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

Autor(es)

Bruno Arnoni, Joice Luiza ^[1] ; Pavao, Silvia Leticia ^[1] ; dos Santos Silva, Fernanda Pereira ^[1] ; Cicuto Ferreira Rocha, Nelci Adriana ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Carlos, Neuropediat Sect, Dept Physiotherapy, Rod Washington Luis, Km 235, BR-13565905 Sao Carlos, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE; v. 35, p. 189-194, MAY 2019.
• Citações Web of Science: 2

Resumo

Background and purpose: Virtual reality is an adjuvant technique to rehabilitation of children with cerebral palsy (CP). It has been gaining prominence in this field because of its accessibility and great levels of motivation it promotes in treatment. However, there is a lack of studies addressing the effects of virtual reality-based therapy on activity levels regarding postural stability, especially considering the level of evidence presented by studies addressing this issue. Therefore, we aim to evaluate the effects of intervention in body sway and gross motor function of children with CP using an active video game. Materials and methods: In this blind randomized controlled trial, fifteen children with CP, Gross Motor Function Classification System (GMFCS) I-II, regularly attending conventional physical therapy programs, were randomly assigned to an intervention (IG:n = 7) or to a control group (CG:n = 8). In both groups, children remained attending conventional therapy. In addition, IG underwent intervention using an active video game twice a week for 45 min and eight weeks. Standing body sway was assessed using a force plate, and Gross Motor Function Measure (GMFM) dimensions D (Standing) and E (Walking, Running and Jumping) were tested. Results: Following the virtual reality-based intervention, the IG only showed significant improvements in the GMFM dimensions D (p = 0.021) and E (p = 0.008). Improvements were clinically significant (D = 10.8%; E = 14.0%). For the CG, no variable analyzed showed differences after eight weeks. Conclusions: Intervention using an active video game is a promising tool that can improve the gross motor function of children with CP, GMFCS I-II. (AU)

• Processo FAPESP: 17/11259-6 - Efeitos da dupla tarefa nas características dinâmicas das trajetórias do centro de pressão em ortostatismo em crianças e adultos
• Beneficiário: Silvia Leticia Pavão Rago
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 13/13380-6 - Impacto das informações sensoriais na execução do movimento sentado para de pé em crianças com paralisia cerebral
• Beneficiário: Silvia Leticia Pavão Rago
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 16/10396-7 - Efeito da intervenção com Realidade Virtual sobre a oscilação corporal em diferentes condições de estabilidade da base de suporte e parâmetros espaço-temporais da marcha em crianças com Paralisia Cerebral
• Beneficiário: Nelci Adriana Cicuto Ferreira Rocha
• Modalidade de apoio: Auxílio à Pesquisa - Regular