EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL

GENÇ, Arzu; Fidan, Öznur

doi:10.21653/tjpr.1017679

EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL

Oznur FIDAN, (Eskisehir Osmangazi Üniversitesi, Edebiyat Fakültesi, Sağlık Bilimleri, Fizyoterapi ve Rehabilitasyon Bölümü , Eskişehir, Türkiye)

Arzu GENC (Dokuz Eylül Üniversitesi, Beden Eğitimi Yüksekokulu, Terapi ve Rehabilitasyon, İzmir, Türkiye)

Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)

2 0

Yıl: 2023 Cilt: 34 Sayı: 1 Sayfa Aralığı: 64 - 72 Metin Dili: İngilizce DOI: 10.21653/tjpr.1017679 İndeks Tarihi: 13-02-2024

EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL

Öz:

Purpose: The aim of this study was to investigate the effectiveness of virtual reality training on balance and functionality in children with Cerebral Palsy. Methods: Children with spastic Cerebral Palsy were randomly divided into the virtual reality training group (27 children, mean age: 9.2 years) and control group (25 children, mean age: 9.4 years). The virtual reality training group received virtual reality training using the XBox One Kinect gaming system and the control group received conventional physiotherapy training for eight weeks. The Pediatric Balance Scale, The Gross Motor Function Measurement-88, The Quality of Upper Extremity Skills Test, The Functional Reach Test, The Sit to Stand Test and The Pediatric Disability Evaluation Inventory were measured at baseline and after treatment sessions. Results: Total motor function, upper extremity skills and balance in both groups improved after training (p < 0.05). A comparison between groups demonstrated that the improvements in upper extremity functions was greater in the control group than in the virtual reality training group (p < 0.05). Conclusion: The results of our study showed that Kinect-based virtual reality training is beneficial in improving balance, motor function and upper extremity skills in children with Cerebral Palsy.

Anahtar Kelime: Balance Cerebral Palsy Children Virtual Reality

SEREBRAL PALSİLİ ÇOCUKLARDA SANAL GERÇEKLİK EĞİTİMİNİN DENGE VE FONKSİYONELLİK ÜZERİNE ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öz:

Amaç: Bu çalışmanın amacı, Serebral Palsili çocuklarda sanal gerçeklik eğitiminin denge ve fonksiyonellik üzerine etkisini araştırmaktır. Yöntem: Spastik Serebral Palsili çocuklar rastgele sanal gerçeklik eğitim grubuna (27 çocuk, ortalama yaş: 9,2 yıl ) ve kontrol grubuna (25 çocuk, ortalama yaş: 9,4 yıl) ayrıldı. 8 hafta boyunca sanal gerçeklik eğitim grubuna XBox One Kinect oyun sisteminin kullanıldığı sanal gerçeklik eğitimi ve kontrol grubuna konvansiyonel fizyoterapi eğitimi verildi. Pediatrik Denge Ölçeği, Kaba Motor Fonksiyon Ölçeği-88, Üst Ekstremite Becerilerinin Kalitesi Testi, Fonksiyonel Uzanma Testi, Oturup Kalkma Testi ve Pediatrik Özürlülük Değerlendirme Envanteri başlangıçta ve tedavinin sonunda ölçüldü. Sonuçlar: Her iki grupta da eğitim sonunda total motor fonksiyon, üst ekstremite becerileri ve dengede ilerleme görüldü (p < 0,05). Gruplar arası karşılaştırma üst ekstremite fonksiyonlarındaki ilerlemenin kontrol grubunda sanal gerçeklik eğitim grubuna göre daha fazla olduğunu gösterdi (p < 0,05). Tartışma: Çalışmamızın sonuçları, Kinect tabanlı sanal gerçeklik eğitiminin Serebral Palsili çocuklarda denge, motor fonksiyon ve üst ekstremite becerilerini geliştirmede faydalı olduğunu göstermiştir.

