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"Wii-Hab" in critically ill children: a pilot trial
Farah Abdulsatar1, Rachel G Walker1, Brian W Timmons2
1Child Health and Exercise Medicine Program, McMaster University, Hamilton, ON, Canada.
Journal of Pediatric Rehabilitation Medicine
|April 8, 2014
Summary
Virtual reality (VR) exercise shows promise for safe acute rehabilitation in pediatric critical care. However, feasibility challenges were identified in this pilot study for critically ill children.
Area of Science:
- Pediatric Critical Care Medicine
- Rehabilitation Medicine
- Medical Technology
Background:
- Acute rehabilitation in Pediatric Critical Care Units (PCCU) is crucial for patient recovery.
- Novel interventions are needed to improve outcomes for critically ill children.
- Virtual reality (VR) offers a potential new modality for exercise in this setting.
Purpose of the Study:
- To assess the safety and feasibility of using virtual reality (VR) exercise for acute rehabilitation in a Pediatric Critical Care Unit (PCCU).
- To explore VR as a novel intervention for critically ill pediatric patients.
Main Methods:
- A pilot study involving children aged 3-18 years with an anticipated PCCU stay longer than 48 hours.
- Eligible patients received Nintendo Wii™ Boxing for a minimum of 10 minutes twice daily for 2 days.
- Primary outcomes measured were the feasibility and safety of the VR intervention.
Main Results:
- 12 out of 21 eligible patients were enrolled, with 8 completing the study.
- No adverse events were reported during the VR intervention.
- Upper limb activity during VR exercise was significantly higher than average daily activity (p=0.049).
Conclusions:
- Virtual reality exercise appears safe for a subset of critically ill children in a PCCU setting.
- Feasibility of implementing VR exercise in this population presents several challenges.
- Further research is needed to optimize VR interventions for pediatric critical care.
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