■了解基于锻炼游戏的强化康复计划对脑瘫青少年的平衡和下肢功能的影响。
■康复计划包括不同的定制运动游戏,每周5次,共30分钟,共4周。Pre-,post-,和1个月的随访评估包括以下指标:Berg平衡量表(BBS),动态步态指数(DGI)粗大运动功能测量(GMFM),姿势照相术,和步态分析。
■我们观察到GMF干预后得分增加了9/72分-E模块(步行,RunandJump)andof9/56pointsinBBS,在后续行动中持续。功能的变化,特别是在特定运动的质量和独立性方面,如旋转360°,向前延伸的距离增加,走在后面,越过障碍,还观察到上下楼梯。步态运动学和时空参数趋于接近第50百分位数。
■我们观察到一名脑瘫青少年的运动功能发生积极变化,在1个月的随访中得分持续增加。研究结果表明,使用具有高定制功能的exercise游戏的强化康复计划是一种潜在的有价值的康复工具,可用于训练患有脑瘫的青少年的平衡。对康复的影响运动游戏可能有助于为患有脑瘫的青少年提供平衡训练。需要身体位移的运动游戏可能适合于调节步态运动学和时空参数。虚拟康复工具的定制似乎对用户的动机和努力产生了积极的影响。
To understand the impact of an intensive rehabilitation program based on
exergames in balance and lower limb function in a teenager with cerebral palsy.
The rehabilitation program comprised different customised
exergames and was delivered in 5 weekly sessions of 30 min for 4 weeks. Pre-, post-, and 1-month Follow-up assessments included the following metrics: Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Gross Motor Function Measure (GMFM), Posturography, and Gait analysis.
We observed increased scores after the intervention of 9/72 points in GMF - Module E (Walk, Run and Jump) and of 9/56 points in BBS, sustained at Follow-up. Changes in function, specifically in the quality and independence of the performance of specific movements such as turning 360°, increased distance reaching forward, walk behind, step over obstacles, and step stairs up and down were also observed. Gait kinematics and Spatio-temporal parameters tended to get closer to the 50th percentile.
We observed positive changes in motor function of a teenager with cerebral palsy, with sustained increased scores at a 1-month Follow-up. Findings are suggestive that intensive rehabilitation programs using
exergames with high customisation features are a potentially valuable rehabilitation tool for training balance in teenagers with Cerebral Palsy.Implications for rehabilitationExergames may be a useful for providing balance training for teenagers who have a mixed form of cerebral palsy.Exergames that require body displacement may be suitable for modulating gait kinematics and spatio-temporal parameters.The customisation of virtual rehabilitation tools seems to impact the motivation and effort of the user positively.