EFFECTIVENESS OF VIRTUAL REALITY TECHNOLOGY USE IN COMPLEX REHABILITATION OF MANUAL ACTIVITY IN CHILDREN WITH CEREBRAL PALSYJournal: Journal of the Grodno State Medical University (Vol.18, No. 6)
Publication Date: 2020-12-31
Authors : Shalkevich L. V.;
Page : 716-721
Keywords : cerebral palsy; medical rehabilitation; virtual reality;
Background. It is necessary to develop new rehabilitation methods for children with cerebral palsy (CP), and also methods using virtual reality. Objective of the study. To evaluate effectiveness of rehabilitation impact on increase in supination volume in patients with spastic forms of CP with additional use of virtual reality (VR) technologies. Material and methods. The study was observational, retrospective-prospective, cohort and comparative. The study included 58 pediatric patients with spastic forms of CP 2 and 3 levels by the MACS. Rehabilitation in combination with VR technologies was used in 30 patients, 28 patients underwent rehabilitation without these technologies. Evaluation was made 19 days after rehabilitation started. Results. The function of hands by the MACS scale remained at the initial level in all the patients. Comparison of case frequency with dynamics of supination angle increase by 5° and more in groups with and without VR use showed significant differences: 93.3% (28 cases) and 35.7% (10 cases), respectively, pCochrane-Mantel-Hanzel <0.001. Conclusion. Using computer 3D technologies and virtual reality in complex rehabilitation gives 25 times more chances to increase supination in hand by more than 5° OR=25.2 with 95% DI [4.94; 128.57].
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