The biopsychosocial model in in gametherapy rehabilitation in cerebral palsy: systematic review
DOI:
https://doi.org/10.11606/issn.2317-0190.v30i2a200298Keywords:
Cerebral Palsy, Physical Therapy Modalities, Virtual Reality Exposure Therapy, RehabilitationAbstract
Objective: To investigate the effects of interventions using Virtual Reality (VR) for children with Cerebral Palsy (CP) based on the structure of the International Classification of Functioning, Health Disability (ICF). Method: This is a systematic review of randomized clinical trials, carried out in July 2022. Interventions related to physiotherapy associated with VR games for children with CP, aged 6 to 12 years, were investigated in the databases: PubMed, Cochrane, MedLine and PEDro. Methodological quality was assessed using the PEDro Scale. Nine studies were included involving a total of 310 participants, of which 5 were inserted in the structure and functions of the body, 9 articles in activity and no study investigated the participation component or contextual factors, and some were included in more than one component of the CIF. Results: Manual function and body balance were the most appreciated results. As a limitation, the small number of studies and the lack of data on participation components and contextual factors stand out. The strong point of the study was to associate an ICF with a physiotherapeutic rehabilitation category for this population. Conclusion: Recent experimental studies related to the use of VR in the physical therapy of children with CP are mostly focused on the activity component of the ICF. More studies are needed in order to investigate whether learning in the therapeutic environment is transferred in the context of these individuals' lives and whether there is an impact on participation and functionality. Prospero registration number: CRD42021260011.
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References
Gordon AM. Impaired Voluntary Movement Control and Its Rehabilitation in Cerebral Palsy. Adv Exp Med Biol. 2016;957:291-311. Doi: https://doi.org/10.1007/978-3-319-47313-0_16
Silva GG, Romão J, Andrade EGS. Paralisia Cerebral e o impacto do diagnóstico para a família. Rev Inic Cient e Ext. 2019;2(1):4-10.
Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa com Paralisia Cerebral. Brasília (DF): Ministério da Saúde; 2014.
Maranhão MVM. Anestesia e paralisia cerebral. Rev Bras Anestesiol. 2005;55(6):680-702. Doi: https://doi.org/10.1590/S0034-70942005000600012
Castro GG, Nascimento LCG, Figueiredo GLA. Aplicabilidade da CIF-CJ na avaliação de crianças com deficiências e o apoio familiar: uma revisão integrativa da literatura. Rev CE-FAC. 2020;22(1):e11518. Doi: https://doi.org/10.1590/1982-0216/202022111518
Chagas PSC, Drumond CM, Toledo AM, Campos AC, Camargos ACR, Longo E, et al. Study protocol: functioning curves and trajectories for children and adolescents with cerebral palsy in Brazil - PartiCipa Brazil. BMC Pediatr. 2020;20(1):393. Doi: https://doi.org/10.1186/s12887-020-02279-3
Novak I, McIntyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55(10):885-910. Doi: https://doi.org/10.1111/dmcn.12246
Mélo TR, Ferreira MP, Yamaguchi B, Israel VL, Araújo LB. Fisioterapia Neurofuncional: atualização de intervenções na infância. In: Araújo LB, Israel VL, (editores). Desenvolvimento da criança: família, saúde e escola. Curitiba: Omnipax; 2017. p. 53-87. Doi: https://doi.org/10.7436/2017.dcfes.05
Page ZE, Barrington S, Edwards J, Barnett LM. Do active video games benefit the motor skill development of non-typically developing children and adolescents: A systematic review. J Sci Med Sport. 2017;20(12):1087-1100. Doi: https://doi.org/10.1016/j.jsams.2017.05.001
Novak I, Morgan C, Fahey M, Finch-Edmondson M, Galea C, Hines A, et al. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020;20(2):3. Doi: https://doi.org/10.1007/s11910-020-1022-z
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. Doi: 1https://doi.org/0.1136/bmj.n71
Alwhaibi RM, Alsakhawi RS, ElKholi SM. Augmented biofeed-back training with physical therapy improves visual-motor integration, visual perception, and motor coordination in children with spastic hemiplegic cerebral palsy: a randomised control trial. Phys Occup Ther Pediatr. 2020;40(2):134-151. Doi: https://doi.org/10.1080/01942638.2019.1646375
Avcil E, Tarakci D, Arman N, Tarakci E. Upper extremity rehabilitation using video games in cerebral palsy: a randomized clinical trial. Acta Neurol Belg. 2021;121(4):1053-60. Doi: https://doi.org/10.1007/s13760-020-01400-8
Bedair R, Al-Talawy H, Shoukry K, Abdul-Raouf E. Impact of virtual reality games as an adjunct treatment tool on upper extremity function of spastic hemiplegic children. Int J PharmTech Res. 2016;9(6):01-08.
