The Use of Virtual Reality with Children with Cerebral Palsy: A Pilot Randomized Trial

This paper reports on a pilot randomized controlled study on the use of virtual reality (VR) for examining rehabilitation outcomes in children with cerebral palsy. The objectives of the study were to see if changes in the quality of upper-extremity movement and in self-perceived self-efficacy and self concept could be found as a result of VR intervention. There were 19 experimental and 12 control subjects. The main outcome tools for the study were the Harter Self-Perception Profile for Children (SPPC), the Canadian Occupational Performance Measure (COPM), and the Quality of Upper Extremity Test (QUEST). The results were all non-significant with the exception of the Harter's social acceptance subscale (p = .02). These results need to be interpreted with caution, as there was considerable drop out with the control group and variability in the participants. These results do not suggest that VR is more effective than regular OT or PT intervention for children with cerebral palsy. These findings will be discussed to suggest that VR remains a viable rehabilitation tool and further research needs to be done where strategies for control group retention are devised as well as its use in recreation therapy.

[1]  Denise Reid,et al.  The use of virtual reality to improve upper-extremity efficiency skills in children with cerebral palsy: A pilot study , 2002 .

[2]  D. Reid,et al.  The Influence of Virtual Reality Play on Children'S Motivation , 2005, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[3]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[4]  Keith A. Shomper Virtual Reality: The State of the Technology , 1995 .

[5]  Motor Learning as It Relates to the Development of Skilled Motor Behavior , 1985 .

[6]  S. Z. Nagi Some conceptual issues in disability and rehabilitation , 1965 .

[7]  D. Reid,et al.  Functional impact of a rigid pelvic stabilizer on children with cerebral palsy who use wheelchairs: users' and caregivers' perceptions. , 1999, Pediatric rehabilitation.

[8]  Patrice L. Weiss,et al.  Virtual Reality Provides Leisure Time Opportunities for Young Adults with Physical and Intellectual Disabilities , 2003, Cyberpsychology Behav. Soc. Netw..

[9]  Albert A. Rizzo,et al.  Basic Issues in the Application of Virtual Reality for the Assessment and Rehabilitation of Cognitive Impairments and Functional Disabilities , 1998, Cyberpsychology Behav. Soc. Netw..

[10]  Adam Burke,et al.  Human Factors Engineering of a Virtual Laboratory for Students with Physical Disabilities , 1994, Presence: Teleoperators & Virtual Environments.

[11]  J Rodin,et al.  A longitudinal study of change in domain-specific self-efficacy among older adults. , 1996, The journals of gerontology. Series B, Psychological sciences and social sciences.

[12]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[13]  R. Schmidt A schema theory of discrete motor skill learning. , 1975 .

[14]  Joan McComas,et al.  Children's Transfer of Spatial Learning from Virtual Reality to Real Environments , 1998, Cyberpsychology Behav. Soc. Netw..

[15]  D. Lupton,et al.  Technology, selfhood and physical disability. , 2000, Social science & medicine.

[16]  Ken Pimentel,et al.  Virtual reality - through the new looking glass , 1993 .

[17]  T Kuhlen,et al.  Virtual reality for physically disabled people. , 1995, Computers in biology and medicine.

[18]  K. Nelson,et al.  Maternal infection and cerebral palsy in infants of normal birth weight. , 1997, JAMA.

[19]  E. A. Attree,et al.  Virtual reality: an assistive technology in neurological rehabilitation , 1996, Current opinion in neurology.

[20]  Jacqueline Specht,et al.  Social skills training for withdrawn unpopular children with physical disabilities: A preliminary evaluation. , 1997 .

[21]  R. Croce,et al.  A critique of therapeutic intervention programming with reference to an alternative approach based on motor learning theory. , 1989, Physical & occupational therapy in pediatrics.

[22]  J. Adams,et al.  A closed-loop theory of motor learning. , 1971, Journal of motor behavior.

[23]  STACEY MILLER,et al.  Doing Play: Competency, Control, and Expression , 2003, Cyberpsychology Behav. Soc. Netw..

[24]  Michitaka Hirose,et al.  Virtual Playground and Communication Environments for Children , 1994 .

[25]  J. Sabari,et al.  Motor learning concepts applied to activity-based intervention with adults with hemiplegia. , 1991, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[26]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[27]  G. Mesibov,et al.  Brief report: Two case studies using virtual reality as a learning tool for autistic children , 1996, Journal of autism and developmental disorders.

[28]  Maria A. Tovar,et al.  Augmenting reality in rehabilitation medicine , 1994, Artif. Intell. Medicine.

[29]  D. Haraway Simians, Cyborgs, and Women: The Reinvention of Nature , 1990 .

[30]  P N Wilson,et al.  Virtual reality, disability and rehabilitation. , 1997, Disability and rehabilitation.

[31]  Nigel Foreman,et al.  Transfer of spatial information from a virtual to a real environment in physically disabled children , 1996 .

[32]  R. Palisano,et al.  Development and reliability of a system to classify gross motor function in children with cerebral palsy , 1997, Developmental medicine and child neurology.