Feasibility of virtual reality and comparison of its effectiveness to biofeedback in children with Duchenne and Becker muscular dystrophies

Introduction/Aims The utilization of virtual reality (VR) and biofeedback training, while effective in diverse populations, remains limited in the treatment of Duchenne and Becker muscular dystrophies (D/BMD). This study aimed to determine the feasibility of VR in children with D/BMD and compare the...

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Bibliographic Details
Published in:Muscle & nerve 2024-07, Vol.70 (1), p.82-93
Main Authors: Kurt‐Aydin, Merve, Savaş‐Kalender, Dilan, Tarsuslu, Tülay, Yis, Uluç
Format: Article
Language:English
Subjects:
Adolescent
balance
Balances (scales)
Biofeedback
Biofeedback, Psychology - methods
Child
Children
Chronology
Computer applications
Cramps
Effectiveness
exercise training
Feasibility
Feasibility Studies
Feedback
Female
functional level
Humans
Male
Motor task performance
Muscle strength
Muscle Strength - physiology
muscular dystrophy
Muscular Dystrophy, Duchenne - physiopathology
Muscular Dystrophy, Duchenne - rehabilitation
Muscular Dystrophy, Duchenne - therapy
Pain
Pediatrics
Performance evaluation
Population studies
Postural Balance - physiology
Rehabilitation
Treatment Outcome
Virtual Reality
Virtual Reality Exposure Therapy - methods
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Summary:Introduction/Aims The utilization of virtual reality (VR) and biofeedback training, while effective in diverse populations, remains limited in the treatment of Duchenne and Becker muscular dystrophies (D/BMD). This study aimed to determine the feasibility of VR in children with D/BMD and compare the effectiveness of VR and biofeedback in children with D/BMD. Methods The study included 25 children with D/BMD. Eight children in the control group participated in a routine follow‐up rehabilitation program, while the remaining children were randomly assigned to the VR (n = 9) and biofeedback (n = 8) groups for a 12‐week intervention. The following evaluations were performed before, during (week 6), and after treatment: Muscle pain and cramps, laboratory studies, muscle strength, timed performance, function (Motor Function Measurement Scale‐32, Vignos, and Brooke Scales), and balance (Pediatric Functional Reach Test and Balance Master System). Motivation for rehabilitation was determined. Results The median ages were 9.00 (VR), 8.75 (biofeedback), and 7.00 (control) years. The study found no significant differences between groups in pretreatment assessments for most measures, except for tandem step width (p 
ISSN:0148-639X
1097-4598
1097-4598
DOI:10.1002/mus.28084