Effect of Adding Virtual Reality to Individualized Exercise Therapy on Gross Motor Function, Balance, and Functional

Ozge Yenilmez1, Filiz Altug2

  • 1Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Pamukkale University, Denizli, Turkey.

Clinical Pediatrics
|September 24, 2025
PubMed

Insights

Adding virtual reality (VR) training to physical therapy significantly improved gross motor function, balance, and mobility in children with hemiparetic cerebral palsy (CP). These findings suggest VR offers additional benefits for pediatric CP rehabilitation.

Area of Science:

  • Pediatric Rehabilitation
  • Neuroscience
  • Biomedical Engineering

Background:

  • Hemiparetic cerebral palsy (CP) affects motor function in children.
  • Individualized exercise therapy is a common treatment approach.
  • Exploring novel interventions to enhance rehabilitation outcomes is crucial.

Purpose of the Study:

  • To evaluate the impact of adding virtual reality (VR) training to conventional exercise therapy for children with hemiparetic CP.
  • To assess VR's effect on gross motor function, balance, and functional mobility.

Main Methods:

  • A randomized controlled trial involving 31 children with hemiparetic CP.
  • Participants were assigned to an experimental group (exercise therapy + VR) or a control group (exercise therapy alone).
  • Intervention lasted 12 weeks, with VR implemented twice weekly.

Main Results:

  • The experimental group showed significant improvements in gross motor function, balance, and functional mobility (P < .05).
  • The control group demonstrated improvements in most parameters, excluding the timed up and go test and one-leg standing with eyes closed.
  • Comparative analysis revealed significantly greater improvements in the experimental group (P < .05).

Conclusions:

  • Virtual reality training, when added to individualized exercise therapy, shows potential for enhancing gross motor function, balance, and functional mobility in children with hemiparetic CP.
  • VR may serve as a valuable adjunct therapy for pediatric CP.
  • Further research can explore long-term effects and optimal VR protocols.

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