Pavão Silvia Leticia, Arnoni Joice Luiza Bruno, de Oliveira Alyne Kalyane Câmara, Rocha Nelci Adriana Cicuto Ferreira
Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brasil.
Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brasil.
Rev Paul Pediatr. 2014 Dec;32(4):389-94. doi: 10.1016/j.rpped.2014.04.005.
: To verify the effect of an intervention protocol using virtual reality (VR) on the motor performance and balance of a child with cerebral palsy (CP).
: To comply with the proposed objectives, a 7-year old child with spastic hemiplegic cerebral palsy (CP), GMFCS level I, was submitted to a physiotherapy intervention protocol of 12 45-minute sessions, twice a week, using virtual reality-based therapy. The protocol used a commercially-available console (Kinect able to track and reproduce body movements on a screen. Prior to the intervention protocol, the child was evaluated using the Motor Development Scale (MDS) and the Pediatric Balance Scale (PBS) in order to assess motor development and balance, respectively. Two baseline assessments with a 2-week interval between each other were carried out for each tool. Then, the child was re-evaluated after the twelfth session. The results showed no changes in the two baseline scores. After the intervention protocol, the child improved his scores in both tools used: the PBS score increased by 3 points, reaching the maximal score, and the MDS increased from a much inferior motor performance to just an inferior motor performance.
: The evidence presented in this case supports the use of virtual reality as a promising tool to be incorporated into the rehabilitation process of patients with neuromotor dysfunction.
验证使用虚拟现实（VR）的干预方案对一名脑瘫（CP）儿童运动表现和平衡能力的影响。
为实现既定目标，一名7岁痉挛性偏瘫型脑瘫儿童（GMFCS I级）接受了一项物理治疗干预方案，该方案每周两次，每次45分钟，共12次，采用基于虚拟现实的治疗方法。该方案使用了一款市售设备（能够在屏幕上追踪并重现身体动作的Kinect）。在干预方案实施前，分别使用运动发育量表（MDS）和儿童平衡量表（PBS）对该儿童进行评估，以分别评估其运动发育和平衡能力。每种工具均进行了两次基线评估，每次评估间隔2周。然后，在第十二次治疗后对该儿童进行重新评估。结果显示两次基线评分无变化。干预方案实施后，该儿童在使用的两种工具上的评分均有所提高：PBS评分提高了3分，达到最高分，MDS评分从较差的运动表现提升至仅为稍差的运动表现。
该病例所提供的证据支持将虚拟现实作为一种有前景的工具纳入神经运动功能障碍患者的康复过程。
