학술논문

Virtual Reality and Active Video Game Integration within an Intensive Bimanual Therapy Program for Children with Hemiplegia.
Document Type
Article
Source
Physical & Occupational Therapy in Pediatrics. 2024, Vol. 44 Issue 3, p410-426. 17p.
Subject
*LEG physiology
*ARM physiology
*HUMAN services programs
*RESEARCH funding
*HEMIPLEGIA
*INTERVIEWING
*CONTENT analysis
*MANIPULATION therapy
*DESCRIPTIVE statistics
*JUDGMENT sampling
*FUNCTIONAL status
*EXPOSURE therapy
*PSYCHOLOGY of movement
*LONGITUDINAL method
*MOTIVATION (Psychology)
*RESEARCH methodology
*VIRTUAL reality therapy
*DATA analysis software
*VIDEO games
*CHILDREN
Language
ISSN
0194-2638
Abstract
To describe the nature of custom and non-custom virtual reality and active video game (VR/AVG) implementation within a Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention program for children with hemiplegia. Six children aged 8-11 years participated in a 10-day HABIT-ILE intervention (65 h; 6.5 planned VR/AVG hours). VR/AVG implementation details were recorded daily and summarized with descriptive statistics; active motor engagement was quantified as minutes of active game participation. Post-intervention interviews with interventionists were analyzed with qualitative content analysis. On average, participants received 79% of the planned VR/AVG dosage (314/400 planned minutes, range 214–400 min), of which the per-session active motor engagement average was 68% (27 min, SD 12 min). Participation involved equivalent amounts of custom (49%) and non-custom (51%) VR/AVG system use. Material and verbal adaptations facilitated alignment with HABIT-ILE principles. Interventionists identified type of task (gross versus fine motor), children's perceived motivation, and VR/AVG attributes as factors influencing active motor engagement and alignment with HABIT-ILE principles. Describing individual and technological challenges of VR/AVG integration within HABIT-ILE can advance knowledge about VR/AVG use in intensive interventions and identify directions for subsequent research. [ABSTRACT FROM AUTHOR]