Abstract Objective To study the effects of virtual reality (VR) training on the gross motor function of the lower limb and the fine motor function of the upper limb in children with spastic diplegia cerebral palsy. Methods Thirtyfive children with spastic diplegia cerebral palsy were randomly assigned to VR training group (n=19) and conventional training group (n=16). The conventional training group received conventional physical therapy and occupational therapy for three months. The VR training group received VR training and occupational therapy for three months. Grip and visual-motor integration subtests in Peabody Developmental Motor Scales-2 were used to evaluate the fine movement in patients before and after treatment. The D and E domains of the 88-item version of the Gross Motor Function Measure (GMFM-88), Modified Ashworth Scale (MAS), and Berg Balance Scale (BBS) were used to evaluate the gross movement in patients before and after treatment. Results Before treatment, there were no significant differences in grip, visual-motor integration, fine motor development quotient, scores of D and E domains of GMFM-88, MAS score, or BBS score between the two groups (P > 0.05). After treatment, all the indices were significantly improved in the VR training group compared with the conventional training group (P Conclusions VR training can effectively improve the gross motor function of the lower limb and the fine motor function of the upper limb in children with spastic diplegia cerebral palsy.
REN Kai,GONG Xiao-Ming,ZHANG Rong et al. Effects of virtual reality training on limb movement in children with spastic diplegia cerebral palsy[J]. CJCP, 2016, 18(10): 975-979.
REN Kai,GONG Xiao-Ming,ZHANG Rong et al. Effects of virtual reality training on limb movement in children with spastic diplegia cerebral palsy[J]. CJCP, 2016, 18(10): 975-979.
Kirby RS, Wingate MS, Van Naarden Braun K, et al. Prevalence and functioning of children with cerebral palsy in four areas of the United States in 2006: a report from the Autism and Developmental Disabilities Monitoring Network[J]. Res Dev Disabil, 2011, 32(2): 462-469.
Straker LM, Campbell AC, Jensen LM, et al. Rationale, design and methods for a randomised and controlled trial of the impact of virtual reality games on motor competence, physical activity, and mental health in children with developmental coordination disorder[J]. BMC Public Health, 2011, 11: 654.
Walker ML, Ringleb SI, Maihafer GC, et al. Virtual realityenhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subjects[J]. Arch Phys Med Rehabil, 2010, 91(1): 115-122.
[19]
Turolla A, Dam M, Ventura L, et al. Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial[J]. J Neuroeng Rehabil, 2013, 10: 85.