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Published on: July 28, 2022
Use of virtual reality gaming systems for children who are critically ill
1Department of Physical Therapy, University of North Texas Health Science Center, Fort Worth, TX, USA Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Insights
Virtual reality gaming offers a fun, safe way to improve physical activity in critically ill children. This approach can enhance strength and endurance, potentially shortening hospital stays and improving outcomes.
Area of Science:
- Pediatric critical care
- Rehabilitation medicine
- Virtual reality technology
Background:
- Critically ill children often experience muscle weakness and poor cardiovascular endurance due to inactivity.
- Early physical activity in critically ill children is safe, feasible, and linked to better functional outcomes and shorter hospital stays.
- Virtual reality (VR) gaming is a popular, evidence-supported therapy for children with disabilities, offering engaging exercise opportunities.
Purpose of the Study:
- To explore the integration of VR gaming systems in the rehabilitation of critically ill children.
- To identify guidelines, limitations, and challenges for designing VR-based exercise programs for this population.
- To enhance physical activity engagement and health benefits for critically ill pediatric patients.
Main Methods:
- Review of existing literature on physical activity and VR in pediatric rehabilitation.
- Analysis of the potential benefits and challenges of using VR gaming systems for critically ill children.
- Highlighting considerations for developing effective VR exercise programs.
Main Results:
- VR gaming provides an enjoyable and beneficial method for children to participate in physical activity during rehabilitation.
- The use of VR systems in pediatric critical care has the potential to improve physical activity levels.
- Lack of specific training studies for critically ill children hinders guideline development for VR interventions.
Conclusions:
- VR gaming systems present a promising avenue for enhancing physical activity in critically ill children.
- Careful consideration of guidelines, limitations, and challenges is crucial before implementing VR exercise programs.
- Further research is needed to establish specific protocols for VR-based rehabilitation in pediatric critical care.
Abstract:
Children who are critically ill are frequently viewed as "too sick" to tolerate physical activity. As a result, these children often fail to develop strength or cardiovascular endurance as compared to typically developing children. Previous reports have shown that early participation in physical activity in is safe and feasible for patients who are critically ill and may result in a shorter length of stay and improved functional outcomes. The use of the virtual reality gaming systems has become a popular form of therapy for children with disabilities and has been supported by a growing body of evidence substantiating its effectiveness with this population. The use of the virtual reality gaming systems in pediatric rehabilitation provides the children with opportunity to participate in an exercise program that is fun, enjoyable, playful, and at the same time beneficial. The integration of those systems in rehabilitation of children who are critically ill is appealing and has the potential to offer the possibility of enhancing physical activities. The lack of training studies involving children who are critically ill makes it difficult to set guidelines on the recommended physical activities and virtual reality gaming systems that is needed to confer health benefits. Several considerations should be taken into account before recommended virtual reality gaming systems as a training program for children who are critically ill. This article highlighted guidelines, limitations and challenges that need to be considered when designing exercise program using virtual reality gaming systems for critically ill children. This information is helpful given the popular use of virtual reality gaming systems in rehabilitation, particularly in children who are critically ill.

