Primena sistema virtualne realnosti u tretmanu motornih poremećaja kod dece sa cerebralnom paralizom

Abstract

Introduction. Virtual reality is a computer-generated interactive simulation of reality that provides a wide range of possibilities for creating a beneficial therapeutic program. The use of virtual reality systems in the rehabilitation of motor disorders in children with cerebral palsy is relatively recent. Objective. Accordingly, the aim of this review is to establish the level of effectiveness of rehabilitation interventions based on virtual reality systems in the treatment of children with cerebral palsy, based on the available literature. Methods. The initial search identified 63 scientific papers (research reports). By applying the selection criteria, nine papers were selected that met the given criteria and thus entered the further process of analysis. During the analysis, special attention was paid to: the outcomes of therapeutic procedures (the achieved results); and the analysis of the selection criteria of virtual reality systems to be used in the rehabilitation and accessibility of these systems for commercial and clinical applications. Results. Contradictory results have been found based on the analysis of the levels of effectiveness of rehabilitation interventions. In addition to studies that testify to the unequivocally positive effects of the application of virtual reality in the rehabilitation of children with cerebral palsy, there are also those in which it is evident that this effect is absent. Conclusion. The general conclusion of this paper is that virtual reality systems have great potential for application in the field of rehabilitation of motor disorders, but also that this area is still not sufficiently researched and requires further engagement to go one step further to justify or challenge their application.

Uvod: Virtuelna realnost predstavlja kompjuterski generisanu interaktivnu simulaciju stvarnosti koja pruza sirok dijapazon mogucnosti za kreiranje delotvornih terapijskih programa. Upotreba sistema virtuelne realnosti u rehabilitaciji dece sa cerebralnom paralizom je relativno novijeg datuma. Cilj: Cilj ovog preglednog rada je da, na osnovu dostupne literature, ustanovi nivo efikasnosti rehabilitacionih intervencija zasnovanih na sistemima virtuelne realnosti u tretmanu motornih poremecaja kod dece sa cerebralnom paralizom. Metode: Na osnovu inicijalne pretrage identifikovano je 63 naucna rada (istrazivacka izvestaja). Primenom kriterijuma selekcije izdvojeno je devet radova koji su ispunjavali zadate kriterijume i time usli u dalji proces analize. Posebna paznja prilikom analize radova posvecena je: ishodima terapijskih procedura, odnosno postignutim rezultatima, kao i analizi odabira sistema virtuelne realnosti koji ce se korititi u rehabilitaciji i pristupacnosti ovih sistema za komercijalnu i klinicku primenu. Rezultati: Rezultati analize nivoa efikasnosti rehabilitacionih intervencija dali su kontradiktorne nalaze. Pored studija koje svedoce o nedvosmisleno pozitivnim efektima primene sistema virtuelne realnosti u rehabilitaciji dece sa cerebralnom paralizom, postoje i one u kojima je evidentno da taj efekat izostaje. Zakljucak: Opsti zakljucak ovog rada je da sistemi virtuelne realnosti imaju veliki potencijal za primenu u oblasti rehabilitacije motornih poremecaja, ali i da ova oblast jos uvek nije dovoljno istrazena i zahteva dalje angazovanje kako bi se napravio korak vise u cilju opravdavanja ili osporavanja njihove primene.