The effects of virtual reality-based bilateral arm training on hemiplegic children’s upper limb motor skills

Do, Ji-Hye; Yoo, Eun‐Young; Jung, Min‐Ye; Park, Hae Yean

doi:10.3233/nre-161302

Cited by 40 publications

(57 citation statements)

References 23 publications

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“…Chen et al40 found that individuals with CP (hemiplegic) who presented less damage in functionality and a better understanding of the task favored performance improvement, presenting better results after an intervention through VR. In the study by Do et al,41 VR programs were found to be capable of changing motor skills (motor performance) in individuals with hemiplegic CP. Likewise, Pourazar et al42 showed significant improvements in a group of children with CP after an intervention program using VR.…”

Section: Discussionmentioning

confidence: 99%

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task – a pilot study</p>

Martins¹,

Massetti²,

Crocetta³

et al. 2019

NDT

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Purpose: To evaluate the performance improvement of individuals with hemiparesis cerebral palsy (CP) using a virtual task. Participants and methods: Twenty individuals were selected and distributed into two groups. The experimental group (CP group) comprised ten individuals with a medical diagnosis of CP, and ten individuals with typical development (sex-and age-matched) composed the control group (TD group). Both groups followed the same intervention protocol, which included a virtual coincident timing task: the participants performed upper limb movements in front of a computer's webcam and interacted with the task with the aim of virtually intercepting spheres that fell in four rows following the rhythm of a pre-selected song during an 8-minute period. To verify the influence on a real task, pre-and posttests were performed in a similar task, but with physical contact (using the spacebar on the keyboard of a computer). To analyze the data, we evaluated the variable, constant, and absolute errors during the task and in the pre-and posttests. Results: The results showed that there was an improvement in performance between the pre-and posttests; that is, after practicing the task in an environment without physical contact, there was a performance improvement in posttests in the real task, but only for the CP group. Moreover, there were significant differences in precision and accuracy between the two groups, with worse performance in the CP group. Conclusion: Individuals with CP presented better performance in the real task after practice in a virtual reality task, albeit with worse performance compared with individuals with TD. This is an interesting result that supports the possible use of virtual tasks for the rehabilitation of individuals with CP.

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Section: Discussionmentioning

confidence: 99%

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task – a pilot study</p>

Martins¹,

Massetti²,

Crocetta³

et al. 2019

NDT

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show abstract

“…The evidence for AVG use to improve gross motor skills in children with CP has primarily been reported for Nintendo's Wii and WiiFit, systems in which interaction with the game is via a hand-held controller or a force platform (e.g., Chiu et al, 2014;Do et al, 2016). Full body movement is the medium for game interaction in Microsoft's Xbox360 Kinect motion-capture sensor games.…”

Section: Introductionmentioning

confidence: 99%

Active Video Gaming for Children with Cerebral Palsy: Does a Clinic-Based Virtual Reality Component Offer an Additive Benefit? A Pilot Study

Levac

McCormick

Levin

et al. 2017

Physical & Occupational Therapy In Pediatrics

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“…It can also improve trunk control and concentration [56]. Active participation, receiving feedback and repetition of movements during the VRBT intervention, assists in motor learning that induces cortical reorganisation and neural plasticity changes in the brain [57][58][59]. VRBT also increases the exercise compliance level in achieving selective motor control and enhances the effectiveness of conventional physiotherapy [60].…”

Section: Virtual Reality-based Therapy (Vrbt)mentioning

confidence: 99%

Neuromusculoskeletal Rehabilitation of Severe Cerebral Palsy

Sharan¹,

Rajkumar²,

RajarajeshwariBalakrishnan³

et al. 2016

Cerebral Palsy - Current Steps

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Persons with Gross Motor Function Classification System (GMFCS) levels IV and V are considered as severe cerebral palsy (CP) and are non-ambulatory. These persons are at a higher risk of complications such as hip displacement (sub-luxation or dislocation), spinopelvic deformities, musculoskeletal pain, low bone mineral density and low energy fracture. The recommended management strategy at present for this group is wheelchairaided mobility, with which none of these complications can be prevented. There is a strong need to evaluate alternative methods of treatment that can allow assisted ambulation in persons with severe CP. The role of Single Event Multilevel Lever Arm Restoration and AntiSpasticity Surgery (SEMLARASS) and protocol-based active rehabilitation on gross motor function and ambulation of non-ambulatory persons with CP at GMFCS levels IV and V is examined. Active rehabilitation involves making the person with severe CP active through most of the waking hours and participating actively in the rehabilitation. A wellplanned and executed SEMLARASS, followed by intensive, protocol-based, sequenced multidisciplinary active rehabilitation, provides the persons with GMFCS levels IV and V a significant functional improvement in gross motor function and mobility. cognitive, social, behaviour, speech and communication, seizure disorder, respiratory illness and other musculoskeletal disorders [1]. A total of 17 million persons are estimated to have CP worldwide and CP is one of the most common causes of physical disability among children. The prevalence of CP is currently estimated to be 2.11/1000 live births [2] and varies between 1 and 5/1000 live births in different countries. 28% of persons with CP have epilepsy, 58% have difficulties with communication, 42% have visual problems and 23-56% have learning disabilities [3].Clinicians classify patients with CP to describe the specific problem, to predict prognosis and to guide treatment. Classification is based on the change in muscle tone, anatomical region of involvement and severity of the problem. Types of CP according to muscle tone are spastic (hemiplegia, diplegia and quadriplegia based on anatomical region of involvement), ataxic and dyskinetic (dystonia and choreoathetosis). Even though these terms do not have specific reliability among the observers, these terms are helpful for understanding the CP condition [4]. Gross Motor Function Classification System (GMFCS) is another system to classify gross motor function of children and youths with CP on the basis of their self-initiated movement with particular emphasis on sitting, walking and wheeled mobility. Children and youths with GMFCS levels IV and V are non-ambulatory and are considered as severe CP. Persons in GMFCS level IV use wheelchair, either manual or automatic, for transportation and persons in GMFCS level V are highly dependent because of the lack of balance in head, neck and trunk, and will require major assistive devices for physical assistance [5].According to data from North India, 69% of ...

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The effects of virtual reality-based bilateral arm training on hemiplegic children’s upper limb motor skills

Abstract: This study confirmed that for children with hemiplegic with cerebral palsy, bilateral arm training based on virtual reality can be an effective intervention method for enhancing the upper limb motor skills on the affected side, as well as bilateral coordination ability.

Cited by 40 publications

References 23 publications

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task – a pilot study</p>

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task – a pilot study</p>

Active Video Gaming for Children with Cerebral Palsy: Does a Clinic-Based Virtual Reality Component Offer an Additive Benefit? A Pilot Study

Neuromusculoskeletal Rehabilitation of Severe Cerebral Palsy

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The effects of virtual reality-based bilateral arm training on hemiplegic children’s upper limb motor skills

Abstract: This study confirmed that for children with hemiplegic with cerebral palsy, bilateral arm training based on virtual reality can be an effective intervention method for enhancing the upper limb motor skills on the affected side, as well as bilateral coordination ability.

Cited by 40 publications

References 23 publications

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task &ndash; a pilot study</p>

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task &ndash; a pilot study</p>

Active Video Gaming for Children with Cerebral Palsy: Does a Clinic-Based Virtual Reality Component Offer an Additive Benefit? A Pilot Study

Neuromusculoskeletal Rehabilitation of Severe Cerebral Palsy

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Product

Resources

About

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task – a pilot study</p>

<p>Analysis of motor performance in individuals with cerebral palsy using a non-immersive virtual reality task – a pilot study</p>