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Game-Based Dual-Task Exercise Program for Children with Cerebral Palsy: Blending Balance, Visuomotor and Cognitive

Tony Szturm1, Sanjay Tejraj Parmar2, Kavisha Mehta1

  • 1College of Rehabilitation Sciences, University of Manitoba, Winnipeg, MB R3E0T6, Canada.

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Summary

A new game-based balance program for children with cerebral palsy (CP) proved feasible and effective. This dual-task (DT) training showed significant improvements in balance and motor function compared to conventional therapy.

Keywords:
balance trainingcerebral palsydual-task trainingtelerehabilitation

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Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Game-Based Therapy

Background:

  • Cerebral palsy (CP) presents significant challenges in balance and motor function.
  • Conventional therapies may not fully address the complex needs of children with CP.
  • Game-based interventions offer a novel approach to therapeutic exercise.

Purpose of the Study:

  • To assess the feasibility and therapeutic value of a game-based dual-task (DT) balance exercise program.
  • To compare the effectiveness of this novel program against conventional balance training in children with CP.

Main Methods:

  • An exploratory randomized controlled trial (RCT) involving 20 children with CP.
  • Participants were assigned to either a conventional group (CG) or a game-based DT group (XG) for 12 weeks.
  • Quantitative measures included the Pediatric Balance Scale (PBS), Gross Motor Function Measure-88 (GMFM-88), and computerized balance tests; qualitative interviews assessed user experience.

Main Results:

  • 100% compliance was achieved for all participants.
  • The game-based DT group (XG) showed significantly greater improvements in PBS, GMFM-88, and DT balance measures compared to the CG.
  • Qualitative analysis revealed positive participant experiences and expectations.

Conclusions:

  • The game-based DT balance exercise program is a feasible and acceptable intervention for children with CP.
  • The program demonstrates promising therapeutic value, warranting further investigation in a full-scale RCT.
  • High compliance and positive outcomes support the progression of this innovative approach.