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Báo cáo khoa hoc:" Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children | Brutsch et al. Journal of NeuroEngineering and Rehabilitation 2010 7 15 http www.jneuroengrehab.eom content 7 1 15 J NER JOURNAL OF NEUROENGINEERING AND REHABILITATION RESEARCH Open Access Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children Karin Brutsch 1 6 Tabea Schuler2 6 Alexander Koenig3 5 Lukas Zimmerli3 4 Susan Mérillat -Koeneke 1 Lars Lunenburger4 Robert Riener3 5 Lutz Jancke1 and Andreas Meyer-Heim6 Abstract Background Virtual reality VR offers powerful therapy options within a functional purposeful and motivating context. Several studies have shown that patients motivation plays a crucial role in determining therapy outcome. However few studies have demonstrated the potential of VR in pediatric rehabilitation. Therefore we developed a VR-based soccer scenario which provided interactive elements to engage patients during robotic assisted treadmill training RAGT . The aim of this study was to compare the immediate effect of different supportive conditions VR versus non-VR conditions on motor output in patients and healthy control children during training with the driven gait orthosis Lokomat . Methods A total of 18 children ten patients with different neurological gait disorders eight healthy controls took part in this study. They were instructed to walk on the Lokomat in four different randomly-presented conditions 1 walk normally without supporting assistance 2 with therapists instructions to promote active participation 3 with VR as a motivating tool to walk actively and 4 with the VR tool combined with therapists instructions. The Lokomat gait orthosis is equipped with sensors at hip and knee joint to measure man-machine interaction forces. Additionally subjects acceptance of the RAGT with VR was assessed using a questionnaire. Results The mixed ANOVA revealed significant main effects for the factor CONDITIONS p 0.001 and a significant interaction CONDITIONS X GROUP p 0.01 . Tests of .