Changes in Motor and Cognitive Function on Unilateral Spastic Cerebral Palsy, Associated With Videogame Therapy
Evaluation of the Usability, Safety, and Possible Beneficial Effects on Motor and Cognitive Functions Associated With Using a Neuro-rehabilitation Platform With Video Games in Pediatric Patients With Unilateral Spastic Cerebral Palsy
Universidad Nacional Autonoma de Mexico
84 participants
Dec 22, 2022
INTERVENTIONAL
Conditions
Summary
The use of interactive applications associated with position and movement sensors has begun to spread as an option for the reinforcement of physical rehabilitation therapies in patients with congenital or acquired motor disorders as a result of some neurological damage, due to its portability and the relative autonomy granted to the patient. However, the results of its effectiveness and impact continue to be scarce compared to the traditional therapy used for rehabilitation. The aim of this study is to explore possible benefits associated with occupational therapy with video games in patients with unilateral spastic cerebral palsy, comparing them with conventional therapy. A randomized pilot study will be carried out, with a control group. The intervention will consist of the application of a virtual rehabilitation program for the experimental group while the control group will receive only conventional therapy. Before and after the said intervention, standardized tests will be applied to evaluate both motor function and the cognitive performance of the participants.
Eligibility
Inclusion Criteria7
- Outpatients
- Both genders
- Reside in Mexico City and the metropolitan area
- Between 5 and 18 years old
- With upper extremity hemiparesis caused by Unilateral Spastic Cerebral Palsy (USCP) on their dominant side or not
- Who are at levels I-III of the Manual Ability Classification System for Children with Cerebral Palsy (MACS)
- Score equal to or greater than 20 on the Fugl-Meyer upper extremity scale.
Exclusion Criteria8
- Patients with joint instability (shoulder, elbow, or wrist)
- With severe concomitant medical problems such as congestive heart failure or seizures that prevent adequate attention to the task.
- Severe aphasia
- Hemineglect
- Visual disturbances that are not corrected with glasses
- Uncompensated hearing impairment
- Inability to understand instructions (Token Test \< 17)
- Patients receiving concurrent therapies.
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Interventions
There will be 5 video game-type applications for virtual therapy, each with a specific therapeutic objective, which will be administered by trained personnel, depending on the characteristics of each patient.
Occupational therapy with different play materials
Locations(1)
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NCT05557305