Abstract:
BACKGROUND:Virtual reality (VR) is an emerging area of paediatric clinical and research practice, however the majority of research to date has focused on outcomes for adults following stroke. This paper appraises and describes current evidence for use of virtual reality interventions to improve upper limb function of children with neurological impairment. METHODS:A comprehensive database search was undertaken to explore literature on the use of VR systems for rehabilitation of upper limb skills of children with neurological impairment. Studies investigating the use of robotics or other mechanical devices were excluded. Five studies were found and were critiqued using the Downs and Black scale for measuring study quality. RESULTS:One randomized control trial and four case studies were found. No study scored over 50% on the Downs and Black scale, indicating methodological limitations that limit generalizability. CONCLUSIONS:Current evidence for the use of VR to improve hand and arm skills is at an emerging stage. Small sample sizes and inconsistencies in outcome measurement limit the ability to generalize findings. Further studies are required to investigate the ability to maintain gains made in VR over time and to determine whether gains transfer from the VR to real life tasks and activities.
journal_name
Brain Injjournal_title
Brain injuryauthors
Galvin J,McDonald R,Catroppa C,Anderson Vdoi
10.3109/02699052.2011.558047subject
Has Abstractpub_date
2011-01-01 00:00:00pages
435-42issue
5eissn
0269-9052issn
1362-301Xjournal_volume
25pub_type
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