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Active Videogame Training Combined with Conventional Therapy Alters Body Oscillation in Children with Cerebral Palsy: A Randomized Controlled Trial

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Author(s):
Arnoni, Joice Luiza Bruno ; Lima, Camila Resende Gambaro ; Verderio, Bruna Nayara ; Kleiner, Ana Francisca Rozin ; De Campos, Ana Carolina ; Rocha, Nelci Adriana Cicuto Ferreira
Total Authors: 6
Document type: Journal article
Source: GAMES FOR HEALTH JOURNAL; v. N/A, p. 10-pg., 2022-06-10.
Abstract

Objective: Assess the effect of nonimmersive virtual reality (VR) training as complementary rehabilitation on body oscillation in children with cerebral palsy (CP) while standing on different bases of support and surfaces.Materials and Methods: Twenty-three children with unilateral CP randomly allocated to an intervention group (IG, n = 12) or control group (CG, n = 11). The IG underwent two weekly 50-minute sessions of VR training over 8 weeks, associated with conventional therapy, while the CG was submitted to two 45-minute sessions of conventional neurodevelopmental-based physiotherapy a week over the same time period. Participants were evaluated on a force platform under control conditions (CCs) (rigid surface, feet parallel); semitandem stance; flexible surface (FS) with feet parallel; and flexible surface in a semitandem (FSST) stance. The effect of the group and time factors on the center of pressure oscillation variables was analyzed by repeated-measures analysis of variance (ANOVA), with significance set at 0.05.Results: The main effect observed was for time on the FS, with a decline in the amplitude of mediolateral (ML Amp) (P = 0.01) and mediolateral root mean square (P = 0.01) after intervention. In the IG, ML Amp also declined after intervention under CCs (P = 0.02) and total velocity increased for FSST (P = 0.04). The percentage change was significant only in the IG.Conclusion: VR training as complementary rehabilitation can help improve body oscillation in children with CP and mild functional impairment. Nonimmersive VR can be considered a complementary tool for the physical rehabilitation of children with CP. This study was registered with the Brazilian Clinical Trials Registry (RBR-3zty4w). (AU)

FAPESP's process: 20/02818-4 - Tele-care in times of social isolation: effect of a home intervention protocol directed at activity, participation and the environmental context on the functionality of infants at biological risk: randomized controlled clinical trial
Grantee:Camila Resende Gâmbaro Lima
Support Opportunities: Scholarships in Brazil - Doctorate
FAPESP's process: 16/10396-7 - Intervention effect of Virtual Reality on body sway in different conditions of stability of the base of support and gait spatio-temporal parameters in children with Cerebral Palsy.
Grantee:Nelci Adriana Cicuto Ferreira Rocha
Support Opportunities: Regular Research Grants