Effect of Visuomotor Training Using Pablo System on Hand Function in Children With Hemiplegic Cerebral Palsy

Umm Al-Qura University

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Traditional Treatment Program; Other: Virtual Reality Program

Study type: Interventional

Funder types: Other

Identifiers

NCT06398119

Hail University

Details and patient eligibility

About

The aim of this study was to investigate the efficacy of Virtual reality on hand function in Saudi children with hemiplegic cerebral palsy.

Full description

The aim of this study was to evaluate the effect of Virtual reality on hand function in children with hemiplegic CP. Forty children with hemiplegic CP were assigned randomly into two groups (A & B). Control group (A) was received conventional rehabilitation program for the hand. Study group (B) was received conventional rehabilitation program as in group (A) in addition to virtual reality by using the Pablo system.Patients' evaluation was carried out before and after training to assess hand function.

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Enrollment: 40 patients

Sex: All

Ages: 8 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• They had a diagnosis of spastic hemiplegia derived from medical records.
• Scored I-III on the Manual Ability Classification System.
• Not have musculoskeletal disorders that would make it difficult for them to use the VR.
• They had normal or corrected hearing and vision.
• They had no prior experience with the VR.
• They comprehend and follow straightforward instructions to complete the tasks.

Exclusion criteria

• They have had upper limb surgery within the last six months.
• They have uncontrollably occurred seizures.
• They have medical conditions that can make using virtual reality dangerous.
• They have attention deficit issues.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Traditional Treatment Arm

Active Comparator group

Description:

The traditional therapy program consisted of one hour provided three times a week for three months. The components of traditional therapy included weight-bearing exercises for the upper limbs, protective extensor push to activate the upper limbs' protective reactions, and passive stretching for the flexors of the wrist and elbow. In order to strengthen the muscles that oppose the spastic muscles, such as the elbow and wrist extensors, various toys were used, along with incentives to motivate the children to complete the exercises. Basic reach, grab, carry, and release techniques, in-hand manipulation techniques, and bilateral hand use are exercises that help with hand abilities.

Treatment:

Other: Virtual Reality Program

Other: Traditional Treatment Program

Virtual Reality Treatment Arm

Experimental group

Description:

For virtual reality training, the Pablo system was utilized. In both one- and two-dimensional modules, it is a game-based kind of rehabilitation. Based on the concepts of motor learning, this apparatus is used to train users. Using sensors to operate the games, the Pablo system features several boards, multiball, and handheld devices. The virtual reality program consisted of 45 minutes provided three times a week for three months.

Treatment:

Other: Virtual Reality Program

Other: Traditional Treatment Program