El-Shamy SM, El-Banna MF. Effect of Wii training on hand function in children with hemiplegic cerebral palsy. Physiother Theory Pract. 2020;36(1):38-44. Doi: https://doi.org/10.1080/09593985.2018.1479810
Hsieh HC. Effects of a gaming platform on balance training for children with cerebral palsy. Pediatr Phys Ther. 2018;30(4):303-308. Doi: https://doi.org/10.1097/PEP.0000000000000521
Hsieh HC. Preliminary study of the effect of training with a gaming balance board on balance control in children with cerebral palsy: a randomized controlled trial. Am J Phys Med Rehabil. 2020;99(2):142-148. Doi: https://doi.org/10.1097/PHM.0000000000001300
Fu WS, Song YC, Wu BA, Qu CH, Zhao JF. Virtual reality combined with robot-assisted gait training to improve walking ability of children with cerebral palsy: a randomized con-trolled trial. Technol Health Care. 2022;30(6):1525-1533. Doi: https://doi.org/10.3233/THC-212821
Jha KK, Karunanithi GB, Sahana A, Karthikbabu S. Randomised trial of virtual reality gaming and physiotherapy on balance, gross motor performance and daily functions among children with bilateral spastic cerebral palsy. Somatosens Mot Res. 2021;38(2):117-126. Doi: https://doi.org/10.1080/08990220.2021.1876016
Lazzari RD, Politti F, Belina SF, Collange Grecco LA, Santos CA, Dumont AJL, et al. Effect of transcranial direct current stimulation combined with virtual reality training on balance in children with cerebral palsy: a randomized, controlled, double-blind, clinical trial. J Mot Behav. 2017;49(3):329-336. Doi: https://doi.org/10.1080/00222895.2016.1204266
CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde. São Paulo: EDUSP; 2008.
McNeilly LG. Using the International Classification of Functioning, Disability and Health Framework to Achieve Interprofessional Functional Outcomes for Young Children: a speech-language pathology perspective. Pediatr Clin North Am. 2018;65(1):125-134. Doi: https://doi.org/10.1016/j.pcl.2017.08.025
Mirelman A, Maidan I, Herman T, Deutsch JE, Giladi N, Hausdorff JM. Virtual reality for gait training: can it induce motor learning to enhance complex walking and reduce fall risk in patients with Parkinson's disease? J Gerontol A Biol Sci Med Sci. 2011;66(2):234-40. Doi: https://doi.org/10.1093/gerona/glq201
Lee JH, Ku J, Cho W, Hahn WY, Kim IY, Lee SM, et al. A virtual reality system for the assessment and rehabilitation of the activities of daily living. Cyberpsychol Behav. 2003;6(4):383-8. Doi: https://doi.org/10.1089/109493103322278763
Chiu HC, Kuo PW. Effects of virtual reality in children with cerebral palsy: a systematic review. Formosan J Phys Ther. 2016;40(3):136–44. Doi: https://doi.org/10.6215/FJPT.PTS1408241086
Silva SM, Corrêa JCF, Pereira GS, Corrêa FI. Social participation following a stroke: an assessment in accordance with the international classification of functioning, disability and health. Disabil Rehabil. 2019;41(8):879-886. Doi: https://doi.org/10.1080/09638288.2017.1413428
Palma GC, Freitas TB, Bonuzzi GM, Soares MA, Leite PH, Mazzini NA, et al. Effects of virtual reality for stroke individuals based on the International Classification of Functioning and Health: a systematic review. Top Stroke Rehabil. 2017;24(4):269-78. Doi: https://doi.org/10.1080/10749357.2016.1250373
White K, Schofield G, Kilding AE. Energy expended by boys playing active video games. J Sci Med Sport. 2011;14(2):130-4. Doi: https://doi.org/10.1016/j.jsams.2010.07.005
Graves LE, Ridgers ND, Stratton G. The contribution of upper limb and total body movement to adolescents' energy expenditure whilst playing Nintendo Wii. Eur J Appl Physiol. 2008;104(4):617-23. Doi: https://doi.org/10.1007/s00421-008-0813-8
Penko AL, Barkley JE. Motivation and physiologic responses of playing a physically interactive video game relative to a sedentary alternative in children. Ann Behav Med. 2010;39(2):162-9. Doi: https://doi.org/10.1007/s12160-010-9164-x
Cameirão MS, Badia SB, Oller ED, Verschure PF. Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation. J Neuroeng Rehabil. 2010;7:48. Doi: https://doi.org/10.1186/1743-0003-7-48
Castaneda L, Bergmann A, Bahia L. The International Classification of Functioning, Disability and Health: a systematic review of observational studies. Rev Bras Epidemiol. 2014;17(2):437-51. Doi: https://doi.org/10.1590/1809-4503201400020012eng
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