Use of virtual reality systems as proprioception method in cerebral palsy: clinical practice guideline

Abstract

Introduction: The limitations in performing functional activities in children and adolescents with cerebral palsy are important. The use of virtual reality systems is a new treatment approach that reinforces task-oriented motor learning. The purpose of this guide is to study the impact of the use of virtual reality systems in the improvement and acquisition of functional skills, and to evaluate the scientific evidence to determine the strength of recommendation of such interventions.Development: All available full-text articles, regardless of their methodology, were included.The following databases were consulted: PubMed (Medline), PEDro, EMBASE (OVID-Elsevier), Cochrane Library, Medline (OVID), CINAHL, ISI Web Knowledge. An assessment was made of methodological quality, the level of scientific evidence, and the strength of recommendations using the tools: Critical Review Form for Quantitative Studies and the Guidelines for Critical Review Form for Quantitative Studies and U.S. Preventive Services Task Force. Finally, we included 13 articles and 97 participants were recruited. We obtained significant improvements in outcome measures that assessed postural control and balance, upper limb function, the selective joint control, and gait. Conclusions:The guide has some limitations: the limited number of patients enrolled, clinical diversity and age range, as well as the methodological quality of existing trials. Virtual reality is a promising tool in the treatment of children with cerebral palsy. There is strong scientific evidence of an acceptable recommendation for the use of virtual reality systems in the treatment of cerebral palsy.Empleo de sistemas de realidad virtual como método de propiocepción en parálisis cerebral: guía de práctica clínica Resumen Introducción: Las limitaciones para realizar actividades funcionales en niños y adolescentes con parálisis cerebral son importantes. El empleo de sistemas de realidad virtual constituye un nuevo enfoque de tratamiento que refuerza el aprendizaje motor orientado a tareas. El objetivo del presente trabajo consiste en analizar qué repercusión tiene el empleo de sistemas de realidad virtual en la mejora y adquisición de habilidades funcionales; y evaluar la evidencia científica existente para determinar qué fuerza de recomendación tienen dichas intervenciones.Desarrollo: Se incluyeron todos los artículos disponibles a texto completo independientemente de su metodología. Se consultaron las siguientes bases de datos: Pubmed (Medline), PEDro, Embase (OVID-Elsevier), Cochrane Library Plus, Medline (OVID), CINHAL, ISI web Knowledge. Se evaluaron la calidad metodológica, el nivel de evidencia científica y la fuerza de las recomendaciones con las herramientas: Critical Review Form-Quantitative Studies and the Guidelines for Critical Review Form-Quantitative Studies y U.S. Preventive Services Task Force. Finalmente, se incluyeron 13 artículos y se reclutó a 97 participantes. Se obtuvieron mejoras significativas en medidas de resultado que evalúan el control postural y el equi...

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

“…15 Outcomes varied in the ICF domains, with most measurements related to body structure and function and overall gross or fine motor activity. Some studies focused on sensory impairments including visual spatial training 37 and sensory attention for balance, 38 and some focused on intensity of exercise for improving fitness.…”

“…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.…”

“…Studies of rehabilitation have incorporated the games as safe, motivating, engaging, and fun task-specific practice to facilitate restoration of movement capabilities. 2,14,15 Customized lab based systems in parallel with SGs have been explored for their potential to motivate and provide meaningful intensive repetitive practice in ecologically valid environments. 2,13,16,17,18 …”

The use of virtual reality for balance among individuals with chronic stroke: a systematic review and meta-analysis

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Use of Electroencephalography Brain‐Computer Interface Systems as a Rehabilitative Approach for Upper Limb Function After a Stroke: A Systematic Review

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