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Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand
Fatma Alzahraa H Kamel1, Maged A Basha2
1Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt; Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Qassim, Buraidah, Saudi Arabia.
Archives of Physical Medicine and Rehabilitation
|February 22, 2021
Summary
Motion-sensing gaming and task-oriented training significantly improved hand function in pediatric burn patients compared to traditional therapy. Both methods showed comparable results, with gaming offering slight advantages in satisfaction and specific grip measures.
Area of Science:
- Rehabilitation Medicine
- Pediatric Burn Care
- Occupational Therapy
Background:
- Pediatric hand burns require effective rehabilitation to restore function and performance.
- Traditional rehabilitation methods may benefit from innovative adjunctive therapies.
- Evaluating novel approaches like gaming and task-oriented training is crucial for optimizing outcomes.
Purpose of the Study:
- To compare the efficacy of a motion-sensing, hands-free gaming device and task-oriented training (TOT) programs against traditional rehabilitation for pediatric hand burns.
- To assess improvements in hand function, activity performance, and patient satisfaction.
Main Methods:
- A randomized controlled trial involving 50 pediatric patients with hand burns.
- Participants were assigned to three groups: motion-sensing gaming + traditional rehabilitation (TR), TOT + TR, or TR alone (control).
- Interventions were administered 3 days/week for 8 weeks, with assessments at baseline and post-intervention using standardized hand function tests, Duruoz Hand Index (DHI), Canadian Occupational Performance Measure (COPM), range of motion (ROM), grip, and pinch strengths.
Main Results:
- Both the motion-sensing gaming and TOT groups demonstrated significant improvements in all measured outcomes compared to the control group (P<.05).
- No significant differences were found between the gaming and TOT groups for most measures, including the Jebsen-Taylor Hand Function Test, COPM performance, ROM, grip strength, and tip/lateral pinch strengths (P>.05).
- The motion-sensing gaming group showed significantly greater improvements in DHI, COPM satisfaction, and palmer pinch strength compared to the TOT group (P<.05).
Conclusions:
- Motion-sensing, hands-free gaming devices and TOT programs are effective in significantly improving hand function, activity performance, and satisfaction in pediatric patients with hand burns.
- These novel approaches offer superior outcomes compared to traditional rehabilitation alone.
- The gaming device showed a potential advantage in enhancing patient satisfaction and specific grip strength measures.
