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Sensors (Basel, Switzerland)2021; 21(19); doi: 10.3390/s21196394

Virtual Reality-Incorporated Horse Riding Simulator to Improve Motor Function and Balance in Children with Cerebral Palsy: A Pilot Study.

Abstract: The horse riding simulator (HRS) reportedly has a beneficial effect on motor function and balance in children with cerebral palsy (CP). However, by itself, the HRS is not a sufficient source of challenge and motivation for children. To address this issue, we combined the HRS with virtual reality (VR) to promote somatosensory stimulation and motivation. Sixteen children (ages: 5-17 years) with CP and presenting Gross Motor Function Classification System (GMFCS) levels I-IV were enrolled in the study. Using a head-mounted display and controllers, interventions were carried out over 30-min periods (two rides lasting 12 min each, along with a six-min rest period) twice a week over a period of eight weeks (16 sessions in aggregate). The Pediatric Balance Scale (PBS), Gross Motor Function measure (GMFM)-88, and GMFM-66 scores of each participant were measured before and after the interventions. Statistically significant improvements were observed in the PBS, GMFM-66, the total GMFM-88 scores, and those corresponding to dimensions D and E of GMFM-88 after the intervention (p < 0.05). This study demonstrates that VR-incorporated HRS is effective in improving motor function and balance in children with CP and that its incorporation in conventional PT programs could yield beneficial results.
Publication Date: 2021-09-24 PubMed ID: 34640713PubMed Central: PMC8512120DOI: 10.3390/s21196394Google Scholar: Lookup
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  • Journal Article

Summary

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This research explores how a virtual reality (VR) incorporated horse riding simulator (HRS) can enhance motor function and balance in children suffering from cerebral palsy (CP). The study found significant improvements post-intervention, suggesting it could be an effective measure in physical therapy programs.

Research Methodology

  • 16 children (ages from 5 to 17 years old) who have CP and fell into Gross Motor Function Classification System (GMFCS) levels I-IV, were included in the research study.
  • Each child put on a head-mounted VR display and held controllers to engage with the VR horse riding simulator.
  • The intervention was carried out over a period of eight weeks, with two sessions every week, each lasting 30 minutes. Each session consisted of two VR horse rides, each of 12 minutes duration, interspersed with a six-minute rest break.
  • Three measurements were taken before and after the interventions for each participant: Pediatric Balance Scale (PBS), Gross Motor Function Measure (GMFM)-88, and GMFM-66.

Results

  • Following the interventions, there were statistically significant improvements observed in the PBS, GMFM-66, the total GMFM-88 scores.
  • Significant changes were also noticed in dimensions D and E of the GMFM-88 score, which measure motor function related to standing and walking, running and jumping respectively.

Conclusions

  • This study’s outcomes suggest that using a VR horse riding simulator can effectively enhance motor function and balance in children dealing with cerebral palsy.
  • The integration of VR-incorporated HRS in conventional physical therapy regimens could present beneficial returns.

Cite This Article

APA
Chang HJ, Jung YG, Park YS, O SH, Kim DH, Kim CW. (2021). Virtual Reality-Incorporated Horse Riding Simulator to Improve Motor Function and Balance in Children with Cerebral Palsy: A Pilot Study. Sensors (Basel), 21(19). https://doi.org/10.3390/s21196394

Publication

ISSN: 1424-8220
NlmUniqueID: 101204366
Country: Switzerland
Language: English
Volume: 21
Issue: 19

Researcher Affiliations

Chang, Hyun Jung
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.
Jung, Yong Gi
  • Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.
Park, Young Sook
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.
O, Se Hwi
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.
Kim, Da Hye
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.
Kim, Chang Woo
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.

MeSH Terms

  • Animals
  • Cerebral Palsy
  • Child
  • Horses
  • Humans
  • Motor Skills
  • Musculoskeletal Physiological Phenomena
  • Pilot Projects
  • Virtual Reality

Conflict of Interest Statement

The authors declare no conflict of interest.

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Citations

This article has been cited 6 times.
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