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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Bibliographic Details
Published in:Healthcare (Basel) 2020-10, Vol.8 (4), p.391
Main Authors: Chang, Hyun Jung, Ku, Kyo Hun, Park, Young Sook, Park, Jin Gee, Cho, Eun Sol, Seo, Jae Sam, Kim, Chang Woo, O, Se Hwi
Format: Article
Language:English
Subjects:
Activities of daily living
Caregivers
Cerebral palsy
Intervention
Motivation
Normal distribution
occupational therapy
Patients
Rehabilitation
Therapy
upper extremity
Virtual reality
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Summary: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 (p < 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 (p < 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.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare8040391