Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy

Background: Deterioration in upper extremity function has been a common problem among children with cerebral palsy (CP). The present study evaluated the effects of virtual reality (VR)-based rehabilitation combined with conventional occupational therapy (COT) on upper extremity function and caregive...

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Main Authors: Hyun Jung Chang, Kyo Hun Ku, Young Sook Park, Jin Gee Park, Eun Sol Cho, Jae Sam Seo, Chang Woo Kim, Se Hwi O
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/8/4/391
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author Hyun Jung Chang
Kyo Hun Ku
Young Sook Park
Jin Gee Park
Eun Sol Cho
Jae Sam Seo
Chang Woo Kim
Se Hwi O
author_facet Hyun Jung Chang
Kyo Hun Ku
Young Sook Park
Jin Gee Park
Eun Sol Cho
Jae Sam Seo
Chang Woo Kim
Se Hwi O
author_sort Hyun Jung Chang
collection DOAJ
description Background: Deterioration in upper extremity function has been a common problem among children with cerebral palsy (CP). The present study evaluated the effects of virtual reality (VR)-based rehabilitation combined with conventional occupational therapy (COT) on upper extremity function and caregiver assistance among children with CP. Methods: Medical records of 17 children with CP who regularly participated in a rehabilitation program at Samsung Changwon Hospital were retrospectively reviewed. Ten children received VR-based rehabilitation, which utilized RAPAEL Smart Kids and video games combined with COT. Seven children received COT alone, which was provided by a trained occupational therapist and focused on their upper extremities. Clinical outcomes were determined using the Quality of Upper Extremity Skills Test (QUEST) and Pediatric Evaluation of Disability Inventory (PEDI), which were administered before and 8 weeks after the first intervention session. Results: The smart glove (SG) group showed significant improvements in all QUEST domains and five PEDI domains (<i>p</i> < 0.05), whereas the COT group showed a significant change only in total QUEST scores. A comparison between both groups revealed that the SG group had significantly greater improvements in five QUEST domains and two PEDI domains (<i>p</i> < 0.05). Conclusions: Our results suggest that VR-based rehabilitation combined with COT may improve the upper extremity functions and decrease caregiver burden among children with CP.
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spelling doaj.art-b8c6d9e802e646d3ace65c26f463d5b42023-11-20T16:32:04ZengMDPI AGHealthcare2227-90322020-10-018439110.3390/healthcare8040391Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral PalsyHyun Jung Chang0Kyo Hun Ku1Young Sook Park2Jin Gee Park3Eun Sol Cho4Jae Sam Seo5Chang Woo Kim6Se Hwi O7Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaDepartment of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, KoreaBackground: Deterioration in upper extremity function has been a common problem among children with cerebral palsy (CP). The present study evaluated the effects of virtual reality (VR)-based rehabilitation combined with conventional occupational therapy (COT) on upper extremity function and caregiver assistance among children with CP. Methods: Medical records of 17 children with CP who regularly participated in a rehabilitation program at Samsung Changwon Hospital were retrospectively reviewed. Ten children received VR-based rehabilitation, which utilized RAPAEL Smart Kids and video games combined with COT. Seven children received COT alone, which was provided by a trained occupational therapist and focused on their upper extremities. Clinical outcomes were determined using the Quality of Upper Extremity Skills Test (QUEST) and Pediatric Evaluation of Disability Inventory (PEDI), which were administered before and 8 weeks after the first intervention session. Results: The smart glove (SG) group showed significant improvements in all QUEST domains and five PEDI domains (<i>p</i> < 0.05), whereas the COT group showed a significant change only in total QUEST scores. A comparison between both groups revealed that the SG group had significantly greater improvements in five QUEST domains and two PEDI domains (<i>p</i> < 0.05). Conclusions: Our results suggest that VR-based rehabilitation combined with COT may improve the upper extremity functions and decrease caregiver burden among children with CP.https://www.mdpi.com/2227-9032/8/4/391virtual realitycerebral palsyupper extremityoccupational therapyactivities of daily living
spellingShingle Hyun Jung Chang
Kyo Hun Ku
Young Sook Park
Jin Gee Park
Eun Sol Cho
Jae Sam Seo
Chang Woo Kim
Se Hwi O
Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy
Healthcare
virtual reality
cerebral palsy
upper extremity
occupational therapy
activities of daily living
title Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy
title_full Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy
title_fullStr Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy
title_full_unstemmed Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy
title_short Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy
title_sort effects of virtual reality based rehabilitation on upper extremity function among children with cerebral palsy
topic virtual reality
cerebral palsy
upper extremity
occupational therapy
activities of daily living
url https://www.mdpi.com/2227-9032/8/4/391
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