Cerebral Palsy Clinical Trial
Official title:
Use of a Low Cost Videogame Console in Children With Cerebral Palsy in a School Environment
OBJECTIVE: To investigate whether VR videogames plus conventional therapy improves motor
control compared with conventional therapy in children with cerebral palsy (CP).
METHODS: Thirty participants with CP were included. A baseline (A0), a post-conventional
intervention (A1), a post-experimental treatment (A2) and a two-month follow-up (A3)
assessment were performed. Experimental intervention was based on videogames treatment
(Kinect-Kbox360TM) added to their conventional physiotherapy. Motor and the process skills
were evaluated by the Assessment of Motor and Process Skills (AMPS); balance by the
Pediatric Reach test (PRT); gait speed by the 10-meters walk test (10MW); and running and
jumping capacity by the Gross Motor Function Measure (GMFM).
Thirty participants were recruited, seventeen were boys and thirteen were girls, with a mean
age of 8.41 years (SD 2.55).
The inclusion and exclusion criteria Children were recruited from Public Schools of Madrid
(Spain) and they were classified according to their Gross Motor Function Classification
System (GMFCS) level.
The inclusion criteria were a diagnostic of mild-moderate hemiplegic and diplegic CP, age
between four to eleven years and receive physiotherapy treatment in the public school
related with this project. The exclusion criteria were not have visual impairments, severe
cognitive disability, surgical intervention in the year before study onset, botulinum
injections in the six months before study onset and non-controlled epilepsy. Six
participants were classified as GMFCS level I and twenty-four was level II, all with spastic
involvement.
All were receiving physiotherapy at the time of enrollment by the same therapist. All
children were enrolled in age-appropriate classes in regular public schools; 100% did
receive some extra help for mild learning issues.
Statistical Analyses:
We used a repeated measures analysis of variance (ANOVA) to assess differences among the
four assessments in each of the variables, using paired t-test with Bonferroni correction
when a significant effect was detected. We performed all the analysis by The Statistical
Package for Social Sciences (SPSS 19.0 Version).The statistical analysis was conducted at a
95% confidence level. A p value <0.05 was considered statistically significant.
;
Allocation: Non-Randomized, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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