Abstract

This review aimed to systematically evaluate the rehabilitatitive effect of Virtual Reality Games (VRGs) for gross motor skills of children with cerebral palsy (CP), and to give scientific grounds for the formulation of rehabilitation therapy for these children. To this end, the literature in Chinese databases (CNKI and Wanfang Data) as well as the databases of other countries (Web of Science, PubMed, EBSCOhost, Informit, Scopus, Science Direct and ProQuest) from the establishment dates of these databases to June 3rd 2019 was retrieved in order to collect randomized controlled trials with regard to the intervention effect of VRGs and traditional therapy on gross motor skills of children with CP, and the literature was screened as per inclusion and exclusion criteria. The PEDro scale was then used to evaluate the methodological quality of the included literature, and the software Review Manager 5.3 was employed to analyze the combined effect size. As a result, 7 randomized controlled trials and 234 children with CP were included. Meta-analysis showed that VRGs could improve gross motor skills of children with CP. Combined effect size of gross motor skills SMD = 0.37 [95% CI = (0.06, 0.68), p = 0.02)]. In conclusion, the VRG intervention program can enhance gross motor skills of children with CP to some extent. In view of the limitations regarding methodologies and the quality and quantity of the literature in this research, more quality randomized controlled trials are needed so as to draw convincing conclusions of effect of VRG intervention on gross motor skill development of children with CP in future studies.

Highlights

  • Cerebral palsy (CP), a syndrome caused by non-progressive brain damage and developmental defects during the period from conception to infancy, mainly results in dyskinesia and postural abnormalities [1]

  • The results showed that Virtual Reality Games (VRGs) intervention have remarkable effect on gross motor skills in children with CP (Figure 2)

  • 3885 The results showed that VRG intervention have remarkable effect

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Summary

Introduction

Cerebral palsy (CP), a syndrome caused by non-progressive brain damage and developmental defects during the period from conception to infancy, mainly results in dyskinesia and postural abnormalities [1]. According to the statistics of World Health Organization, the incidence of CP in developed countries ranges from 0.2% to 0.3%. The damage to the advanced central nervous system of children with CP may cause secondary injuries, such as physical spasm, amyotrophy, skeletal deformity, myasthenia and developmental coordination disorder, which constrain the children’s ability to move, thereby impacting upon their development of gross motor skills [3,4]. Research has shown that the failure to timely identify and fill the gap in the development of children’s gross motor skills may lead to deficiencies in motor ability and in other respects [5]. Studies have proved that the gross motor skill disorder is an important factor hindering children with

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