Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study
Hemiparesis as a term refers to a neurological disorder that can be extremely variable, especially with regard to walking abilities. Few works have assessed the use of virtual reality and biofeedback in children and adolescents with hemiparesis. The aim of this study is to provide insights about the...
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MDPI AG
2022-11-01
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Series: | Children |
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Online Access: | https://www.mdpi.com/2227-9067/9/11/1760 |
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author | Daniele Panzeri Chiara Genova Geraldina Poggi Sandra Strazzer Emilia Biffi |
author_facet | Daniele Panzeri Chiara Genova Geraldina Poggi Sandra Strazzer Emilia Biffi |
author_sort | Daniele Panzeri |
collection | DOAJ |
description | Hemiparesis as a term refers to a neurological disorder that can be extremely variable, especially with regard to walking abilities. Few works have assessed the use of virtual reality and biofeedback in children and adolescents with hemiparesis. The aim of this study is to provide insights about the rehabilitation of hemiparetic children and teenagers with visual biofeedback in a virtual reality environment. Six hemiparetic subjects (mean age 13.13 years, age range (7–18), 4 males) received 20 personalized rehabilitation GRAIL (Gait Real-time Analysis Interactive Lab) sessions plus 20 sessions of traditional physiotherapy. After an initial evaluation of rehabilitation needs, training focused on gait pattern correction (GP), walking endurance (WE), or gross motor functions (GMFs). All subjects were assessed for their gait analysis by GRAIL, the Gross Motor Function Measure (GMFM), and the 6–Minute Walking Test (6MWT) before and after rehabilitation. All subjects reached their rehabilitation goals, save for one who showed reduced collaboration. In addition, 4 subjects reached a better GP, 3 subjects reported improvements in WE, and 2 subjects improved in GMF. This personalized training with visual biofeedback delivered in a VR setting appears to be effective in modifying motor control and improving gait pattern, in addition to resistance and functional activities, in subjects with hemiparesis. |
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id | doaj.art-b524e8e7ba0c4a1cb0a33a180a9b6deb |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-09T18:24:44Z |
publishDate | 2022-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Children |
spelling | doaj.art-b524e8e7ba0c4a1cb0a33a180a9b6deb2023-11-24T08:00:35ZengMDPI AGChildren2227-90672022-11-01911176010.3390/children9111760Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot StudyDaniele Panzeri0Chiara Genova1Geraldina Poggi2Sandra Strazzer3Emilia Biffi4Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, 23842 Lecco, ItalyScientific Institute, IRCCS Eugenio Medea, Bosisio Parini, 23842 Lecco, ItalyScientific Institute, IRCCS Eugenio Medea, Bosisio Parini, 23842 Lecco, ItalyScientific Institute, IRCCS Eugenio Medea, Bosisio Parini, 23842 Lecco, ItalyScientific Institute, IRCCS Eugenio Medea, Bosisio Parini, 23842 Lecco, ItalyHemiparesis as a term refers to a neurological disorder that can be extremely variable, especially with regard to walking abilities. Few works have assessed the use of virtual reality and biofeedback in children and adolescents with hemiparesis. The aim of this study is to provide insights about the rehabilitation of hemiparetic children and teenagers with visual biofeedback in a virtual reality environment. Six hemiparetic subjects (mean age 13.13 years, age range (7–18), 4 males) received 20 personalized rehabilitation GRAIL (Gait Real-time Analysis Interactive Lab) sessions plus 20 sessions of traditional physiotherapy. After an initial evaluation of rehabilitation needs, training focused on gait pattern correction (GP), walking endurance (WE), or gross motor functions (GMFs). All subjects were assessed for their gait analysis by GRAIL, the Gross Motor Function Measure (GMFM), and the 6–Minute Walking Test (6MWT) before and after rehabilitation. All subjects reached their rehabilitation goals, save for one who showed reduced collaboration. In addition, 4 subjects reached a better GP, 3 subjects reported improvements in WE, and 2 subjects improved in GMF. This personalized training with visual biofeedback delivered in a VR setting appears to be effective in modifying motor control and improving gait pattern, in addition to resistance and functional activities, in subjects with hemiparesis.https://www.mdpi.com/2227-9067/9/11/1760hemiparesisvirtual realityrehabilitationgaitchildrenadolescents |
spellingShingle | Daniele Panzeri Chiara Genova Geraldina Poggi Sandra Strazzer Emilia Biffi Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study Children hemiparesis virtual reality rehabilitation gait children adolescents |
title | Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study |
title_full | Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study |
title_fullStr | Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study |
title_full_unstemmed | Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study |
title_short | Visual Feedback and Virtual Reality in Gait Rehabilitation of Hemiparetic Children and Teenagers after Acquired Brain Injury: A Pilot Study |
title_sort | visual feedback and virtual reality in gait rehabilitation of hemiparetic children and teenagers after acquired brain injury a pilot study |
topic | hemiparesis virtual reality rehabilitation gait children adolescents |
url | https://www.mdpi.com/2227-9067/9/11/1760 |
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