Virtual reality rehabilitation in children with brain injury: a randomized controlled trial

被引:60
作者
Choi, Ja Young [1 ,2 ]
Yi, Sook-Hee [3 ]
Ao, Lijuan [4 ]
Tang, Xin [4 ]
Xu, Xuan [4 ]
Shim, Dain [5 ]
Yoo, Beomki [5 ]
Park, Eun Sook [5 ]
Rha, Dong-wook [5 ]
机构
[1] Chungnam Natl Univ, Dept Rehabil Med, Coll Med, Daejeon, South Korea
[2] Eulji Univ Hosp, Dept Rehabil Med, Daejeon, South Korea
[3] Seoul Rehabil Hosp, Dept Rehabil Med, Seoul, South Korea
[4] Kunming Med Univ, Sch Rehabil, Kunming, Yunnan, Peoples R China
[5] Yonsei Univ, Dept & Res Inst Rehabil Med, Coll Med, Seoul, South Korea
关键词
UPPER EXTREMITY FUNCTION; UPPER-LIMB FUNCTION; CEREBRAL-PALSY; MELBOURNE ASSESSMENT; THERAPY; STATE;
D O I
10.1111/dmcn.14762
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Aim To investigate the efficacy of a virtual reality rehabilitation system of wearable multi-inertial sensors to improve upper-limb function in children with brain injury. Method Eighty children (39 males, 41 females) with brain injury including cerebral palsy aged 3 to 16 years (mean age 5y 8mo, SD 2y 10mo) were assessed as part of a multicentre, single-blind, randomized controlled trial. The intervention group received a 30-minute virtual reality intervention and a 30-minute session of conventional occupational therapy while the control group received 60 minutes of conventional occupational therapy per session, with 20 sessions over 4 weeks. The virtual reality rehabilitation system consisted of games promoting wrist and forearm articular movements using wearable inertial sensors. The Melbourne Assessment of Unilateral Upper Limb Function-2 (MA-2), Upper Limb Physician's Rating Scale, Pediatric Evaluation of Disability Inventory Computer Adaptive Test, and computerized three-dimensional motion analysis were performed. Results Both groups (virtual reality, n=40; control, n=38) significantly improved after treatment compared to baseline; however, the virtual reality group showed more significant improvements in upper-limb dexterity functions (MA-2, virtual reality group: Delta=10.09 +/- 10.50; control: Delta=3.65 +/- 6.92), performance of activities of daily living, and forearm supination by kinematic analysis (p<0.05). In the virtual reality group, children with more severe motor impairment showed significant improvements compared to those with less severe impairment. Interpretation The virtual reality rehabilitation system used in this study, which consists of wearable inertial sensors and offers intensive, interactive, and repetitive motor training, is effective in children with brain injury.
引用
收藏
页码:480 / 487
页数:8
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