الفهرس 
Impact of virtual reality games as an adjunct treatment tool on rehabilitation of hand functions in spastic hemiplegic children
ABSTRACTOnly 14 pages are availabe for public view
 |  | from | 127 |  |  |
| | | from | 127 | | |
Abstract
Rehabilitation of children with spastic hemiplegics are facing many limitations 2poor evidence base, high rehabilitation costs, long period of treatment duration difficulty to elaborate rehabilitation programs at home with a minimum of human intervention. Virtual reality game is a technology provides subject an opportunity to engage in multi-activities that are similar to daily life. It is commercially available with low cost, easy to use and activate goal directed tasks. Purpose; The primary focus of this thesis was to examine the effect of virtual reality games on hand function of spastic hemiparetic children. Forty spastic hemiplegic children ranged in age from five to ten years participating in this thesis were randomly assigned into two groups; control one; which received conventional therapy and study group; which received conventional therapy and Virtual reality games. Upper limb kinematics, object manipulation, visual-motor skills and upper limb functions were measured before and four months post treatment. Results; Significant improvements in both groups in all measuring variables were found. Shoulder flexion, wrist extension, object manipulation, visual-motor skills and upper limb functions were statistically significant at p value<0.005 in study group post treatment compared to control one. Positive correlation noted only between wrist extension and object manipulation in the study group. Conclusion; Virtual reality games improved kinematics of shoulder and wrist joints, hand skills, visual-motor skills of the upper extremity. Based on rationale of international classification of functioning and disability model designed by world health organization, virtual reality games can enhance active participation of children with motor deficits in majority of upper limb activities through consideration of child personality and environmental factors contributing to the model