Effect of Virtual Reality Mediated Gamified Rehabilitation in Children With Spastic Diplegic Cerebral Palsy

Ibadat International University, Islamabad42 enrolled

Overview

This randomized controlled trial aimed to evaluate the effectiveness of a Virtual Reality (VR)-mediated gamified rehabilitation program compared with conventional physical therapy in children with spastic diplegic cerebral palsy. Forty-two children aged 7-15 years with Gross Motor Function Classification System (GMFCS) Levels II and III were recruited from Rafsan Neuro Rehab Center, Peshawar. Participants were randomly allocated into two equal groups. The intervention group received VR-based gamified rehabilitation using Xbox Kinect along with physiotherapy, while the control group received conventional physiotherapy only. Both groups completed 18 treatment sessions over six weeks. Outcome measures included the Timed Up and Go Test (TUG), Pediatric Balance Scale (PBS), Trunk Impairment Scale (TIS), and Gross Motor Function Classification System (GMFCS). The findings demonstrated that VR-mediated rehabilitation significantly improved functional mobility, balance, and trunk control compared with conventional therapy. The study concludes that VR-based rehabilitation is an effective, motivating, and clinically useful intervention for children with spastic diplegic cerebral palsy and may improve rehabilitation outcomes and functional independence.

Refer to complete thesis introduction, methodology and protocol.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Spastic Diplegic Cerebral Palsy

Eligibility

Sex: ALLMin age: 7 YearsMax age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosed with spastic diplegic cerebral palsy. * Age between 7-15 years. * GMFCS Level II or III. * Male and female participants. * Able to follow verbal instructions. Exclusion Criteria * Other neurological disorders. * Visual or hearing impairment. * Other types of cerebral palsy. * Severe cardiac disease. * Orthopedic surgery within previous six months. * Recent Botulinum toxin injection. * Children taking antispastic or antiepileptic medication. * Uncooperative participants.

Outcomes

Primary Outcomes

Timed Up and Go Test

Timed Up and Go Test score measures the time in seconds it takes a person to stand up from a chair, walk 3 meters (10 feet), turn around, walk back, and sit down.

Time frame: At baseline and after 6 weeks

Pediatric Balance Scale

Pediatric Balance Scale examines functional balance in the context of everyday tasks in the pediatric population. It consists of 14 tasks.

Time frame: baseline and after 6 weeks

Trunk Impairment Scale

Trunk Impairment Scale is a 17-item physical test. It measures trunk motor control, balance, and coordination in a sitting position.

Time frame: Baseline and after 6 weeks

Secondary Outcomes

Gross Motor Function Classification System

Gross Motor Function Classification System is a five-level tool used to describe the self-initiated movement and mobility of children and youth with cerebral palsy.