Abstract
The present study examined the effect of the head mounted display (HMD) virtual reality games in the functionality of children with cerebral palsy (CP). The intervention program lasted 8 weeks, with a frequency once a week. The participants were 8 children with CP, aging 10 to 11 years old, following the rehabilitation program of a daily center within the wider area of Athens. The participants, randomly assigned to the experimental and control conditions (EG & CG), were ambulatory and classified according to the GMFCS E & R in classes I (N=4), II (N=2) and III (N=2). The EG followed the weekly rehabilitation schedule plus an hour per week exposure to two different HMD virtual reality games chosen by the students. The CG followed the weekly rehabilitation schedule, and both groups declared absence of any organized activities beyond the rehabilitation center during the 8 week intervention. The participants were assessed at the begin and at the end of the intervention program in the functionality measures, according to the ICF.
The statistical analyses revealed significant improvement in the 30sSTS (F=19.271, p=.007, η2=.794) and elbow range of motion (F=7.089, p=.045, η2=.586) and approached significance in walking ability (1 Minute Walking Test) and gross motor function (GMFM D & E). Further, the participants recorded no episodes of dizziness, experienced enjoyment throughout the intervention, while no adverse effects with respect to spasticity were found.
Conclusively, the HMD virtual reality games may improve the functionality of children with CP and they provide a positive experience without any adverse effects. The HMD games therefore may be considered in the future to add in the rehabilitation programs of children with CP.