Intensive Training with Virtual Reality on Mobility in Adolescents with Cerebral Palsy—Single Subject Design
Purpose: To evaluate the effects of a short-term intensive virtual reality intervention in adolescents with cerebral palsy (CP). Methods: Single-subject design, type A–B-follow-up, with four participants (P) with CP, 15–18 years, GMFCS level II. A two-week intervention phase was performed with twelv...
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| Vydané v: | International journal of environmental research and public health Ročník 18; číslo 19; s. 10455 |
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| Hlavní autori: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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| Abstract | Purpose: To evaluate the effects of a short-term intensive virtual reality intervention in adolescents with cerebral palsy (CP). Methods: Single-subject design, type A–B-follow-up, with four participants (P) with CP, 15–18 years, GMFCS level II. A two-week intervention phase was performed with twelve Nintendo® Wii games in six sessions (90 min) per week. Outcome variables were semi-static balance (Pressure Center Oscillation—PCO), gait speed (Ten Meter Walk Test at usual speed—TMWT-U; and fast speed—TMWT-F), mobility (Timed Up and Go test—TUG), endurance (sit-to-stand test 5 times—STS-5), and gross motor activity (Gross Motor Function Measure—GMFM). Results: Statistical improvements were observed in GMFM-D (P2–P3), TMWT-F (P2–P3–P4) and TMWT-U (P2), STS-5 (P3–P4), TUG (P3), and PCO (P2–P3), assessed by level, trend, latency, and visual inspection to analyze change. Conclusions: This study shows that a short-term intensive intervention using Nintendo® Wii-based games in adolescents, GMFCS level II, can be an effective therapy, leading to some recovery of functioning in these young people. |
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| AbstractList | Purpose: To evaluate the effects of a short-term intensive virtual reality intervention in adolescents with cerebral palsy (CP). Methods: Single-subject design, type A–B-follow-up, with four participants (P) with CP, 15–18 years, GMFCS level II. A two-week intervention phase was performed with twelve Nintendo® Wii games in six sessions (90 min) per week. Outcome variables were semi-static balance (Pressure Center Oscillation—PCO), gait speed (Ten Meter Walk Test at usual speed—TMWT-U; and fast speed—TMWT-F), mobility (Timed Up and Go test—TUG), endurance (sit-to-stand test 5 times—STS-5), and gross motor activity (Gross Motor Function Measure—GMFM). Results: Statistical improvements were observed in GMFM-D (P2–P3), TMWT-F (P2–P3–P4) and TMWT-U (P2), STS-5 (P3–P4), TUG (P3), and PCO (P2–P3), assessed by level, trend, latency, and visual inspection to analyze change. Conclusions: This study shows that a short-term intensive intervention using Nintendo® Wii-based games in adolescents, GMFCS level II, can be an effective therapy, leading to some recovery of functioning in these young people. To evaluate the effects of a short-term intensive virtual reality intervention in adolescents with cerebral palsy (CP).PURPOSETo evaluate the effects of a short-term intensive virtual reality intervention in adolescents with cerebral palsy (CP).Single-subject design, type A-B-follow-up, with four participants (P) with CP, 15-18 years, GMFCS level II. A two-week intervention phase was performed with twelve Nintendo® Wii games in six sessions (90 min) per week. Outcome variables were semi-static balance (Pressure Center Oscillation-PCO), gait speed (Ten Meter Walk Test at usual speed-TMWT-U; and fast speed-TMWT-F), mobility (Timed Up and Go test-TUG), endurance (sit-to-stand test 5 times-STS-5), and gross motor activity (Gross Motor Function Measure-GMFM).METHODSSingle-subject design, type A-B-follow-up, with four participants (P) with CP, 15-18 years, GMFCS level II. A two-week intervention phase was performed