Tele-rehabilitation Technology Center and Neurosciences in Human Movement, Faculty of Health Sciences, Universidad de Talca, Talca, Chile.
School of Medicine, Universidad de Concepción, Concepción, Chile.
PLoS One. 2023 Aug 17;18(8):e0268163. doi: 10.1371/journal.pone.0268163. eCollection 2023.
To establish the feasibility and effectiveness of a rehabilitation programme using low-cost virtual reality aimed at improving postural control in children with cerebral palsy-spastic hemiplegia. It also aims to compare the effectiveness of this programme under two delivery modalities, telerehabilitation (TR) and face-to-face (FtF).
This is a registered randomized controlled clinical trial protocol (ACTRN12621000117819). Eighteen sessions of low-cost virtual reality therapy will be provided through both, FtF and TR modalities using a Nintendo Wii balance board. Each programme will last for 6 weeks and will consist of 3 sessions per week of 25 minutes each. Twenty patients diagnosed with cerebral palsy-spastic hemiplegia will be recruited for each group: FtF or TR (n = 40). Participants will be assessed at baseline, by the end of weeks 2, 4, and 6, and at weeks 8 and 10 (post-intervention follow-ups). The primary outcome will be the Center of Pressure sway area (CoParea); secondary outcomes will be standard deviation and velocity of the CoP in the mediolateral and anterior-posterior directions; tertiary outcomes will include the Modified-Modified Ashworth Scale for lower limbs, Modified Ashworth Scale for upper limbs, timed up-and-go tests, the timed one-leg standing and 6-minute walk test.
This study provides an assessment of the feasibility and effectiveness of an affordable rehabilitation programme using low-cost virtual reality aimed at improving postural control in children with cerebral palsy.
The designed rehabilitation programme using low-cost virtual reality may improve postural control in children with cerebral palsy-spastic hemiplegia. The TR modality is likely to be as effective as the FtF modality. The TR programme has been designed to overcome access barriers to physiotherapy services for children with cerebral palsy in low-resource settings, remote areas, and in restricted mobility contexts.
验证并评估低成本虚拟现实康复方案在改善痉挛型偏瘫脑瘫儿童姿势控制方面的可行性和有效性，并比较远程康复（TR）和面对面康复（FtF）两种治疗模式的疗效。
这是一项已注册的随机对照临床试验方案（ACTRN12621000117819）。将使用任天堂 Wii 平衡板通过 FtF 和 TR 两种方式为患儿提供 18 节低成本虚拟现实治疗课程。每个方案持续 6 周，每周 3 次，每次 25 分钟。将招募 40 名被诊断为痉挛型偏瘫脑瘫的患儿，每组 20 名（FtF 组和 TR 组各 20 名）。参与者将在基线时、第 2、4、6 周末以及第 8 和 10 周（干预后随访）进行评估。主要结局指标为压力中心（CoP）摆动面积（CoParea）；次要结局指标包括 CoP 在左右方向和前后方向的标准差和速度；次要结局指标还包括改良修订的 Ashworth 量表（下肢）、改良 Ashworth 量表（上肢）、计时起立-行走测试、计时单腿站立测试和 6 分钟步行测试。
本研究评估了一种使用低成本虚拟现实的经济实惠的康复方案在改善脑瘫患儿姿势控制方面的可行性和有效性。
使用低成本虚拟现实的设计康复方案可能会改善痉挛型偏瘫脑瘫患儿的姿势控制。TR 模式可能与 FtF 模式同样有效。TR 方案旨在克服资源匮乏环境、偏远地区以及行动不便的患儿在接受物理治疗服务方面的障碍。
