Effects of virtual reality in body oscillation and motor performance of children with cerebral palsy: A preliminary randomized controlled clinical trial

Arnoni, Joice Luiza Bruno; Pavão, Sílvia Leticia; Silva, Fernanda Pereira dos Santos; Rocha, Nelci Adriana Cicuto Ferreira

doi:10.1016/j.ctcp.2019.02.014

Cited by 46 publications

(49 citation statements)

References 18 publications

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“…33 More in-depth studies reported that VR induced an increase in postural control in cerebral palsy children. 34 It seems that VR might be the reason behind improvement in motor control, and consequently this might explain the improvement in balance associated with such an intervention. Finally, VR has the advantage of reduced cost in addressing gait and balance, as previously reported by others.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Adding Virtual Reality Training on Traditional Exercise Program on Balance and Gait in Unilateral, Traumatic Lower Limb Amputee

Abbas

Cooreman

Sultan

et al. 2021

Games for Health Journal

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Objective: Lower limb amputation is common in war combat and armed conflict as well as in traumatic settings and presents a challenge for health care providers. The incorporation of advanced technologies, particularly virtual reality, presents an opportunity to address the main consequences of amputation, principally balance and gait. The aim of this study was to investigate the additional effect of virtual reality with a traditional rehabilitation exercise program on balance and gait in unilateral, traumatic lower limb amputees. Materials and Methods: Thirty-two traumatic lower limb amputees, fulfilling a postfitting rehabilitation program at least 6 months ago, were recruited and randomly assigned into two identically sized groups; group C (control group) experiencing the traditional exercise program and group VR (virtual reality group) experiencing an addition of a virtual reality training. The intervention was conducted over 6 weeks at a rate of three sessions per week. Outcome measures assessed before and after 6 weeks were the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, Dynamic Gait Index (DGI), and 6-minute walk test (6 MWT). Results: Both interventions induced improvement in all measured parameters (P < 0.05); however, virtual reality demonstrated significant superior effects only on the balance markers, TUG test, DGI, and BBS (P < 0.05), but not on the 6 MWT (P > 0.05). Conclusion: Virtual reality is a promising, amusing, and safe intervention for addressing balance and gait in unilateral, traumatic lower limb amputees.

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Section: Discussionmentioning

confidence: 99%

The Effect of Adding Virtual Reality Training on Traditional Exercise Program on Balance and Gait in Unilateral, Traumatic Lower Limb Amputee

Abbas

Cooreman

Sultan

et al. 2021

Games for Health Journal

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“…Apenas Ensaios Clínicos Randomizados foram incluídos nesta pesquisa, ao todo, considerando o tamanho amostral dos seis artigos inclusos nesta revisão, considera-se um total de 187 participantes, o tamanho das amostras nos estudos variou entre 15 a 62 participantes, com idade entre quatro e 20 anos. Todos os estudos foram realizados apenas com crianças com PC, em quatro estudos [13][14][15][16] identificaram os participantes como PC hemiplégica. Os estudos tiveram duração média de 6 semanas.…”

Section: Características Dos Participantes E Intervençãounclassified

“…Nos ensaios clínicos incluídos foram utilizadas tecnologias de RV não imersivas, o console Nintendo Wii™ foi utilizado por quatro estudos como método de intervenção 13,15,17,18 jogos como boxe, tênis, basquete, boliche, frisbee foram escolhidos por exigirem maior uso dos membros superiores. 13 O console Xbox™ 360° com Kinect Microsoft ® Adventures foi o meio de intervenção adotado por um estudo, 16 com um conjunto de jogos que exigiam equilíbrio e mobilidade de membros superiores e inferiores. Um estudo empregou o sistema E-Link Evaluation and Exercise System (Version 6 software) desenvolvido por Biometrics Ltda.…”

Section: Características Dos Participantes E Intervençãounclassified

“…Um estudo empregou o sistema E-Link Evaluation and Exercise System (Version 6 software) desenvolvido por Biometrics Ltda. 16 Nesta revisão foram encontrados resultados relacionados "Funções corporais", entende-se como funções corpo as funções fisiológicas dos sistemas orgânicos, incluindo as funções fisiológicas; e resultados relacionados ao domínio "Atividade", que trata da execução de uma tarefa ou ação por um indivíduo. 9 Domínios da Classificação Internacional de Funcionalidade, Incapacidade e Sáude (CIF) "Funções corporais" e "Atividade" Observou-se de maneira geral, que o domínio "Atividade" foi o mais estudado, seguido do domínio "Funções corporais".…”

