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||Chen, Y., Fanchiang, H. D., & Howard, A. (2018) Effectiveness of virtual reality in children with cerebral palsy: A systematic review and meta-analysis of randomized controlled trials. Physical Therapy, 98(1), 63-77.
||Cerebral palsy, children, computer applications, literature reviews, motor skills, outcomes, physical therapy
||This systematic review of randomized controlled trials (RCTs) using a meta-analytic method examined the effectiveness of virtual reality to improve motor function in children with cerebral palsy (CP) was thus needed. PubMed, CINAHL, Cochrane Central Register of Controlled Trials, ERIC, PsycINFO, and Web of Science databases were search up to December 2016 to identify studies that included an RCT design, children with CP, comparisons of virtual reality with other interventions, and movement-related outcomes. A template was created to systematically code the demographic, methodological, and miscellaneous variables of each RCT. The Physiotherapy Evidence Database (PEDro) scale was used to evaluate the study quality. Effect size was computed and combined using meta-analysis software. Moderator analyses were also used to explain the heterogeneity of the effect sizes in all RCTs. The literature search yielded 19 RCT studies with fair to good methodological quality. Overall, virtual reality provided a large effect size (0.861) when compared with other interventions. A large effect of virtual reality on arm function (0.835) and postural control (1.003) and a medium effect on ambulation (0.755) were also found. Only the virtual reality type affected the overall virtual reality effect: an engineer-built system was more effective than a commercial system. When compared with other interventions, virtual reality seems to be an effective intervention for improving motor function in children with CP.
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