Virtual reality as a therapeutic modality for children with cerebral palsy.
OBJECTIVE
The evidence for using virtual reality (VR) with children with cerebral palsy (CP) was examined.


METHODS
A search of 13 electronic databases identified all types of studies examining VR as an intervention for children with CP. The most recent article included was published in October 2008. For each study, the quality of the methods was assessed using the appropriate scale. A total of 19 articles were retrieved. Thirteen studies from 11 articles were included in the final analysis.


RESULTS
Outcomes documented brain reorganization/plasticity, motor capacity, visual-perceptual skills, social participation and personal factors. Two studies were randomized controlled trials. These reported conflicting results regarding motor outcomes. Twelve of the 13 studies presented positive outcomes in at least one domain.


CONCLUSIONS
VR has potential benefits for children with CP. However, the current level of evidence is poor and empirical data is lacking. Future methodologically rigorous studies are required.
Snider
Laurie
L
McGill University, School of Physical & Occupational Therapy, Montreal, Canada. laurie.snider@mcgill.ca
Majnemer
Annette
A
Darsaklis
Vasiliki
V
D001921:Brain / Q000503:physiopathology; D002547:Cerebral Palsy / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D003198:Computer Simulation; D006801:Humans; D008279:Magnetic Resonance Imaging; D009042:Motivation; D009048:Motor Skills; D009473:Neuronal Plasticity; D012649:Self Concept; D012919:Social Behavior; D016896:Treatment Outcome; D014584:User-Computer Interface; D014796:Visual Perception