Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy.

Hyun Jung Chang,Se Hwi O,Chang Woo Kim,Eun Sol Cho,Jae Sam Seo,Kyo Hun Ku,Young Sook Park,Jin Gee Park

doi:10.3390/healthcare8040391

Abstract

Background: Deterioration in upper extremity function has been a common problem among children with cerebral palsy (CP). The present study evaluated the effects of virtual reality (VR)-based rehabilitation combined with conventional occupational therapy (COT) on upper extremity function and caregiver assistance among children with CP. Methods: Medical records of 17 children with CP who regularly participated in a rehabilitation program at Samsung Changwon Hospital were retrospectively reviewed. Ten children received VR-based rehabilitation, which utilized RAPAEL Smart Kids and video games combined with COT. Seven children received COT alone, which was provided by a trained occupational therapist and focused on their upper extremities. Clinical outcomes were determined using the Quality of Upper Extremity Skills Test (QUEST) and Pediatric Evaluation of Disability Inventory (PEDI), which were administered before and 8 weeks after the first intervention session. Results: The smart glove (SG) group showed significant improvements in all QUEST domains and five PEDI domains (p < 0.05), whereas the COT group showed a significant change only in total QUEST scores. A comparison between both groups revealed that the SG group had significantly greater improvements in five QUEST domains and two PEDI domains (p < 0.05). Conclusions: Our results suggest that VR-based rehabilitation combined with COT may improve the upper extremity functions and decrease caregiver burden among children with CP.

Highlights

Cerebral palsy (CP) is a well-recognized neurodevelopmental condition that begins during early childhood and persists throughout the individual’s lifespan [1]
Level, Manual Ability Classification System (MACS) level, Quality of Upper Extremity Skills Test (QUEST) score, and Pediatric Evaluation of Disability Inventory (PEDI) score were observed between the two groups at baseline (Table 1)
Our results found that virtual reality (VR)-based rehabilitation showed beneficial effects by improving upper extremity skills and functional skills among children with cerebral palsy (CP)

Summary

Introduction

Cerebral palsy (CP) is a well-recognized neurodevelopmental condition that begins during early childhood and persists throughout the individual’s lifespan [1]. There has been growing interest in developing interventions for children with CP based upon assistive technology One such area of interest is the use of virtual reality (VR) in developing functional independence and rehabilitation of motor skills [4,5,6,7]. Deterioration in upper extremity function has been a common problem among children with cerebral palsy (CP). The present study evaluated the effects of virtual reality (VR)-based rehabilitation combined with conventional occupational therapy (COT) on upper extremity function and caregiver assistance among children with CP. Clinical outcomes were determined using the Quality of Upper Extremity Skills Test (QUEST) and Pediatric Evaluation of Disability Inventory (PEDI), which were administered before and 8 weeks after the first intervention session. Results: The smart glove (SG) group showed significant improvements in all QUEST domains and five PEDI domains (p < 0.05), whereas the COT group showed a significant change only in total

Methods

Discussion

Conclusion