Gehringer James E, Fortin Elizabeth, Surkar Swati M, Hao Jie, Pleiss Monica, Jensen-Willett Sandra
Virtual Reality Laboratory (Dr Gehringer) and Departments of Physical Therapy (Drs Gehringer, Fortin, and Jensen-Willett) and Occupational Therapy (Dr Pleiss), Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, Nebraska; Department of Physical Therapy (Dr Surkar), East Carolina University, Greenville, North Carolina; Division of Physical Therapy Education (Dr Hao), Allied Health Professionals, University of Nebraska Medical Center, Omaha, Nebraska.
Pediatr Phys Ther. 2023 Jan 1;35(1):85-91. doi: 10.1097/PEP.0000000000000975. Epub 2022 Dec 2.
The aim of the study was to evaluate the feasibility of virtual reality (VR) software built using the core concepts of hand-arm bimanual intensive training (HABIT) for improving upper extremity motor function in children with cerebral palsy (CP).
Eight children with CP participated in a 10-day, 40-hour HABIT program. Half of the time custom VR software, HABIT-VR was used. The children's motor skills were assessed pre- and postintervention with the Assisting Hand Assessment, Box and Blocks Test, and Nine-Hole Peg Test.
The children had significant and clinically relevant changes in the Assisting Hand Assessment and Box and Blocks Test; however, Nine-Hole Peg Test scores did not change with intervention.
These data suggest that combining traditional HABIT strategies with HABIT-VR games improve upper extremity function and gross motor skills but not fine motor skills.
本研究旨在评估利用手臂双手强化训练（HABIT）的核心概念构建的虚拟现实（VR）软件对改善脑瘫（CP）儿童上肢运动功能的可行性。
八名CP儿童参加了为期10天、共40小时的HABIT项目。其中一半时间使用定制的VR软件HABIT-VR。在干预前后，使用辅助手评估、箱块测试和九孔插板测试对儿童的运动技能进行评估。
儿童在辅助手评估和箱块测试中出现了显著且具有临床意义的变化；然而，九孔插板测试分数并未因干预而改变。
这些数据表明，将传统的HABIT策略与HABIT-VR游戏相结合可改善上肢功能和粗大运动技能，但对精细运动技能无效。
