Cerebral Palsy, Spastic
Conditions
Keywords
balance, rehabilitation, exergaming, virtual reality
Brief summary
In this study the clinical relevance of the use of commercially available virtual reality games in the rehabilitation of balance will be assessed in children with cerebral palsy. It will be investigated how different commercially available platforms (i.e. Xbox One + Kinect and Nintendo Wii + balance board) will affect the compensations of children with cerebral palsy to preserve their balance. The effect of 1 training session will be assessed as well as the effect of a long-term training of 8 weeks.
Interventions
the virtual reality games (Kinect sports rivals) can be controlled with movements of the body that are registered through the kinect camera.
Sponsors
Study design
Eligibility
Inclusion criteria
1. children diagnosed with cerebral palsy (spastic type) 2. age: 8-11 years and 11 months 3. bilateral CP (diplegia) & unilateral CP (hemiplegia) 4. GMFCS level 1 & 2 5. able to independently stand still for 2 minutes 6. sufficient cooperation to participate in the measurements and training
Exclusion criteria
1. No informed consent 2. surgery of the lower limbs that affects mobility 3. Botulinum-toxin A treatment within 6 months prior to inclusion in the study 4. vestibular deficits, benign vertigo, ADHD or instable epilepsia For typically developing children: Inclusion criteria; 1. age: 8-11 years and 11 months 2. no history of neurologic, musculoskeletal or other impairments that could affect mobility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pediatric Balance Scale compared to baseline | measured at baseline, after 40 minutes (of training), and after 8 weeks of training | Clinical balance scale with 14 items such as standing unsupported for 30 sec. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Bruininks-Oseretsky test for motor proficiency - subscale 'balance' and 'speed & agility' compared to baseline | measured at baseline, after 40 minutes (of training), and after 8 weeks of training | Subscales of a clinical balance scale |
| Change in Upper body kinematics compared to baseline | measured at baseline, after 40 minutes (of training), and after 8 weeks of training | Trunk and arm movements measured using 3d movement registration |
| Change in Posturography compared to baseline | measured at baseline, after 40 minutes (of training), and after 8 weeks of training | Measurements on a moveable force-platform including the limits of stability during standing |
Countries
Belgium