Background: Investigations into the use of virtual gaming, focussing on its effect on lower extremity function within therapy of children with cerebral palsy is conspicuous by its absence. Purpose: The aim of this review is to provide an evidence-based account and associated discussion surrounding current research in the area. Data sources: A literature search of ‘PubMed’, ‘Google Scholar’ and ‘MetSearch’ with relevant keywords, with article inclusion requiring publication between 2011 and 2021 was completed. Content: Virtual reality influences multiple lower extremity functions when compared to conventional therapy or no therapy. However, information surrounding optimal prescription and participant characteristics is not evident. Implications: Virtual gaming for use concurrently with other therapies is recommended, with the requirement for further high-quality research to advance the use of virtual gaming further and individual dose response.