Effects of Virtual Reality Versus Motor Imagery in Children With Cerebral Palsy

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Motor Imagery+ Routine Physical Therapy; Other: Routine Physical Therapy+ Balance Training; Other: Virtual Reality+ Routine Physical Therapy

• Registration Number: NCT06303440
• Lead Sponsor: Riphah International University

Brief Summary

Cerebral palsy is a neurodevelopmental disorder caused by brain injury that appears in infancy, children have mostly issues of gross motor functions, and activities of daily living. Virtual Reality is an innovative technique for the improvement of balance and motor function in most of the neurological conditions. Motor Imagery is an ability to engage in the mental representation of a task consciously without generating a voluntary movement. The aim of this study is to determine the comparative effects of Virtual Reality and Motor Imagery on balance, gross motor function and activities of daily living in children with cerebral palsy.

Detailed Description

This randomized controlled trial will be conducted at Rising Sun Institute. The sample size calculated for this trial will be 75. The participants will be randomly allocated using online randomization tool into three groups; Group A will receive routine physical therapy (PT) for 30 minutes with additional selected exercises for 15 minutes, Group B will receive VR training for 15 minutes with routine PT for 30 minutes, and Group C will receive MI for 15 minutes and routine PT for 30 minutes. Each participant will receive treatment for three days on alternative days per week for 12 weeks. Gross Motor Function Scale (GMFCS) will be used for balance, Bruininks-Oseretsky Test of motor function Proficiency-2 (BOT-2 ) for motor function, and WeeFIM scale for ADLs at baseline, 8th week, 12th week, and at 16th week after discontinuation of treatment.

Study Timeline

• Study Start: 2024-02-25
• Study First Submitted: 2024-03-04
• Study First Submitted QC: 2024-03-04
• Study First Posted: 2024-03-12
• Primary Completion: 2024-08-31
• Study Completion: 2024-08-31
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-25
• Last Update Posted: 2024-10-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 63

Inclusion Criteria

Children of 7-12 years of both genders, Children with Mini Mental Scale score >24.

Children with Gross motor function classification system (GMFCS) level I and II and able to follow and accept verbal instruction.

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Exclusion Criteria

History of any Visual and Hearing Impairments, Virtual game phobia.

History of nerve, muscle, bone and joint diseases that seriously affect the movement function of the limbs and Children with history of severe cardiopulmonary disease, History of epilepsy, History of Fixed deformity of Lower limb. History of orthopaedic surgery and botulinum toxin injection.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group C (Motor Imagery+ Routine Physical Therapy)	Motor Imagery+ Routine Physical Therapy	During the presentation of a video clip, patients will watch the video and afterwards try to do movement as same as shown in video
Group A (Routine Physical Therapy+ Balance Training)	Routine Physical Therapy+ Balance Training	The children will be provided with Routine Physical Therapy and Balance Training. Balance exercises will be provided for 15 minutes and 30 minutes of Routine physical therapy will be as strengthening and stretching exercises.
Group B (Virtual Reality + Routine Physical Therapy)	Virtual Reality+ Routine Physical Therapy	The VR system consisted of a wall-mounted display, a Nintendo Wii box, a Wii remote, and a Wii Fit board. The participants will be instructed to stand on Wii Fit board while interacting with the VR system and playing the selected games and routine physical therapy of 30 minutes will be provided.

Primary Outcome Measures

Name	Time	Method
Gross Motor Function Classification System	12 weeks	Gross Motor Function Classification System will be used to measure balance
Bruininks-Oseretsky Test of motor function Proficiency-2	12 Weeks	It will be measured with Bruininks-Oseretsky Test of motor function Proficiency-2 for motor function.
Functional Independence Measure for Children	12 Weeks	Functional Independence Measure for Children scale will be used to determine the Activities of Daily Living improvement.

Trial Locations

Locations (1)

Riphah International University; 🇵🇰 Lahore, Punjab, Pakistan