Virtual reality for cerebral palsy

Effectiveness of virtual reality in the treatment of hand function in children with cerebral palsy: A systematic review Rathinam, C., Mohan, V., Peirson, J., Skinner, J., Nethaji, K., & Kuhn, I. Level of Evidence: 2a Follow recommendation: 👍 👍 👍 Type of study: Therapeutic Topic: Hand rehabilitation in Cerebral Palsy (CP) - Effectiveness of non-immersive virtual reality (VR) in children with CP This systematic review compared the effectiveness of non-immersive VR (e.g. games and PC interface) and traditional physiotherapy interventions on hand function in children/teenagers with CP. The selection of articles, in the results section, has not been clearly reported. Six articles were included in the review. Of these, three were randomised controlled trials, one was an abstract, and the remaining were non-experimental studies. The results were inconsistent across studies and only two studies reported added benefits of VR. Of these, one compared VR and physiotherapy to physiotherapy alone and showed greater improvements when VR was included. However, due to the study design, we are unsure of the effectiveness of VR alone. The other study showing improvements with VR had a very low methodological quality. Clinical Take Home Message: Hand therapists involved in the rehabilitation of children/teenagers with CP should not change their practice based on the results of this systematic review. Considering the added cost of non-immersive VR, its use is not justified to improve hand function in this group of patients. URL: https://www.jhandtherapy.org/article/S0894-1130(17)30107-2/fulltext

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