Active Video Gaming for Children with Cerebral Palsy: Does a Clinic-Based Virtual Reality Component Offer an Additive Benefit? A Pilot Study

Levac, D, McCormick, A, Levin, MF, Brien, M, Mills, R, Miller, E and Sveistrup, H (2018) Active Video Gaming for Children with Cerebral Palsy: Does a Clinic-Based Virtual Reality Component Offer an Additive Benefit? A Pilot Study. Physical and Occupational Therapy in Pediatrics, 38 (1). pp. 74-87. ISSN 0194-2638

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Official URL: https://doi.org/10.1080/01942638.2017.1287810

Abstract

Aims: To compare changes in gross motor skills and functional mobility between ambulatory children with cerebral palsy who underwent a 1-week clinic-based virtual reality intervention (VR) followed by a 6-week, therapist-monitored home active video gaming (AVG) program and children who completed only the 6-week home AVG program. Methods: Pilot non-randomized controlled trial. Five children received 1 hour of VR training for 5 days followed by a 6-week home AVG program, supervised online by a physical therapist. Six children completed only the 6-week home AVG program. The Gross Motor Function Measure Challenge Module (GMFM-CM) and Six Minute Walk Test (6MWT) evaluated change. Results: There were no significant differences between groups. The home AVG-only group demonstrated a statistically and clinically significant improvement in GMFM-CM scores following the 6-week AVG intervention (median difference 4.5 points, interquartile range [IQR] 4.75, p = 0.042). The VR + AVG group demonstrated a statistically and clinically significant decrease in 6MWT distance following the intervention (median decrease 68.2 m, IQR 39.7 m, p = 0.043). All 6MWT scores returned to baseline at 2 months post-intervention. Conclusion: Neither intervention improved outcomes in this small sample. Online mechanisms to support therapist-child communication for exercise progression were insufficient to individualize exercise challenge.

Item Type:	Article (Article)
Peer-reviewed:	Yes
Date Deposited:	02 Jan 2018 10:33
Publisher:	Taylor & Francis
Additional Information:	This is an Author Accepted Manuscript of a paper accepted for publication in Physical and Occupational Therapy in Pediatrics, published by and copyright Taylor & Francis.
Divisions:	Faculties > Science and Engineering
Subject terms:	Science & Technology, Life Sciences & Biomedicine, Pediatrics, Rehabilitation, Active video games, cerebral palsy, home exercise programs, virtual reality, Humans, Cerebral Palsy, Exercise Test, Treatment Outcome, Exercise Therapy, Pilot Projects, Motor Skills, Video Games, Adolescent, Child, Female, Male, Virtual Reality, Active video games, cerebral palsy, home exercise programs, virtual reality, Adolescent, Cerebral Palsy, Child, Exercise Test, Exercise Therapy, Female, Humans, Male, Motor Skills, Pilot Projects, Treatment Outcome, Video Games, Virtual Reality, 1114 Paediatrics And Reproductive Medicine, 1117 Public Health And Health Services, Rehabilitation
URI:	https://e-space.mmu.ac.uk/id/eprint/619111
DOI:	https://doi.org/10.1080/01942638.2017.1287810
ISSN	0194-2638
e-ISSN	1541-3144

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