Impact of Virtual Reality Task-Oriented Training on Upper Extremity Motor Function in Children With Cerebral Palsy: A Randomised Controlled Trial - 22/01/25
, Saeid Fatorehchy, PhD c, Maryam Farzad, PhD c, d, Ali Moradi, MD, PhD aAbstract |
Background |
This study aims to investigate the effect of a newly developed virtual reality task-oriented training (VR-TOT) video game on upper extremity fine motor function compared with conventional occupational therapy through leap motion in children with spastic hemiplegic cerebral palsy (CP).
Methods |
In this double-blind randomized clinical trial, 30 children with spastic hemiplegic CP aged six to 10 years were included and randomly allocated into two groups. During six weeks, 15 patients in the intervention group received VR_TOT-based video game in addition to conventional occupational therapy, whereas 15 patients in the control group received only conventional occupational therapy. The outcomes of spoon and knife use time, as well as wrist extension range of motion (ROM), and handgrip strength were evaluated pre- and postintervention, and also at six-week follow-up.
Results |
The reduction in spoon (6.27 ± 3.08 vs 2.55 ± 2.08; P < 0.001) and knife (7.44 ± 1.95 vs 2.74 ± 2.46; P < 0.001) usage time was significantly greater among children in the intervention group compared with the control group. The increase in grip strength was significantly higher among intervention group children (1.57 ± 1.28 vs 0.50 ± 0.77; P = 0.011). However, the wrist extension ROM was not different between intervention and control groups.
Conclusions |
The results show that combining the VR-TOT with traditional occupational therapy methods improves fine motor function and grip strength in children with CP.
Le texte complet de cet article est disponible en PDF.Keywords : Cerebral palsy, Virtual reality, Hand function, Rehabilitation, Upper extremity, Leap motion
Level of evidence : Level I (randomized clinical trial)
Plan
| Funding: This work was supported as a research project financed by the Research Council of University of Social Welfare and Rehabilitation Sciences (research project number 3863). |
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| Ethical review committee statement: The Ethics Committee of University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, granted ethical approval for this study (approval number: IR.USWR.REC.1401.080). The study has been registered with the Iranian Registry of Clinical Trials (IRCT) under the approval code IRCT202206270. This research was conducted in full compliance with the codes of ethical conduct from the 1964 Declaration of Helsinki. |
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| Declaration of informed consent: All participants were informed on the experiment and were asked to fill a voluntary consent form. Also, they were informed that not participating in the study would not affect their treatment process. |
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| Statement of the location: The present study was performed in the University of Social Welfare and Rehabilitation Sciences. |
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| Data availability: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Correspondence and requests for materials should be addressed to fateme.salehi.817@gmail.com. |
Vol 163
P. 85-92 - février 2025 Retour au numéro
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