None listed
Conditions
Brief summary
This research project seeks to implement an exercise program with virtual environments generated through the Nintendo Wii console and the balance board (Wii therapy, W-t) via telerehabilitation to improvement the postural balance in children and adolescents with cerebral palsy of type spastic hemiplegia. A clinical trial design whose objective will be to compare the effectiveness in improvement postural balance of face-to-face Wii therapy (physiotherapist with the patient) versus remote (parents / caregivers). Wii therapy face to face versus remote version are equivalent in their effects for the postural balance.
Interventions
Clinical trial parallel in patients with cerebral palsy. Two-arm, parallel-groups and randomised. Intervention exposure exercise program version "face to face" (control group) or "remote" (exposure group) both with Nintendo Wii balance board.
A virtual reality-based exercise protocol using Wii therapy (W-t) with Nintendo Wii balance board an “exposure-arm” performed by the parents or caregivers from patients' homes, and physiotherapists from the rehabilitation center and from the Special School
Clinical trial parallel in patients with cerebral palsy. Two-arm, parallel-groups and randomised. Intervention exposure exercise program version "face to face" (control group) or "remote" (exposure group) both with Nintendo Wii balance board. A virtual reality-based exercise protocol using Wii therapy (W-t) with Nintendo Wii balance board an “exposure-arm” performed by the parents or caregivers from patients' homes, and physiotherapists from the rehabilitation center and from the Special School each one will be guided remotely from the telerehabilitation center of the University of Talca. A total of 18 sessions W-t will be deliver over a period of 6 weeks with a frequency of 3 times per week (Monday, Wednesday and Friday) for 25 minutes each session and four weeks of follow-up in participant’s children and adolescent with spastic hemiplegic cerebral palsy. Each participants will execute three series of exercise with manual guidance and verbal instructions for the first 2 weeks and only verbal instructions by a parents or caregivers or physiotherapists in the following weeks. The first two series included Snowboard, Penguin Slide, and Super Hula Hoop; the third series was deep breathing in the Yoga game. The participants will be standing with their arms and hands at their sides, in a relaxed manner, during the first series. Each game will be repeat in a standing position and with their hands on their waist during second series. Finally, the participants will be instruct to maintain their posture and be as relaxed as possible with eyes open (EO) and later eyes closed (EC) during the third series. W-t will consist of a virtual reality training session using the Nintendo Wii balance board console for 25 min each session. This programme is based on previous studies, that demonstrate the training of balance is in all three planes of motion. For monitor adherence to the intervention will be through telephone reminders and direct observation by study personnel.
Sponsors
Maule Regional Government
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
7 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
- Volunteer participants with Spastic Hemiplegia Cerebral Palsy. - Level I or II of the Gross Motor Function Classification System (GMFCS). - Understand the procedures to be performed (full-scale intelligence quotient, FSIQ, <80).
Exclusion criteria
- Patients with other neurological disorders, such as epilepsy. - Patients with uncorrected vision and hearing disorders. - Previous surgeries in lower limb over the last 10 months or application Botulinum Toxin-A in the lower limb over the past 10 months. - Participants with access to a Nintendo Wii at home.
Outcome results
None listed