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

Autor(es)

Arnoni, Joice Luiza Bruno ; Lima, Camila Resende Gambaro ; Verderio, Bruna Nayara ; Kleiner, Ana Francisca Rozin ; De Campos, Ana Carolina ; Rocha, Nelci Adriana Cicuto Ferreira

• Tipo de documento: Artigo Científico
• Fonte: GAMES FOR HEALTH JOURNAL; v. N/A, p. 10-pg., 2022-06-10.

Resumo

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)

• Processo FAPESP: 20/02818-4 - Telecuidado em tempos de isolamento social: efeito de um protocolo de intervenção domiciliar direcionado à atividade, participação e ao contexto ambiental sobre a funcionalidade de lactentes com risco biológico: ensaio clínico randomizado controlado
• Beneficiário: Camila Resende Gâmbaro Lima
• 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