Lim Onebin, Kim Yunhwan, Park Chanhee
Department of Physical Therapy, Mokpo Science University, Mokpo 58644, Republic of Korea.
Department of Physical Therapy, Yonsei University, Wonju 26493, Republic of Korea.
Bioengineering (Basel). 2025 Jul 18;12(7):779. doi: 10.3390/bioengineering12070779.
Extended reality (XR)-based rehabilitation is an emerging therapeutic approach that combines real and virtual environments to enhance patient engagement and promote motor and cognitive recovery. Its clinical utility in children with cerebral palsy (CP), particularly regarding gross motor skills, balance, and psychosocial well-being, remains underexplored. This preliminary study aimed to evaluate the potential effects of XR-based rehabilitation on gross motor function, balance, parental stress, and quality of life in children with cerebral palsy. Thirty children with cerebral palsy were randomly assigned to an extended reality training group (XRT, n = 15) or a conventional physical therapy group (CPT, n = 15). Both groups received 30 min sessions, three times per week for 6 weeks. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), Pediatric Balance Scale (PBS), Functional Independence Measure (FIM), Parenting Stress Index (PSI), and Pediatric Quality of Life Inventory (PedsQL), assessed pre- and post-intervention. A 2 (group) × 2 (time) mixed ANOVA was conducted. The XR group demonstrated improvements in GMFM-88, PBS, and FIM scores, with decreased PSI and increased PedsQL scores. Although most interaction effects were not statistically significant (GMFM-88: η = 0.035, = 0.329; PBS: η = 0.043, = 0.274), a marginal interaction effect was observed for PSI ( = 0.065, η = 0.059), suggesting a potential benefit of XR-based rehabilitation in reducing parental stress. This preliminary study indicates that XR-based rehabilitation may provide beneficial trends in motor function and psychosocial health in children with CP, particularly in reducing parental stress. Further studies with larger sample sizes are needed to confirm these findings.
基于扩展现实（XR）的康复是一种新兴的治疗方法，它结合了真实和虚拟环境，以提高患者的参与度，并促进运动和认知恢复。其在脑瘫（CP）儿童中的临床应用，特别是在大运动技能、平衡和心理社会福祉方面，仍未得到充分探索。这项初步研究旨在评估基于XR的康复对脑瘫儿童大运动功能、平衡、家长压力和生活质量的潜在影响。30名脑瘫儿童被随机分为扩展现实训练组（XRT，n = 15）或传统物理治疗组（CPT，n = 15）。两组均接受30分钟的治疗，每周三次，共6周。干预前后的评估指标包括粗大运动功能测量量表-88（GMFM-88）、儿童平衡量表（PBS）、功能独立性测量量表（FIM）、育儿压力指数（PSI）和儿童生活质量量表（PedsQL）。进行了2（组）×2（时间）混合方差分析。XR组在GMFM-88、PBS和FIM评分方面有所改善，PSI降低，PedsQL评分升高。虽然大多数交互效应无统计学意义（GMFM-88：η = 0.035，p = 0.329；PBS：η = 0.043，p = 0.274），但在PSI方面观察到边缘交互效应（p = 0.065，η = 0.059），表明基于XR的康复在减轻家长压力方面可能具有潜在益处。这项初步研究表明，基于XR的康复可能为脑瘫儿童的运动功能和心理社会健康带来有益趋势，特别是在减轻家长压力方面。需要更大样本量的进一步研究来证实这些发现。
