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Virtual Reality and Active Video Game Integration within an Intensive Bimanual Therapy Program for Children with Hemiplegia.

Ferron, Audrey;Robert, Maxime T;Fortin, William;Bau, Odette;Levac, Danielle;et.al.
(2024) Physical & Occupational Therapy in Pediatrics : a quarterly journal of developmental therapy — Vol. 44, n° 3, p. 410-426 (2024)

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Authors
  • Ferron, Audrey
    Author
  • Robert, Maxime T
    Author
  • Fortin, William
    Author
  • Bau, Odette
    Author
  • Saussez, GeoffroyUCLouvain
    Author
  • Bleyenheuft, Yannickorcid-logoUCLouvain
    Author
  • Levac, Danielle
    Author
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Abstract
AIMS: To describe the nature of custom and non-custom virtual reality and active video game (VR/AVG) implementation within a Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention program for children with hemiplegia. METHODS: Six children aged 8-11 years participated in a 10-day HABIT-ILE intervention (65 h; 6.5 planned VR/AVG hours). VR/AVG implementation details were recorded daily and summarized with descriptive statistics; active motor engagement was quantified as minutes of active game participation. Post-intervention interviews with interventionists were analyzed with qualitative content analysis. RESULTS: On average, participants received 79% of the planned VR/AVG dosage (314/400 planned minutes, range 214-400 min), of which the per-session active motor engagement average was 68% (27 min, SD 12 min). Participation involved equivalent amounts of custom (49%) and non-custom (51%) VR/AVG system use. Material and verbal adaptations facilitated alignment with HABIT-ILE principles. Interventionists identified type of task (gross versus fine motor), children's perceived motivation, and VR/AVG attributes as factors influencing active motor engagement and alignment with HABIT-ILE principles. CONCLUSIONS: Describing individual and technological challenges of VR/AVG integration within HABIT-ILE can advance knowledge about VR/AVG use in intensive interventions and identify directions for subsequent research.
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Ferron, A., Robert, M. T., Fortin, W., Bau, O., Cardinal, M.-C., Desgagné, J., Saussez, G., Bleyenheuft, Y., & Levac, D. (2024). Virtual Reality and Active Video Game Integration within an Intensive Bimanual Therapy Program for Children with Hemiplegia. Physical & Occupational Therapy in Pediatrics : a quarterly journal of developmental therapy, 44(3), 410-426. https://doi.org/10.1080/01942638.2023.2259462 (Original work published 2024)