At a glance
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Effects Of Virtual Reality Training With Sensory Integration On The Gross Motor Functions Of Lower Limb In Spastic Diplegic Cerebral Palsy.
In Brief
A clinical study evaluating VR training + Sensory Integration therapy + conventional therapy and VR training + conventional therapy for Cerebral Palsy Spastic Diplegia. Completed, enrolled 44 participants across 1 site.
Detailed Summary
The objectives of this study are To determine the effect of virtual reality on balance and gross motor functions of the lower limb in spastic diplegic cerebral palsy. To determine the effect of virtual reality with sensory input on balance and gross motor functions of the lower limb in spastic diplegic cerebral palsy. To compare the effects of virtual reality training with and without sensory input on balance and gross motor functions of the lower limb in spastic diplegic CP. Its is a Randomized control trial (RCT) done at Physiotherapy department of Railway General Hospital Rawalpindi and National Institute of rehabilitation Medicine.44 individuals (calculated using epi tool) 22 individuals in each group. Individuals who met the inclusion criteria will be included in this study. All participants will go through randomization and divided into two groups Experimental and Control groups. Pre-intervention assessment is made for both groups. Then intervention will be applied to both groups. estimated time of treatment protocol will be 40 min/day, 1 time / d, 3 times/week for 6 weeks. Subjects will be evaluated at baseline, then 3rd week and 6th-week assessment will be the final
Study Details
Timeline
Interventions
After the baseline assessment, * Coconut ShootersVR - 5 min/day * Ninja flipVR - 5 min/day. * Sensory integration training include Exercises on BOSU ball and mini-trampoline. It will involve: * Passive bouncing with child standing with his/her feet shoulder width apart for 2.5 and 2.5 minutes on both. * Active bouncing (the child bounces and therapist will control the rate) for 2.5 and 2.5 minutes on both. * Mini-squat exercises with feet apart and feet together for 2.5 and 2.5 minutes on both. * Conventional exercises include: * passive stretching exercises for the hip flexors, hip adductors, hamstring, and calf muscle; stretching will be applied for 30 sec with 30 sec rest for each muscle group within pain limit. * Strengthening of abdominal and back muscles, hip abductions and knee joint extensors and ankle dorsiflexors will be performed.
After the baseline assessment, * The Your Shape: Fitness Evolved 2012TM game is selected for VR training (walking and walking with obstacles) for 8 min * Coconut ShootersVR - 8 min/day * Ninja flipVR - 8 min/day * Conventional Therapy - 20 min per day * Passive stretching exercises for the hip flexors, hip adductors, hamstring, and calf muscle; stretching will be applied for 30 sec with 30 sec rest 3-5 times for each muscle group within pain limit. * Strengthening of abdominal and back muscles, hip abductions and knee joint extensors and ankle dorsiflexors will be performed.