Effect of Virtual Reality on Therapeutic Pain in Children with Spastic Cerebral Palsy
10.3969/j.issn.1006-9771.2019.12.015
- VernacularTitle:虚拟现实技术缓解痉挛型脑性瘫痪患儿治疗性疼痛的效果
- Author:
Yi XU
1
;
Xiao-ke ZHAO
1
;
Meng-ying CHEN
1
;
Min ZHU
1
;
Sen-jie DU
1
;
Ling ZHANG
1
;
Xiao-yan XUAN
1
Author Information
1. Rehabilitation Department; b. Children’s Healthcare Department, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, China
- Publication Type:Research Article
- Keywords:
cerebral palsy;
virtual reality;
therapeutic pain;
motor function;
social function
- From:
Chinese Journal of Rehabilitation Theory and Practice
2019;25(12):1458-1462
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of virtual reality on therapeutic pain in children with spastic cerebral palsy, through the profiles of the pain stress and outcome of rehabilitation treatment. Methods:From September, 2018 to June, 2019, 49 children with spastic cerebral palsy were randomly divided into control group (n = 25) and observation group (n = 24). Both groups received conventional rehabilitative treatment. The observation group wore virtual reality head display, choosing appropriate panoramic cartoon play or head control game according to their intelligence level to immerse themselves in the virtual environment. Both groups were treated five days per week for three weeks, for a total of 15 treatment days. Saliva cortisol was measured same time on the first, fifth, ninth, and 13th treatment days. They were assessed with modified Ashworth Scale (MAS), the Chinese version of Gross Motor Function Test Scale (GMFM) and Pediatric Disability Assessment Scale (PEDI) before and three weeks after treatment. Results:The cortisol levels significantly increased on all the treatment days in both groups (|t| > 3.502, P < 0.05). On the fifth, ninth, and 13th treatment days, the cortisol level was lower in the observation group than in the control group (t > 2.224, P < 0.05). After treatment, the MAS score decreased (|Z| > 2.636, P < 0.01), and the scores of PBS and PEDI increased (|Z| > 3.629, P < 0.001) in both groups; the scores of PBS and PEDI were higher in the observation group than in the control group (|Z| > 2.000, P < 0.05) Conclusion:Virtual reality is helpful to alleviate the pain stress in children with spastic cerebral palsy, and it is helpful to improve the effect of rehabilitation treatment.
