Efecto de una intervención basada en realidad virtual sobre las habi lidades motrices básicas y control postural de niños con Síndrome de Down

Abstract

There are few studies on the effect of a virtual reality-based intervention on motor development and postural control in children with Down Syndrome (DS). Objective: To determine the effect of a virtual reality-based intervention on motor development and postural control in children with DS. Patients and Method: Study with a quantitative approach, with a quasi-experimental design, which included 16 children with DS randomly assigned to an experimental group (Wii Balance Bord Group, WBBG, n = 9) and control group (CG, n = 7). Postural control was evaluated by the center of pressure displacement and motor development with TGMD-2. The intervention program was carried out for five weeks, two times per week. The data were subjected to statistical analysis, the Shapiro Wilk test for the sample distribution, and the Student's T-test for the comparison of group means. Results: Significant changes were observed in the TGMD-2 Test and its manipulation subtest (p < 0.01) respectively. In the rest of the tests, there was an improvement, but no significant differences were observed. Conclusion: A virtual reality-based intervention was effective in GWBB, providing lowimpact exercises to improve postural control and thus leading to improved motor skills in children with DS.

Effect of virtual reality therapy, combined with physiotherapy for improving motor proficiency in individuals with Down syndrome: A systematic review

“…The final seven eligible articles that were used in this systematic review are two RCTs (Ghafar & Abdelraouf 2017 ; Lin & Wuang 2012 ), four quasi-experimental studies (Álvareza et al 2018 ; Rahman 2010 ; Silva et al 2017 ; Wuang et al 2011 ) and a case study (Berg et al 2012 ). According to the NHMRC Hierarchy of evidence (Merlin et al 2009 ), the articles are classified as level II evidence (Ghafar & Abdelraouf 2017 ; Lin & Wuang 2012 ), level III-1 evidence (Álvareza et al 2018 ; Rahman 2010 ; Silva et al 2017 ; Wuang et al 2011 ) and level IV evidence (Berg et al 2012 ).…”

“…The studies included participants between the ages of 6 and 60 years. Wuang et al ( 2011 ), Silva et al ( 2017 ) and Ghafar and Abdelraouf ( 2017 ) did not specify the number of male and female participants, Rahman ( 2010 ) and Lin and Wuang ( 2012 ) had more female participants, and Álvareza et al ( 2018 ) had more male participants. The study by Berg et al ( 2012 ) had one male participant.…”

“…No baseline differences of participants were reported in any of the studies. The studies were conducted in Saudi Arabia (Ghafar & Abdelraouf 2017 ; Rahman 2010 ), Taiwan (Lin & Wuang 2012 ; Wuang et al 2011 ), Chile (Álvareza et al 2018 ) and Portugal (Silva et al 2017 ).…”

“…Variations in the type and/or dosages of the Nintendo Wii games used were evident across the studies. Three studies used both Nintendo Wii Fit and Sports (Berg et al 2012 ; Ghafar & Abdelraouf 2017 ; Wuang et al 2011 ), and four studies (Álvareza et al 2018 ; Lin & Wuang 2012 ; Rahman 2010 ; Silva et al 2017 ) used Nintendo Wii fit; however, the same games and activities were included in the different Nintendo Wii programmes. Standard physiotherapy or occupational therapy interventions were similar across the included studies, as described below.…”

“…Standard physiotherapy or occupational therapy interventions were similar across the included studies, as described below. The control groups of Lin and Wuang ( 2012 ) and Álvareza et al ( 2018 ) had no intervention reported, whilst Berg et al ( 2012 ) did not include a control group.…”