Anahtar Kelime: Denge Serebral Palsi Çocuklar Sanal Gerçeklik

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Chiarello LA, Palisano RJ, McCoy SW, Bartlett DJ, Wood A, Chang HJ, et al. Child engagement in daily life: a measure of participation for young children with cerebral palsy. Disabil Rehabil. 2014; 36(21):1804-1816.
2. Patel DR, Neelakantan M, Pandher K, Merrick J. Cerebral palsy in children: a clinical overview. Transl Pediatr . 2020; 9(1): 125.
3. El-Shamy SM, Abd El Kafy EM. Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy. Disabil Rehabil. 2014;1;36(14):1176-83.
4. Niiler, T. Assessing Dynamic Balance in Children with Cerebral Palsy. B. S. Miller F. Cerebral Palsy. Cham: Springer; 2018; p. 1-32. Springer, Cham.
5. Opheim A, Jahnsen R, Olsson E, Stanghelle JK. Balance in relation to walking deterioration in adults with spastic bilateral cerebral palsy. Phys Ther. 2012;92(2):279-88.
6. Rana M, Upadhyay J, Rana A, Durgapal S, Jantwal A. A systematic review on etiology, epidemiology, and treatment of cerebral palsy. Int J Nutr Pharmacol Neurol Dis. 2017;1;7(4):76.
7. Weiss PL, Tirosh E, Fehlings D. Role of virtual reality for cerebral palsy management. J Child Neurol. 2014; 29:1119– 1124.
8. Cho C, Hwang W, Hwang S, Chung Y. Treadmill training with virtual reality improves gait, balance, and muscle strength in children with cerebral palsy. Tohoku J Exp Med .2016; 238(3):213- 218.
9. Chen Y, Fanchiang HD, Howard A. Effectiveness of virtual reality in children with cerebral palsy: a systematic review and meta- analysis of randomized controlled trials. Physical therapy. 2018; 1;98(1):63-77.
10. Gunel MK, Kara OK, Ozal C, Turker D. Virtual reality in rehabilitation of children with cerebral palsy. Cerebral Palsy - Challenges for the Future. 2014:273-301.
11. Bonnechère B, Jansen B, Omelina L, Van Sint Jan SJ. The use of commercial video games in rehabilitation: a systematic review. Int J Rehabil Res.2016;39(4):277-90.
12. Sharan D, Ajeesh PS, Rameshkumar R, Mathankumar M, Paulina RJ, Manjula M. Virtual reality based therapy for post operative rehabilitation of children with cerebral palsy. Work. 2012; 1;41:3612-5.
13. Erden A, Arslan EA, Dündar B, Topbaş M, Cavlak U. Reliability and validity of Turkish version of pediatric balance scale. Acta Neurol Belg .2021; 121(3): 669-675.
14. Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills. 1995; 801: 163-6.
15. Yuksel E, Kahraman BO, Nalbant A, Kocak UZ, Unver B. Functional reach and lateral reach tests in Turkish children. Phys Occup Ther Pediatr. 2017;37(4):389-398.
16. Duncan PW, Weiner DK, Chadler J, Studenske S. Functional reach: A new clinical measure of balance. J Gerontol. 1990; 45:192.
17. Hidecker MJC, Ho NT, Dodge N, Hurvitz EA, Slaughter J, Workinger MS, et al. Inter˂relationships of functional status in cerebral palsy: analyzing gross motor function, manual ability, and communication function classification systems in children. Dev Med Child Neurol . 2012;54(8):737-42.
18. Thorley M, Lannin N, Cusick A, Novak I, Boyd R.Reliability of the quality of upper extremity skills test for children with cerebral palsy aged 2 to 12 years. Phys Occup Ther Pediatr. 2012;32(1):4- 21.
19. Erkin G, Elhan AH, Aybay C, Sirzai H, Ozel S.Validity and reliability of the Turkish translation of the Pediatric Evaluation of Disability Inventory (PEDI). Disabil Rehabil . 2007;29(16):1271-9.
20. Sullivan GM, Feinn R. Using effect size—Or why the P value is not enough. J Grad Med Educ. 2012; 4:279–282.
21. Harbourne R, Kamm K. Upper extremity function: What’s posture got to do with it?. J Hand Ther. 2015; 28(2): 106-113.
22. Pourazar M, Bagherzadeh F, Mirakhori F. Virtual reality training improves dynamic balance in children with cerebral palsy. Int J Dev Disabil. 2021; 13;67(6):422-7.
23. You SH, Jang SH, Kim YH, Kwon YH, Barrow I, Hallett M. Cortical reorganization induced by virtual reality therapy in a child with hemiparetic cerebral palsy. Dev Med Child Neurol. 2005;47(9):628-35.
24. Şahin S, Köse B, Aran OT, Bahadır Ağce Z, Kayıhan H. The effects of virtual reality on motor functions and daily life activities in unilateral spastic cerebral palsy: a single-blind randomized controlled trial. Games Health J. 2020;1;9(1):45-52.
25. Brien M, Sveistrup H. An intensive virtual reality program improves functional balance and mobility of adolescents with cerebral palsy. Pediatr Phys Ther. 2011; 1;23(3):258-66.
26. Arnoni JL, Pavao SL, dos Santos Silva FP, Rocha NA. Effects of virtual reality in body oscillation and motor performance of children with cerebral palsy: A preliminary randomized controlled clinical trial. Complement Ther Clin Pract. 2019; 1;35:189-94.
27. Ko Y, Kim H, Chio E, Lee S. Do virtual reality sports games improve sports specific skills in unilateral cerebral palsy patients. Dev Med Child Neurol. 2013;55:12-3.
28. Zoccolillo L, Morelli D, Cincotti F, Muzzioli L, Gobbetti T, Paolucci S, et al. Video-game based therapy performed by children with cerebral palsy: a cross-over randomized controlled trial and a cross-sectional quantitative measure of physical activity. Eur J Phys Rehabil Med. 2015;1;51(6):669-76.
29. Zanon MA, Pacheco RL, Latorraca CdOC, Martimbianco ALC, Pachito DV, Riera RJ.Neurodevelopmental treatment (Bobath) for children with cerebral palsy: a systematic review. J Child Neurol. 2019;34(11):679-86.
30. Urgen M, Akbayrak T, Gunel M, Cankaya O, Guchan Z, Turkyilmaz E. Investigation of the effects of the Nintendo® Wii-Fit training on balance and advanced motor performance in children with spastic hemiplegic cerebral palsy: A Randomized Controlled Trial. JIJTRR. 2016;5:146.