with twelve Nintendo® Wii games in six sessions (90 min) per week. Outcome variables were semi-static balance (Pressure Center Oscillation-PCO), gait speed (Ten Meter Walk Test at usual speed-TMWT-U; and fast speed-TMWT-F), mobility (Timed Up and Go test-TUG), endurance (sit-to-stand test 5 times-STS-5), and gross motor activity (Gross Motor Function Measure-GMFM).Statistical improvements were observed in GMFM-D (P2-P3), TMWT-F (P2-P3-P4) and TMWT-U (P2), STS-5 (P3-P4), TUG (P3), and PCO (P2-P3), assessed by level, trend, latency, and visual inspection to analyze change.RESULTSStatistical improvements were observed in GMFM-D (P2-P3), TMWT-F (P2-P3-P4) and TMWT-U (P2), STS-5 (P3-P4), TUG (P3), and PCO (P2-P3), assessed by level, trend, latency, and visual inspection to analyze change.This study shows that a short-term intensive intervention using Nintendo® Wii-based games in adolescents, GMFCS level II, can be an effective therapy, leading to some recovery of functioning in these young people.CONCLUSIONSThis study shows that a short-term intensive intervention using Nintendo® Wii-based games in adolescents, GMFCS level II, can be an effective therapy, leading to some recovery of functioning in these young people. |
| Author | Keniston, Leslie Rosa, Renata Monteiro, Carlos Frônio, Jaqueline Chagas, Paula Valenzuela, Elisa Ayupe, Kênnea |
| AuthorAffiliation | 4 Department of Physical Therapy, University of Maryland Eastern Shore (UMES), Princess Anne, MD 21613, USA; lpkeniston@umes.edu 5 Physical Therapy School, Universidade de Brasília (UnB), Brasília 72220-275, Brazil; kennea.almeida@gmail.com 2 Graduate Program in Reahabilitation Sciences, Medicine School, Universidade de São Paulo, São Paulo 01246-903, Brazil; renata.martinsr@hotmail.com (R.R.); carlosmonteiro@usp.br (C.M.) 3 School of Physical Therapy, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora 36036-330, Brazil 1 Graduate Program in Rehabilitation Sciences and Physical Functional Performance, Physical Therapy School, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora 36038-330, Brazil; elisajvalenzuela@yahoo.com.br (E.V.); jaqueline.fronio@ufjf.edu.br (J.F.) |
| AuthorAffiliation_xml | – name: 2 Graduate Program in Reahabilitation Sciences, Medicine School, Universidade de São Paulo, São Paulo 01246-903, Brazil; renata.martinsr@hotmail.com (R.R.); carlosmonteiro@usp.br (C.M.) – name: 1 Graduate Program in Rehabilitation Sciences and Physical Functional Performance, Physical Therapy School, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora 36038-330, Brazil; elisajvalenzuela@yahoo.com.br (E.V.); jaqueline.fronio@ufjf.edu.br (J.F.) – name: 3 School of Physical Therapy, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora 36036-330, Brazil – name: 5 Physical Therapy School, Universidade de Brasília (UnB), Brasília 72220-275, Brazil; kennea.almeida@gmail.com – name: 4 Department of Physical Therapy, University of Maryland Eastern Shore (UMES), Princess Anne, MD 21613, USA; lpkeniston@umes.edu |
| Author_xml | – sequence: 1 givenname: Elisa surname: Valenzuela fullname: Valenzuela, Elisa – sequence: 2 givenname: Renata orcidid: 0000-0001-8368-6631 surname: Rosa fullname: Rosa, Renata – sequence: 3 givenname: Carlos orcidid: 0000-0002-2661-775X surname: Monteiro fullname: Monteiro, Carlos – sequence: 4 givenname: Leslie orcidid: 0000-0001-9730-0074 surname: Keniston fullname: Keniston, Leslie – sequence: 5 givenname: Kênnea orcidid: 0000-0002-4410-8748 surname: Ayupe fullname: Ayupe, Kênnea – sequence: 6 givenname: Jaqueline orcidid: 0000-0002-6936-8431 surname: Frônio fullname: Frônio, Jaqueline – sequence: 7 givenname: Paula orcidid: 0000-0002-4312-0403 surname: Chagas fullname: Chagas, Paula |
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| Title | Intensive Training with Virtual Reality on Mobility in Adolescents with Cerebral Palsy—Single Subject Design |
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