Section: Características Dos Participantes E Intervençãounclassified

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Efeitos da realidade virtual em crianças e adolescentes com paralisia cerebral baseada na Classificação Internacional de Funcionalidade, Incapacidade e Saúde: revisão sistemática

et al. 2020

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Objetivo: Abordar os efeitos da terapia com realidade virtual em crianças e adolescentes com Paralisia Cerebral de acordo com a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Com intuito de reunir dados que elucidem como a aplicação da CIF pode resultar em melhor compreensão das características apresentadas em uma situação de saúde. Métodos: Os artigos foram pesquisados nas plataformas MEDLINE (Pubmed), PEDro, LILACS e SCIELO, publicados até maio de 2019. A escala de qualidade PEDro (Physioterapy Evidence Database) foi utilizada como método de avaliação de qualidade dos artigos, sendo incluídos artigos com nota ≥ 6 (seis) no PEDro. Resultados: Seis artigos foram incluídos nesta revisão. De maneira geral, observou-se resultados significantes quanto às “Funções corporais” relacionadas à melhora da função de membros superiores e inferiores, após intervenção com RV, quando comparados a terapia convencional. No domínio “Atividade” observou-se resultados na marcha, equilíbrio e habilidades motoras globais de crianças com PC após intervenção com RV. Conclusão: Os efeitos da Realidade Virtual em crianças com PC relacionados a CIF são positivos, mas foram encontrados mais resultados associados ao domínio “Funções corporais” e “Atividade”, assim, sugere-se que sejam feitos mais estudos para verificar os efeitos da RV quanto à “Participação” e “Fatores ambientais”.

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“…The interactive therapy can motivate CP during rehabilitation therapy because this system can adapt to the changing levels of skills, interest or fatigue of the clients [16]. The intervention using an interactive tool is also can improve the gross motor function of children with CP, GMFCS I-II [17]. Based on the ability of VBS to recognize people based on their voice, this study offers a new method for recognizing CP severity level based on their speech.…”

mentioning

confidence: 99%

Voice Biometric System: The Identification of the Severity of Cerebral Palsy using Mel-Frequencies Stochastics Approach

Nafisah

Effendy

2019

IJIE

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Cerebral Palsy (CP) is known as one type of disabilities that affects children. CP is an 'umbrella' for all chronic neurologic disorders which was manifested in movement control disorders. They arise early in life, commonly initiated with non-progressive diseases [1]. This neurological condition causes problems in body movement and muscle control that can inhibit the development of children's speech. The inhibition of speech development in CP is caused by the stiffness of the muscles around the mouth and face. It causes the children with CP having difficulty coordinating their speech organs. In CP, there is a disorder occurs that causes the muscles to move on their own without realizing it. This disorder is called dystonia. Regarding the development of speech on CP where the development is affected by the stiffness of the muscles around the mouth, then dystonia can be an indication of the severity level of CP. Based on dystonia that occurs on CP, CP can be classified into 4 severity levels: Slight, Mild, Moderate, and Severe. In Slight level, dystonia occurs less than 10% of the time and doesn't interfere with speech. Whereas in mild level of severity, dystonia occurs less than 50% and doesn't interfere with the speech. In moderate level, speech impairments caused by dystonia in CP begin to suffer where the dystonia is more than 50% of the time. Even at severe level, children with CP are difficult to move his/her mouth [2],[3]. Dystonia that occurs in CP causes CP speech has unique characteristics like "slurred," "choppy," or "mumbled" that may be difficult to understand. CP speech is also at a slow rate and the rapid rate in mumbling quality. Voice quality changes in CP, such as hoarse and breathy voice or speech that sounds "nasal" or "stuffy", are caused by limited tongue,

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Effects of virtual reality in body oscillation and motor performance of children with cerebral palsy: A preliminary randomized controlled clinical trial

Cited by 46 publications

References 18 publications

The Effect of Adding Virtual Reality Training on Traditional Exercise Program on Balance and Gait in Unilateral, Traumatic Lower Limb Amputee

The Effect of Adding Virtual Reality Training on Traditional Exercise Program on Balance and Gait in Unilateral, Traumatic Lower Limb Amputee

Efeitos da realidade virtual em crianças e adolescentes com paralisia cerebral baseada na Classificação Internacional de Funcionalidade, Incapacidade e Saúde: revisão sistemática

Voice Biometric System: The Identification of the Severity of Cerebral Palsy using Mel-Frequencies Stochastics Approach

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