title: [Effects of virtual reality training on limb movement in children with spastic diplegia cerebral palsy].
abstract: OBJECTIVE
  To study the effects of virtual reality (VR) training on the gross motor function of the lower limb and the fine motor function of the upper limb in children with spastic diplegia cerebral palsy.
  
  
  METHODS
  Thirty-five children with spastic diplegia cerebral palsy were randomly assigned to VR training group (n=19) and conventional training group (n=16). The conventional training group received conventional physical therapy and occupational therapy for three months. The VR training group received VR training and occupational therapy for three months. Grip and visual-motor integration subtests in Peabody Developmental Motor Scales-2 were used to evaluate the fine movement in patients before and after treatment. The D and E domains of the 88-item version of the Gross Motor Function Measure (GMFM-88), Modified Ashworth Scale (MAS), and Berg Balance Scale (BBS) were used to evaluate the gross movement in patients before and after treatment.
  
  
  RESULTS
  Before treatment, there were no significant differences in grip, visual-motor integration, fine motor development quotient, scores of D and E domains of GMFM-88, MAS score, or BBS score between the two groups (P>0.05). After treatment, all the indices were significantly improved in the VR training group compared with the conventional training group (P<0.05).
  
  
  CONCLUSIONS
  VR training can effectively improve the gross motor function of the lower limb and the fine motor function of the upper limb in children with spastic diplegia cerebral palsy.
authors.affiliation: Department of Rehabilitation, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan 643000, China. fensal@163.com.
authors.forename: Kai
authors.initials: K
authors.lastname: Ren
authors.forename: Xiao-Ming
authors.initials: XM
authors.lastname: Gong
authors.forename: Rong
authors.initials: R
authors.lastname: Zhang
authors.forename: Xiu-Hui
authors.initials: XH
authors.lastname: Chen
mesh_terms: D002547:Cerebral Palsy / Q000503:physiopathology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005121:Extremities / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D009068:Movement; D063367:Virtual Reality Exposure Therapy