Background: Cerebral palsy (CP) children with gross motor function classification system (GMFCS) levels I and II experience problems in performing daily activities due to impairment in balance and coordination. Telerehabilitation refers to the use of information and communication technologies (ICT) to provide rehabilitation services to people remotely in their homes or other environments. It can prove beneficial to the family by decreasing time and costs related to travelling, family centred service and home-based delivery of care.Objective: To determine the effect of dual task activity programme (DTAP) on balance and coordination in CP children aged 4-16 years with GMFCS levels I and II using telerehabilitation.
Method:The pre-post experimental study included 20 CP children aged 4-16 years who received DTAP using telerehabilitation with smartphone and internet for 3 days a week, for 6 weeks, each session lasting for 45 minutes. The children were assessed for balance and coordination using BOT-2 and functional mobility using the TUG test before and after intervention.Results: CP children demonstrated significant improvement in bilateral coordination (p<0.0001), balance (p<0.0001) and functional mobility (p<0.0001) post-intervention. There was no significant change in balance, coordination and functional mobility based on age, gender and GMFCS level.
Introduction: Admission of children to the intensive care unit (ICU) can lead to a decline in ageappropriate behaviour and a rise in distress and anxiety. Virtual reality (VR) is a safe, cost-friendly, effective and acceptable treatment for medical or dental treatment related pain and emotional distress but its effect in decreasing distress in children admitted to the ICU is not well studied.Objective: To study the effect of VR experience on distress in children admitted to the ICU.Method: A randomized controlled trial was conducted on 30 children, aged 4-17 years, admitted to paediatric ICU (PICU) with 15 in intervention group and 15 in control group. Intervention group received 7 consecutive days of VR experience lasting 15 minutes. Control group received routine care provided in PICU. Distress was assessed using COMFORT Behaviour scale and anxiety using State Anxiety scale (STAI-CH) pre and post intervention.
Results:Children in the intervention group showed a significant decrease in distress with a mean difference of 4.93 ± 2.12 within the intervention group and 3.20 ± 2.21 within the control group. The p-value was 0.0369 which is statistically significant. In the STAI-CH scores, the mean difference within the intervention group was 11.40 ± 5.58 and control group was 6.73 ± 4.50. The p-value was 0.0001 which is statistically significant.
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