Efficacy of Virtual Reality Games in Enhancing Motor Coordination in Children with Dyspraxia: A Randomized Controlled Trial

Abstract

Background: Children with dyspraxia often face challenges in motor coordination, significantly affecting their functional independence and quality of life. Virtual reality (VR)-based interventions have shown promise in improving motor skills through engaging, interactive environments. Objective: This study aimed to evaluate the effectiveness of VR-based interventions in improving motor coordination, balance, fine motor skills, and quality of life in children with dyspraxia compared to conventional therapy. Methods: A randomized controlled trial was conducted with 60 children aged 6–12 years diagnosed with dyspraxia, randomized into intervention (VR-based therapy) and control (standard physiotherapy) groups (n=30 per group). The intervention group participated in VR sessions three times a week for 12 weeks, focusing on motor tasks such as object manipulation and balance. Motor coordination was assessed using the Movement Assessment Battery for Children (MABC), with secondary outcomes including balance, fine motor skills, and quality of life. Data were analyzed using SPSS version 25 with repeated-measures ANOVA. Results: The intervention group showed a significant improvement in MABC scores (mean change: 7.3 ± 3.1) compared to the control group (mean change: 1.8 ± 3.4; p<0.001p<0.001). Balance improved by 12.9% (p<0.001p<0.001), fine motor skills by 9.7% (p<0.001p<0.001), and quality of life by 11.8% (p<0.001p<0.001). Conclusion: VR-based interventions significantly enhanced motor coordination and related outcomes in children with dyspraxia, demonstrating their potential as an effective rehabilitation tool.