Development of virtual reality in the upper extremities function in children with Cerebral Palsy. A pilot randomized controlled trial
摘要
To evaluate the effect of the Virtual Reality (VR) in upper extremities function in children with Cerebral Palsy (CP).
Study designPilot randomization study.
MethodsA total of 42 children with CP, aged 10 to15 years, were enrolled and randomly allocated into either an intervention group (n = 21) or a control group (n = 21) using a computer-generated block randomization sequence (block size of 4). There were no statistically significant differences in baseline characteristics between the two groups. The intervention group received a VR training program, whereas the control group underwent conventional occupational therapy. Both interventions were administered in 45-minute sessions, three days per week, over five weeks. Pre- and post-intervention outcome measures included major upper extremity range of motion (ROM), the Box and Block Test (BBT), and the ABILHAND-Kids assessment.
ResultsPost-intervention, both the VR and control groups demonstrated improvements across all measured outcomes, including upper-extremity ROM, BBT, and ABILHAND-Kids scores. Although no statistically significant between-group differences were observed in the overall cohort, a subgroup analysis revealed a statistically significant improvement in ABILHAND-Kids scores in favor of the VR intervention among children aged 10 to 12 years.
ConclusionThese preliminary findings indicate that the VR intervention does not result in statistically significant improvements in upper-extremity ROM and motor function compared with conventional therapy.