the synthesis of the cognitive, sensory, motor and behavioral developmental deficits of a child and would find in the metaverse an opportunity to carry out a true multidimensional rehabilitation, thanks to a well-tested and customized rehabilitation protocol. Many studies have already reported positive results of clinical trials based on digital gaming technologies [ 47 ] and virtual reality [ 48 , 49 ] in children with cerebral palsy, as well as studies with the therapist not in person [ 50 ]. However, a recent systematic review found that the effect of VR in the rehabilitation of the upper limb of children with CP remains unclear [ 51 ].…”