Virtual Reality Enhances Gait in Cerebral Palsy: A Training Dose-Response Meta-Analysis

Frontiers in Neurology

卷:10

Shashank Ghai¹  Ishan Ghai² 

[1] Institute for Sports Science, Leibniz University Hannover, Hannover, Germany;

[2] Rsgbiogen, New Delhi, India;

关键词: cerebral palsy;    gait;    virtual reality;    brain injury;    rehabilitation;   

DOI  :  10.3389/fneur.2019.00236

来源: DOAJ

【 摘 要 】

Virtual-reality-based training can influence gait recovery in children with cerebral palsy. A consensus concerning its influence on spatiotemporal gait parameters and effective training dosage is still warranted. This study analyzes the influence of virtual-reality training (relevant training dosage) on gait recovery in children with cerebral palsy. A search was performed by two reviewers according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines on nine databases: PEDro, EBSCO, PubMed, Cochrane, Web of Science, EMBASE, ICI, Scopus, and PROQUEST. Of 989 records, 16 studies involving a total of 274 children with cerebral palsy met our inclusion criteria. Eighty-eight percent of the studies reported significant enhancements in gait performance after training with virtual reality. Meta-analyses revealed positive effects of virtual-reality training on gait velocity (Hedge's g = 0.68), stride length (0.30), cadence (0.66), and gross motor function measure (0.44). Subgroup analysis reported a training duration of 20–30 min per session, ≤4 times per week across ≥8 weeks to allow maximum enhancements in gait velocity. This study provides preliminary evidence for the beneficial influence of virtual-reality training in gait rehabilitation for children with cerebral palsy.

【 授权许可】

Unknown