OBJECTIVE: To verify the effect of an intervention protocol using virtual reality (VR) on the motor performance and balance of a child with cerebral palsy (CP). CASE DESCRIPTION: To comply with the proposed objectives, a 7-year old child with spastic hemiplegic cerebral palsy (CP), GMFCS level I, was submitted to a physiotherapy intervention protocol of 12 45-minute sessions, twice a week, using virtual reality-based therapy. The protocol used a commercially-available console (XBOX(r)360 Kinect(r)) able to track and reproduce body movements on a screen. Prior to the intervention protocol, the child was evaluated using the Motor Development Scale (MDS) and the Pediatric Balance Scale (PBS) in order to assess motor development and balance, respectively. Two baseline assessments with a 2-week interval between each other were carried out for each tool. Then, the child was re-evaluated after the twelfth session. The results showed no changes in the two baseline scores. After the intervention protocol, the child improved his scores in both tools used: the PBS score increased by 3 points, reaching the maximal score, and the MDS increased from a much inferior motor performance to just an inferior motor performance. COMMENTS: The evidence presented in this case supports the use of virtual reality as a promising tool to be incorporated into the rehabilitation process of patients with neuromotor dysfunction.
Objective: To verify the effect of an intervention protocol using virtual reality (VR) on the motor performance and balance of a child with cerebral palsy (CP). Case description: To comply with the proposed objectives, a 7-year old child with spastic hemiplegic cerebral palsy (CP), GMFCS level I, was submitted to a physiotherapy intervention protocol of 12 45-minute sessions, twice a week, using virtual reality-based therapy. The protocol used a commercially-available console (XBOX®360 Kinect ® ) able to track and reproduce body movements on a screen. Prior to the intervention protocol, the child was evaluated using the Motor Development Scale (MDS) and the Pediatric Balance Scale (PBS) in order to assess motor development and balance, respectively. Two baseline assessments with a 2-week interval between each other were carried out for each tool. Then, the child was re-evaluated after the twelfth session. The results showed no changes in the two baseline scores. After the intervention protocol, the child improved his scores in both tools used: the PBS score increased by 3 points, reaching the maximal score, and the MDS increased from a much inferior motor performance to just an inferior motor performance. Comments: The evidence presented in this case supports the use of virtual reality as a promising tool to be incorporated into the rehabilitation process of patients with neuromotor dysfunction.
Resumo: O estudo objetivou descrever níveis de estresse e apoio social percebido de cuidadores de crianças com paralisia cerebral (PC), assim como investigar relações entre estresse e apoio social e variáveis relativas aos cuidadores, ao ambiente e às crianças, a saber: número de filhos, escolaridade do cuidador, renda familiar, temperamento e nível motor da criança. Participaram 50 crianças com PC com idade entre 3 e 7,5 anos, os respectivos 50 cuidadores e 25 profissionais da reabilitação, que tratam as crianças em instituições de saúde do interior de São Paulo. Os instrumentos de medida utilizados foram o Sistema de Classificação da Função Motora Grossa para Paralisia Cerebral, o Inventário de Sintomas de Stress para Adultos de Lipp, o Questionário de Suporte Social e uma ficha de identificação dos participantes. Os dados foram analisados por meio de estatística descritiva e inferencial, com os testes Qui-quadrado, Exato de Fisher, Mann-Whitney, Kruskal-Wallis e Odds-Ratio. Os resultados apontaram estresse entre os cuidadores participantes (66%), com predominância da fase de resistência (93,9%) e sintomas psicológicos (69,7%), baixo apoio social percebido pelos cuidadores, concomitante a uma adequada satisfação com o apoio recebido, assim como relações significativas entre o apoio social versus estresse (p = 0,017) e escolaridade versus apoio social (p = 0,037). Os dados permitem a análise das relações entre as variáveis investigadas e acerca do impacto de se ter uma criança com PC na família sobre o bem-estar físico, emocional e psicológico dos cuidadores, além de oferecer subsídios para a elaboração de estratégias em diferentes níveis de atenção às famílias de crianças com deficiência.
A strategy, which has been proved productive to inclusive education, was put into practice, in an effective way, by the education and health professionals partnership. The occupational therapist (OT) presents, in its formation, characteristics which enable them to frame as important elements in the process of improvement in the school inclusion. It aims to characterize the national scientific production about occupational therapy contributions for school inclusion process, through an exploratory and descriptive search, with a bibliometric approach. The search was performed in the databases BVS, Scielo, Redalyc and periodics Cadernos de Terapia Ocupacional da UFSCar, Revista de Terapia Ocupacional da USP, Revista Brasileira de Educação Especial e Revista Educação Especial da UFSM, using the search expressions "occupational therapy", "school inclusion", "especial education", "inclusive education" "school context", "assistive technology" and "school". With the aid of software VantagePoint®, the analysis produced indicators: year of publication, major journals when these papers were published, authors who participated in more publications, main topics discuted. Results pointed some characteristics of the literature of the field, highlighting the growing number of publishing in the last two years; publication predominance in occupational therapy journals; small group of authors responsible for the majority of publications, most studies are original, review, exploratory and descriptive, being the most common theme regarding questions about the role of OT in school inclusion processes, these data that characterize the scientific and reveal important contributions of occupational therapy in the context of inclusive education.
O objetivo do estudo foi avaliar a associação do perfil de funcionalidade de crianças com paralisia cerebral em casa e no contexto clínico nas áreas de autocuidado, mobilidade e função social, relatado por cuidadores e profissionais da reabilitação. Participaram 50 crianças, 50 cuidadores e 25 profissionais, fisioterapeutas e terapeutas ocupacionais, vinculados a instituições de saúde do interior Paulista. A instrumentação incluiu o Inventário de Avaliação Pediátrica de Incapacidade, uma ficha de identificação dos participantes e o Sistema de Classificação da Função Motora Grossa. Foi utilizado o teste de correlação de Spearman. Verificou-se associação significativa com índices de correlação de grande magnitude entre o perfil funcional das crianças nos dois contextos nas áreas investigadas, principalmente no que se refere às habilidades funcionais e a assistência dos cuidadores disponibilizada; associação mais fraca foi evidenciada nas modificações utilizadas. Resultados revelam coerência no repertório funcional das crianças em ambos contextos. A assistência disponibilizada por cuidadores e profissionais é relativamente semelhante, entretanto, os contextos se estruturam de forma a oferecerem modificações específicas, que dão suporte ao desempenho funcional dessas crianças em suas rotinas.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.