Cerebral Palsy
Conditions
Keywords
wii sport, task oriented training, hemiplegic cerebral palsy
Brief summary
The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy
Detailed description
This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP. A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in hemiplegic cp. In a future study, seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.
Interventions
OTHERselected physical therapy program
strengthening muscles of upper and lower limbs, balancing exercise, gait training in open environment, stretching for elbow flexors and forearm pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors
Sponsors
South Valley University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Masking description
Single (Outcomes Assessor) Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group 1 (control group) and Group 2 (virtual reality group), group 3 (task oriented training)
Intervention model description
G 1 (control) received traditional physical therapy program for 60 min. G 2 (study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. G 3 (study) received traditional physical therapy program for 30 min. and task oriented training for 30 min. all groups treated for four successive months.
Eligibility
Sex/Gender
ALL
Age
7 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
1. Their age will ranging from 7 to 9 years. 2. Children participated in this study will from both sexes. 3. Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale. 4. All children will able to walk supported or unsupported by the therapist. 5. Children will able to follow the instructions during testing and training. 6. All children had no fixed contractures or deformities at the lower limb.
Exclusion criteria
1. Children with visual or auditory problems. 2. Children with history of epilepsy. 3. Children with structural joints deformities of the lower limbs. 4. Children with history of surgical interference in lower limbs less than one year. 5. Children with convulsions and fixed contractures. 6. Uncooperative children.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cadence (number) | cadence assessed at day 0. | number of steps in each min. |
| step length of affected side (cm) | step length assessed at day 0. | distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm) |
| stride length of affected side(cm) | stride length assessed at day 0. | the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm) |
Countries
Egypt
Outcome results
None listed