None listed
Conditions
Brief summary
The objective of the study is to determine the effects of exer-gaming on functional outcomes in children with hemiplegic cerebral palsy. The subjects will be recruited as per inclusion criteria and will be randomly allocated into 2 groups i.e. experimental and control. The sample size of is calculated by using G power with confidence interval, margin of error and effect size of 95%, 0.05, and 0.25 respectively. The subjects of both groups will be provided conventional treatment comprising of positioning, stretching and strengthening exercises, whereas experimental group will receive exer-gaming by using x-box Kinect games. The interventions will be give in a safe environment under the supervision of pediatric physiotherapist for 3 days a week for 8 weeks. Assessments would be done at baseline, post 4 and 8 weeks of intervention. Retention effects will also be assessed after post 4 weeks of cessation of intervention in both groups.
Interventions
Exer-gaming will be provided to the subjects through X-box 360 Kinect console. The Kinect sensor will monitor the individual's position and movements as they would move to play certain games. The gaming intervention challenges the overall body posture and movement system, and also stimulates the proprioceptive output as well as provides a certain level of perturbations to the body to improve the balance. The subjects playing the games moves the body and limbs in response to play the virtual game
Exer-gaming will be provided to the subjects through X-box 360 Kinect console. The Kinect sensor will monitor the individual's position and movements as they would move to play certain games. The gaming intervention challenges the overall body posture and movement system, and also stimulates the proprioceptive output as well as provides a certain level of perturbations to the body to improve the balance. The subjects playing the games moves the body and limbs in response to play the virtual games displayed while the sensors assess the direction, impact and target of movements of the subject and feedback is simultaneously being provided to the subject, which keeps the subject motivated and involved in the game. Kinect games including Kung fu, active 2 and Fifa Soccer 13 will be used as interventions. The games include the head, trunk and limb movements i.e. hitting the ball with head and limbs, kicking, side kicks, turning, punching, bending, squatting etc. The intervention will be provided in the physiotherapy department under the supervision of physiotherapist. The subjects will play the games themselves suggested by the researcher standing in front of the kinect sensor. The physiotherapist will be monitoring the subject and will make sure the environment is safe and there is no risk of fall or injury. Required rest periods will also be provided during the interventions to avoid fatigue or exertion. A nurse will also be available at the time of interventions for monitoring the overall health of the subjects. The duration of interventions would be 40 minutes per session. A 10-15 minutes warm up and cool down will be done at start and end of intervention respectively including walking (3-5 minutes), quadriceps (5-7 times) and hamstring stretch (5-7 times) . The intervention will be provided 3 times a week for 8 weeks. A total 24 sessions will be provided. the subjects will also be provided with conventional exercise plan. Conventional exercises including positioning, stretching and strengthening.
Sponsors
Kiran Khshnood
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
5 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
Subjects with diagnosed with spastic hemiplegic cerebral palsy with age 5 to 17 years with gross motor function level III and IV will be included
Exclusion criteria
The subjects with cognitive, hearing or visual impairments, serious systemic diseases will be excluded
Outcome results
None listed