Augmented Reality Exercise Program, Cerebral Palsy (CP)
Conditions
Keywords
cerebral palsy, motor function training, pediatric physiotherapy, augmented reality rehabilitation
Brief summary
The aim of the project is to create a digital system for cognitive-oriented rehabilitation of the central neuromuscular diseases (CND) with the use of augmented reality (AR) technology in children. Solving the project supports the professional-oriented digital literacy of professionals in rehabilitation institutions in the Czech Republic (CR). With the applied research, the software will be developed for the training of fine and gross motor skills, postural control and walking in the AR environment for children with cerebral palsy and verified in the practice of professionals in rehabilitation. The project aims to modernization and increase of the effectiveness of the work of professionals in rehabilitation institutions in the CR. The project is based on an interdisciplinary approach.
Interventions
BEHAVIORALAR-based therapy
The child wore Meta Quest 3 (Meta Platforms, Menlo Park, California, USA) VR/AR goggles during the exercises. Our custom exercise applications were running on the device. They provide brief verbal instructions at the start of each exercise. During the exercise, they also give short cognitive prompts to support focused attention.
BEHAVIORALConventional physical therapy
Traditional spa treatment comprising hydrotherapy and physical therapy.
Sponsors
College of Physical Education and Sport PALESTRA
Charles University, Czech Republic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Medical diagnosis of spastic hemiparesis or diparesis types cerebral palsy * The level of motor skills was at levels I and II according to the Gross Motor Function Classification System (GMFCS) * spasticity of grade 2 or less diagnosed with the Modified Ashworth Scale (MAS) * Ability to walk at least 10 meters without aids and without the support of a therapist
Exclusion criteria
* no neurological disease other than CP * no visual impairment with exception of short-sightedness * Children is not able to follow instructions during testing and training * Injection treatment of anti-spastic medication in the last 3 months * Lower limb surgery within the past 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Speed of 10-meter walk test (m/s) | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | Speed (m/s): average speed of the walk 10 metres (10MWT) |
| Cadence (steps/min) | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | Number of half-steps in one minute. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering) |
| Support phase (% cycle) | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | The average value of the durations of the right and left support phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering). |
| Swing Phase (% Cycle) | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | The average value of the durations of the right and left swing phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering). |
| Symmetry index of pelvic tilt | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the sagittal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering). |
| Symmetry index of pelvic obliquity | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the frontal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering). |
| Symmetry index of pelvic rotation | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the transverse component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering). |
| The Pediatric balance scale (PBS) | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | The Pediatric Balance Scale is a modified version of the Berg Balance Scale. The scale consists of 14 balance-related test items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points. Higher total scores suggest that the child has good balance ability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| One-Leg Balance (valuated by the time the child is able to maintain the position) | Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program) | In this task, the child is asked to stand on one leg on a balance board or other unstable surface. Each leg is tested separately. The child must maintain balance for a maximum of 30 seconds. The task is assessed in accordance with the MABC-2 manual. |
Countries
Czechia
Outcome results
None listed