APA	Fidan Ö, GENÇ A (2023). EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. , 64 - 72. 10.21653/tjpr.1017679
Chicago	Fidan Öznur,GENÇ Arzu EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. (2023): 64 - 72. 10.21653/tjpr.1017679
MLA	Fidan Öznur,GENÇ Arzu EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. , 2023, ss.64 - 72. 10.21653/tjpr.1017679
AMA	Fidan Ö,GENÇ A EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. . 2023; 64 - 72. 10.21653/tjpr.1017679
Vancouver	Fidan Ö,GENÇ A EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. . 2023; 64 - 72. 10.21653/tjpr.1017679
IEEE	Fidan Ö,GENÇ A "EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL." , ss.64 - 72, 2023. 10.21653/tjpr.1017679
ISNAD	Fidan, Öznur - GENÇ, Arzu. "EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL". (2023), 64-72. https://doi.org/10.21653/tjpr.1017679

APA	Fidan Ö, GENÇ A (2023). EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 34(1), 64 - 72. 10.21653/tjpr.1017679
Chicago	Fidan Öznur,GENÇ Arzu EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 34, no.1 (2023): 64 - 72. 10.21653/tjpr.1017679
MLA	Fidan Öznur,GENÇ Arzu EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.34, no.1, 2023, ss.64 - 72. 10.21653/tjpr.1017679
AMA	Fidan Ö,GENÇ A EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2023; 34(1): 64 - 72. 10.21653/tjpr.1017679
Vancouver	Fidan Ö,GENÇ A EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2023; 34(1): 64 - 72. 10.21653/tjpr.1017679
IEEE	Fidan Ö,GENÇ A "EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 34, ss.64 - 72, 2023. 10.21653/tjpr.1017679
ISNAD	Fidan, Öznur - GENÇ, Arzu. "EFFECT OF VIRTUAL REALITY TRAINING ON BALANCE AND FUNCTIONALITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 34/1 (2023), 64-72. https://doi.org/10.21653/tjpr.1017679