The aim of the project is to create a digital system for cognitive-oriented rehabilitation of the central neuromuscular diseases (CND) with the use of augmented reality (AR) technology in children. Solving the project supports the professional-oriented digital literacy of professionals in rehabilitation institutions in the Czech Republic (CR). With the applied research, the software will be developed for the training of fine and gross motor skills, postural control and walking in the AR environment for children with cerebral palsy and verified in the practice of professionals in rehabilitation. The project aims to modernization and increase of the effectiveness of the work of professionals in rehabilitation institutions in the CR. The project is based on an interdisciplinary approach.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
The child wore Meta Quest 3 (Meta Platforms, Menlo Park, California, USA) VR/AR goggles during the exercises. Our custom exercise applications were running on the device. They provide brief verbal instructions at the start of each exercise. During the exercise, they also give short cognitive prompts to support focused attention.
Traditional spa treatment comprising hydrotherapy and physical therapy.
Palestra
Prague, Czechia
Speed of 10-meter walk test (m/s)
Speed (m/s): average speed of the walk 10 metres (10MWT)
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Cadence (steps/min)
Number of half-steps in one minute. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering)
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Support phase (% cycle)
The average value of the durations of the right and left support phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Swing Phase (% Cycle)
The average value of the durations of the right and left swing phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Symmetry index of pelvic tilt
The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the sagittal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Symmetry index of pelvic obliquity
The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the frontal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Symmetry index of pelvic rotation
The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the transverse component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
The Pediatric balance scale (PBS)
The Pediatric Balance Scale is a modified version of the Berg Balance Scale. The scale consists of 14 balance-related test items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points. Higher total scores suggest that the child has good balance ability.
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
One-Leg Balance (valuated by the time the child is able to maintain the position)
In this task, the child is asked to stand on one leg on a balance board or other unstable surface. Each leg is tested separately. The child must maintain balance for a maximum of 30 seconds. The task is assessed in accordance with the MABC-2 manual.
Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
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