Virtual Reality Enhances Gait in Cerebral Palsy: A Training Dose-Response Meta-Analysis

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Authors

  • Shashank Ghai
  • Ishan Ghai

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  • R. S. G. Bio Gen
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Details

Original languageEnglish
Article number236
JournalFrontiers in neurology
Volume10
Early online date26 Mar 2019
Publication statusPublished - Mar 2019

Abstract

Virtual-reality-based training can influence gait recovery in children with cerebral palsy. A consensus concerning its influence on spatiotemporal gait parameters and effective training dosage is still warranted. This study analyzes the influence of virtual-reality training (relevant training dosage) on gait recovery in children with cerebral palsy. A search was performed by two reviewers according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines on nine databases: PEDro, EBSCO, PubMed, Cochrane, Web of Science, EMBASE, ICI, Scopus, and PROQUEST. Of 989 records, 16 studies involving a total of 274 children with cerebral palsy met our inclusion criteria. Eighty-eight percent of the studies reported significant enhancements in gait performance after training with virtual reality. Meta-analyses revealed positive effects of virtual-reality training on gait velocity (Hedge's g = 0.68), stride length (0.30), cadence (0.66), and gross motor function measure (0.44). Subgroup analysis reported a training duration of 20–30 min per session, ≤4 times per week across ≥8 weeks to allow maximum enhancements in gait velocity. This study provides preliminary evidence for the beneficial influence of virtual-reality training in gait rehabilitation for children with cerebral palsy.

Keywords

    brain injury, cerebral palsy, gait, rehabilitation, virtual reality

ASJC Scopus subject areas

Cite this

Virtual Reality Enhances Gait in Cerebral Palsy: A Training Dose-Response Meta-Analysis. / Ghai, Shashank; Ghai, Ishan.
In: Frontiers in neurology, Vol. 10, 236, 03.2019.

Research output: Contribution to journalArticleResearchpeer review

Ghai S, Ghai I. Virtual Reality Enhances Gait in Cerebral Palsy: A Training Dose-Response Meta-Analysis. Frontiers in neurology. 2019 Mar;10:236. Epub 2019 Mar 26. doi: 10.3389/fneur.2019.00236, 10.15488/4753
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