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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MDPI AG
2020-10-01
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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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language | English |
last_indexed | 2024-03-10T15:44:40Z |
publishDate | 2020-10-01 |
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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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