Efficacy analysis of psychomotor impairment using virtual reality-based exergames for rehabilitation of congenital hemiplegic cerebral palsy children
摘要
Congenital hemiparesis resulting from cerebral palsy adversely affects the psychomotor functions of children. Virtual reality (VR)–based exergames represent a promising and advanced approach to psychomotor rehabilitation, as they deliver intensive, repetitive, and task-specific training in a motivating and engaging format. The present study aimed to evaluate the efficacy of VR-based exergames in improving motor and perceptual functions by analyzing performance scores and task completion times, thereby assessing the rehabilitation progress in children with hemiparesis. The exergames were individually designed based on standardized assessments, specifically the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) and the Developmental Test of Visual Perception (DTVP-3). The exergames incorporated biosensing technologies to enhance eye-hand coordination and visual perception, including hand motion sensors, inertial measurement units (IMUs), and touch-based interfaces. Eight children diagnosed with congenital hemiparesis participated in a three-month VR-based intervention targeting upper extremity rehabilitation. Statistical analysis of BOT-2 outcomes revealed a significant improvement in motor function, both in comparison with conventional therapy (F = 4.75, p = 0.01) and across varying levels of exergame difficulty (F = 10.62, p = 0.0006). The combined outcomes from BOT-2 and DTVP-3 further confirmed that the intervention effectively enhanced fine and gross motor skills, visual perception, and eye-hand coordination. These findings support the potential of biosensor-assimilated VR exergames as an effective rehabilitation tool for improving upper limb functionality in children with congenital hemiparesis due to cerebral palsy.