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Use of virtual reality in rehabilitation of movement in children with hemiplegia - A multiple case study evaluation
Tel Aviv University, Tel Aviv, Israel.ORCID iD: 0000-0002-1129-8071
2012 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 7, 593-604 p.Article in journal (Refereed) Published
Abstract [en]

Purpose:

To evaluate the feasibility and therapeutic effect of engaging children of differing neuromotor and cognitive ability in a virtual reality (VR) tabletop workspace designed to improve upper-limb function.

Method:

Single-subject experimental design with multiple baselines was employed. Four children with hemiplegia participated in VR-based training between nine and 19, 30-minute sessions, over three-four weeks. Outcomes were assessed from the perspective of the International Classification of Functioning, Disability and Health; considering body function, activity performance and participation. Upper-limb performance was assessed using system-measured variables (speed, trajectory and accuracy) and standardized tests. Trend analyses were employed to determine trends on system variables between baseline phase and treatment phases. Standardised measures were compared between pre- and post-training.

Results:

Two children made progress across system variables with some translation to daily activities. Performance of the other two children was more variable, however, they engaged positively with the system by the end of the treatment phase.

Conclusions:

The VR (RE-ACTION) system shows promise as an engaging rehabilitation tool to improve upper-limb function of children with hemiplegia, across ability levels. Trade-offs between kinematic variables should be considered when measuring improvements in movement skill. Larger trials are warranted to evaluate effects of augmented feedback, intensity and duration of training, and interface type to optimise the system's effectiveness.

Implications for Rehabilitation:

The RE-ACTION system shows promise as a relatively low-cost solution to support therapies for upper-limb function and activity participation for children with hemiplegia and associated conditions. The combination of goal-directed tasks, augmented feedback, and engaging exploratory environments is a potentially quite powerful rehabilitation solution for children. Increased task engagement supported positive outcomes of the International Classification of Functioning, Disability and Health - Children and Youth version, including body function and activity levels as well as enhanced participation. Larger experimental trials are required to test the capacity of the system to progress the skills of children with multiple disabilities.

Place, publisher, year, edition, pages
Taylor & Francis, 2012. Vol. 34, no 7, 593-604 p.
Keyword [en]
Cerebral palsy, Children, Hemiplegia, Upper-extremity, Virtual reality, adolescent, arm, article, child, computer assisted therapy, computer interface, computer simulation, evaluation, feasibility study, feedback system, female, human, male, methodology, motor performance, movement (physiology), pathophysiology, preschool child, psychomotor performance, stroke, treatment outcome, Child, Preschool, Feasibility Studies, Feedback, Humans, Motor Skills, Movement, Therapy, Computer-Assisted, Upper Extremity, User-Computer Interface
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:hj:diva-37460DOI: 10.3109/09638288.2011.613520ISI: 000300259400007PubMedID: 21978233Scopus ID: 2-s2.0-84856935403OAI: oai:DiVA.org:hj-37460DiVA: diva2:1146165
Available from: 2017-10-02 Created: 2017-10-02 Last updated: 2017-10-02Bibliographically approved

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