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Treino com realidade virtual no alcance manual de crianças com paralisia cerebral: ensaio clínico randomizado cruzado

机译:脑瘫儿童手动触及的虚拟现实训练:随机交叉临床试验

摘要

Introduction: The disability of upper limb function (MS) of children with Cerebral Palsy (CP) spastic hemiparetic restricts their participation in social activities. Virtual reality (VR) has shown promising results in functional recovery of this population, however, few studies have evaluated its effectiveness in the reaching of motion of these children. Objective: To assess the effects of training with RV in the movement range of children with CP spastic hemiparetic. Materials and Methods: We conducted a randomized crossover trial, where the sample consisted of 12 children diagnosed with PC hemiparetic, both genders, with a mean age of 9.63 ± 2.3 years. The sample characterization was performed by assessing muscle tone, range of motion, grip strength, functional performance, handicraft and desability. Kinematic analysis of the upper limb was performed by Qualisys Motion Capture System®. The study protocol consisted of two days of training and 1 revaluation. The training A (Nintendo Wii®) and B (standard protocol) were randomized the children in AB and BA sequences, with one week interval. Immediately kinematics pre and post-training was held and after a week. Data were analyzed using SPSS 20.0 (Statistical Package for Social Science) assigning a 5% significance level. The kinematic variables were analyzed by two-way ANOVA for repeated measures. Results and Discussion: No significant changes were observed for the angular variables and space-time between groups. The RV used for intervention to improve upper limb function in children with CP is still a relatively new method. Conclusion: Training with RV was not able to improve the reaching performance of children with cerebral palsy spastic hemiparetic.
机译:简介:脑性痉挛性偏瘫儿童的上肢功能障碍(MS)限制了他们参与社交活动。虚拟现实(VR)在该人群的功能恢复方面已显示出令人鼓舞的结果,但是,很少有研究评估其在这些儿童运动中的有效性。目的:评估RV训练对CP痉挛性半盲儿童运动范围的影响。材料和方法:我们进行了一项随机交叉试验,该样本包括12名被诊断患有PC偏瘫的儿童,男女均为平均年龄9.63±2.3岁。通过评估肌肉张力,运动范围,握力,功能表现,手工艺和残缺性来进行样品表征。通过Qualisys Motion CaptureSystem®对上肢进行运动学分析。研究方案包括两天的培训和1次重新评估。训练A(NintendoWii®)和B(标准规程)按AB和BA顺序随机分配给孩子,每隔一周。培训前后立即进行了运动学训练。使用SPSS 20.0(社会科学统计软件包)分析了数据,并指定了5%的显着性水平。通过双向方差分析对运动学变量进行重复测量。结果与讨论:组间角度变量和时空没有观察到显着变化。用于改善CP患儿上肢功能的RV仍是一种相对较新的方法。结论:RV训练不能改善小儿脑瘫痉挛性偏瘫儿童的伸手能力。

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