Cerebral Palsy, Acquired Brain Injury
Conditions
Keywords
virtual reality, hemiplegia, diplegia, video gaming, active video games, Playstation X-Box 360, Rutgers V-Step, Microsoft Kinect
Brief summary
The purpose of this pilot feasibility study is to assess the feasibility of using the Playstation Xbox 360 and Rutgers V-step via a Kinect Sensor with active video game software as a part of a physical therapy intervention to improve obstacle negotiation, gait speed, and stair negotiation in ambulatory children with Cerebral Palsy (CP) hemiparesis or spastic diplegia, or non-progressive brain injury (BI). Children will be assessed using perceptual, balance, functional and gait assessments.
Interventions
BEHAVIORALActive video gaming
Children will visit Blythedale for 8 sessions, one 45-session visit per week, in place of one of the child's typical physical therapy sessions. During each session, children will play a video game on the X-Box Kinect system, using the games Kinect Adventures and Kinect Sports. The child will first play a Kinect Adventures game, which requires ambulating, ducking, and dodging one's way through an obstacle course.
BEHAVIORALUsual care physical therapy
Children will attend their usual care physical therapy appointments at Blythedale.
Sponsors
Blythedale Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
A Randomized Block Design will be utilized in order to attempt to match subjects according to functional level and diagnosis (cerebral palsy or acquired brain injury). Upon signing consent the subjects will be grouped based on their diagnosis. At that time gait speed for the 10 M Walk Test will be utilized to categorize all participants into a fast and slow group. (subjects performing the 10 M Walk Test at a speed less than .4 m/s will be placed in the slow group, and subjects testing at a speed greater than or equal to .4 m/s will be placed in the fast group After this determination is made, subjects will be randomized to control (usual care), and intervention one therapy session replaced with a session utilizing Active video games and the Rutger's V-step. A minimum of 2 subjects per grouping will be sought in order to analyze for differences.
Eligibility
Sex/Gender
ALL
Age
7 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Age 7-17 * Diagnosis of Cerebral Palsy or Diagnosis of Acquired Brain Injury * Ambulatory with or without an assistive device x 150 feet * Cognition and attention ability sufficient to be successful in video game play and to follow instructions of the investigator. * Able to complete testing process. * Current patient at Blythedale Children's Hospital program (Expected Length of Stay/availability for study of approximately 8 weeks)
Exclusion criteria
* Any history of photosensitive epilepsy or seizures triggered by exposure to flashing lights, television or video games * Attention or behavior problems that prevent the successful completion of game play * Any acute musculoskeletal injury that limits weight bearing on one lower extremity (due to orthopedist concerns for fracture or injury) * Any medical condition that prevents the child from tolerating exercise due to cardiovascular conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pediatric Evaluation of Disability Inventory Computer Adaptive Test | From before intervention to immediately after intervention | The PEDI-CAT measures abilities in three functional domains: Daily Activities, Mobility and Social/Cognitive. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Gross Motor Function Measure (GMFM) subtest D and E | From before intervention to immediately after intervention | The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. |
| Change in Four Square Step Test | From before intervention to immediately after intervention | Measures how well a patient can change directions while stepping. |
| Change in Functional Gait Assessment (FGA) | From before intervention to immediately after intervention | 10-item test that assesses dynamic balance and postural stability during gait. |
| Change in 10 Meter walk test | From before intervention to immediately after intervention | Measures time taken for a participant to walk 10 meters |
| Change in Visually guided weight shift ability as measured by the Smart Balance Master® | From before intervention to immediately after intervention | Force platform system that tests balance |
| Change in Children's Assessment of Participation and Enjoyment | From before intervention to immediately after intervention | Self-report measures of children's participation in recreation and leisure activities outside of mandated school activities. |
| Change in Motor Free Visual Perceptual Test (MVPT)-4 | From before intervention to immediately after intervention | The MVPT-4 assesses five categories of visual perception: Visual Discrimination: Ability to discriminate dominant features of different objects, including the ability to discriminate position, shapes, and forms. |
Countries
United States
Outcome results
None listed