Effect of Virtual Reality on Trunk Control in Children with Developmental Delays VR and Trunk Control in Children

Main Article Content

Gulraiz Ayub
Marium Zafar
Irtasam Ahmad
Syed Saqlain Babar
Wardah Jabbar
Zainab Boota

Abstract

Background: Developmental delays affect motor function and trunk control in children, impacting their overall development and daily activities. Virtual reality (VR) interventions have the potential to enhance motor abilities through engaging, personalized therapies.
Objective: This study aimed to determine the effectiveness of virtual reality-based neurodevelopmental treatment with trunk control exercises (VR-NDT-TCE) in improving trunk control and cognitive functions in children with developmental delays.
Methods: A single-blinded randomized controlled trial was conducted with 22 children aged 2-8 years diagnosed with developmental delays. Participants were randomly assigned to Group A (NDT-TCE) or Group B (VR-NDT-TCE) for a six-week intervention, three times per week. Trunk control was measured using the Trunk Control Measurement Scale (TCMS), and cognition was assessed through the Hammersmith Infant Neurological Examination (HINE) Performa. Data analysis was performed using SPSS version 27 with paired t-tests and Mann-Whitney tests.
Results: Significant improvements were observed in trunk control (TCMS score: 20.18 ± 2.40 in Group A vs. 24.18 ± 4.67 in Group B, p = 0.017). Group B showed notable gains in cognitive parameters, including conscious state (p < 0.001), emotional state (p = 0.012), and social orientation (p = 0.031).
Conclusion: VR-NDT-TCE significantly improved trunk control and cognitive outcomes, offering an effective intervention for children with developmental delays.

Article Details

How to Cite
Gulraiz Ayub, Marium Zafar, Irtasam Ahmad, Syed Saqlain Babar, Wardah Jabbar, & Zainab Boota. (2024). Effect of Virtual Reality on Trunk Control in Children with Developmental Delays: VR and Trunk Control in Children. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1566
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Articles

References

Ali F, Suleman R, Noor A, Ahmad I, Shakeel M, Aqeel M. Effectiveness of a Virtual Reality-Based Rehabilitation Program Versus Conventional Physical Therapy in Improving Motor Function and Balance in Stroke Survivors: A Randomized Controlled Trial. J Health Rehabil Res. 2023;3(2):817-821.

Biddiss E, Chan-Viquez D, Cheung ST, King G. Engaging Children with Cerebral Palsy in Interactive Computer Play-Based Motor Therapies: Theoretical Perspectives. Disabil Rehabil. 2021;43(1):133-147.

Hadders-Algra M. Early Diagnostics and Early Intervention in Neurodevelopmental Disorders: Age-Dependent Challenges and Opportunities. J Clin Med. 2021;10(4):861.

Brown KA, Parikh S, Patel DR. Understanding Basic Concepts of Developmental Diagnosis in Children. Transl Pediatr. 2020;9(Suppl 1).

Choo YY, Agarwal P, How CH, Yeleswarapu SP. Developmental Delay: Identification and Management at Primary Care Level. Singapore Med J. 2019;60(3):119.

Ebrahimisani S, Sohrabi M, Taheri H, Agdasi MT, Amiri S. Effects of Virtual Reality Training Intervention on Predictive Motor Control of Children with DCD: A Randomized Controlled Trial. Res Dev Disabil. 2020;107(4):103768.

Gibson V. Early Childhood Development Practitioners’ Awareness of the Age Acquisition of Key Motor Milestones and Physical Activity Requirements for Children Birth to Four Years. J Dev Phys Disabil. 2021;31(7):267-277.

Goyal C, Vardhan V, Naqvi W, Naqvi WM. Virtual Reality-Based Intervention for Enhancing Upper Extremity Function in Children with Hemiplegic Cerebral Palsy: A Literature Review. Cureus. 2022;14(1).

Hua J, Williams GJ, Jin H, Chen J, Xu M, Zhou Y, et al. Early Motor Milestones in Infancy and Later Motor Impairments: A Population-Based Data Linkage Study. Front Psychiatry. 2022;13:809181.

Kakebeeke TH, Knaier E, Chaouch A, Caflisch J, Rousson V, Largo RH, et al. Neuromotor Development in Children: New Norms From 3 to 18 Years. Dev Med Child Neurol. 2018;60(8):810-819.

Keshner EA, Lamontagne A. The Untapped Potential of Virtual Reality in Rehabilitation of Balance and Gait in Neurological Disorders. Front Virtual Real. 2021;2:641650.

Lee KH, Park JW, Lee HJ, Nam KY, Park TJ, Kim HJ, et al. Efficacy of Intensive Neurodevelopmental Treatment for Children with Developmental Delay, with or Without Cerebral Palsy. Ann Rehabil Med. 2017;41(1):90-97.

Liu W, Hu Y, Li J, Chang J. Effect of Virtual Reality on Balance Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis. Front Public Health. 2022;10:865474.

Marlow M, Servili C, Tomlinson M. A Review of Screening Tools for the Identification of Autism Spectrum Disorders and Developmental Delay in Infants and Young Children: Recommendations for Use in Low‐ and Middle‐Income Countries. Autism Res. 2019;12(2):176-199.

Park M, Kim J, Yu C, Lim H. The Effects of Neurodevelopmental Treatment-Based Trunk Control Exercise on Gross Motor Function and Trunk Control in Children with Developmental Disabilities. Ann Rehabil Med. 2023;11(10):1446.

Scharf RJ, Scharf GJ, Stroustrup A. Developmental Milestones. Pediatr Rev. 2016;37(1):25-38.

Yue QJ, Wang XZ, Tang MS, Li JN, Chen ZW, Zhang YQ, et al. Effect of Super Early Comprehensive Rehabilitation on Neurodevelopmental Prognosis of High-Risk Infants. J Hainan Med Univ. 2019;25(3):73-77.

Zubler JM, Wiggins LD, Macias MM, Whitaker TM, Shaw JS, Squires JK, et al. Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics. 2022;149(3).

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