PMID- 33655813
OWN - NLM
STAT- MEDLINE
DCOM- 20211203
LR  - 20211214
IS  - 1369-1651 (Electronic)
IS  - 0899-0220 (Linking)
VI  - 38
IP  - 2
DP  - 2021 Jun
TI  - Randomised trial of virtual reality gaming and physiotherapy on balance, gross 
      motor performance and daily functions among children with bilateral spastic 
      cerebral palsy.
PG  - 117-126
LID - 10.1080/08990220.2021.1876016 [doi]
AB  - BACKGROUND: Balance issues and poor gross motor function affect the daily needs 
      of children with cerebral palsy. PURPOSE: The study objective was to examine the 
      effects of virtual reality gaming and physiotherapy on balance, gross motor 
      performance and daily functioning among children with bilateral spastic cerebral 
      palsy. METHOD: Thirty-eight children with bilateral spastic cerebral palsy aged 
      6-12 years with GMFCS- level II-III, Manual Ability Classification System level 
      I-III participated in this randomized controlled trial. The experimental group 
      performed virtual reality games and physiotherapy, while the control group 
      underwent physiotherapy alone. The exercise intensity was 60 minutes session a 
      day, 4-days a week for 6-weeks. Paediatric Balance Scale (PBS), Kids-Mini-Balance 
      Evaluation System Test (Kids-Mini-BESTest), Gross Motor Function Measure-88 
      (GMFM-88), and Wee-Functional Independence Measure (WeeFIM) were the outcome 
      measures collected at baseline, 6-week post-training and 2-months follow-up. 
      RESULTS: The time by group interaction of repeated measures ANOVA revealed no 
      statistical significance for all the outcome measures except Kids-Mini-BESTest 
      (p < 0.05). The PBS and, Kids-Mini-BESTest improved by a mean (standard 
      deviation) score of 5.1(1.7) and 8.7(2.8) points, respectively in the 
      experimental group as compared to control group [3.4(1.6) and 5.8(2.5) points]. 
      These gains remained at follow-up (p < 0.001). CONCLUSION: Combined virtual 
      reality gaming and physiotherapy is not superior over physiotherapy alone in 
      improving the gross motor performance and daily functioning among children with 
      bilateral spastic cerebral palsy. Virtual gaming, along with physiotherapy, 
      appears to be beneficial in their balance capacity, warranting further trials to 
      investigate the same in children with GMFCS level-III.
FAU - Jha, Krishna Kumari
AU  - Jha KK
AD  - Chitkara School of Health Sciences, Chitkara University, Punjab, India.
FAU - Karunanithi, Gandhi Balaji
AU  - Karunanithi GB
AD  - Chitkara School of Health Sciences, Chitkara University, Punjab, India.
FAU - Sahana, A
AU  - Sahana A
AD  - Chitkara School of Health Sciences, Chitkara University, Punjab, India.
FAU - Karthikbabu, Suruliraj
AU  - Karthikbabu S
AUID- ORCID: 0000-0002-7513-0606
AD  - Manipal Academy of Higher Education, Manipal College of Health Professions, 
      Department of Physiotherapy, MHB, Bangalore, India.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20210303
PL  - England
TA  - Somatosens Mot Res
JT  - Somatosensory & motor research
JID - 8904127
SB  - IM
MH  - *Cerebral Palsy
MH  - Child
MH  - Humans
MH  - Outcome Assessment, Health Care
MH  - Physical Therapy Modalities
MH  - *Video Games
MH  - *Virtual Reality
OTO - NOTNLM
OT  - Bilateral spastic cerebral palsy
OT  - balance
OT  - daily activities
OT  - virtual reality
EDAT- 2021/03/04 06:00
MHDA- 2021/12/15 06:00
CRDT- 2021/03/03 08:42
PHST- 2021/03/04 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/03/03 08:42 [entrez]
AID - 10.1080/08990220.2021.1876016 [doi]
PST - ppublish
SO  - Somatosens Mot Res. 2021 Jun;38(2):117-126. doi: 10.1080/08990220.2021.1876016. 
      Epub 2021 Mar 3.