Assessing Current Cerebral Palsy Therapy and Identifying Needs for Improvement

Authors

  • Robin Tommy School of Management, Hindustan Institute of Technology and Science Chennai, India
  • M.K. Badrinarayanan School of Management and International Relations, Hindustan Institute of Technology and Science Chennai, India https://orcid.org/0000-0001-6341-5770
  • Reshmi Ravindranathan Inclusys Neuro Org, Kerala, India
  • Smitha Rosemary George Punarjeeva Technology Solutions, Kerala, India

DOI:

https://doi.org/10.6000/2292-2598.2024.12.04.7

Keywords:

Cerebral palsy, rehabilitation, digital therapeutics, gamification, virtual reality, artificial intelligence

Abstract

Background: Cerebral palsy (CP) is a prevalent childhood physical disability requiring long-term therapeutic interventions. Conventional rehabilitation methods face challenges maintaining engagement and providing personalized, measurable outcomes.

Methods: This study assessed current CP therapy approaches through a literature review and primary data analysis. We propose an innovative digital therapeutic platform integrating gamification, virtual reality, and AI-based motion tracking.

Results: Our analysis revealed limitations in traditional therapies, including lack of engagement, limited personalization, and insufficient progress tracking. The proposed technology-driven solution shows potential for enhancing motivation, customization, and measurable progress in CP rehabilitation.

Conclusions: Our proposed digital platform offers promising avenues for improving rehabilitation outcomes and patient experiences by addressing key limitations in current CP therapy.

References

Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109: 8-14. https://doi.org/10.1111/j.1469-8749.2007.tb12610.x DOI: https://doi.org/10.1111/j.1469-8749.2007.tb12610.x

Oskoui M, Coutinho F, Dykeman J, Jetté N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol 2013; 55(6): 509-19. https://doi.org/10.1111/dmcn.12080 DOI: https://doi.org/10.1111/dmcn.12080

Novak I, Morgan C, Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment. JAMA Pediatr 2017; 171(9): 897-907. https://doi.org/10.1001/jamapediatrics.2017.1689 DOI: https://doi.org/10.1001/jamapediatrics.2017.1689

Novak I, Morgan C, Fahey M, et al. State of the evidence traffic lights 2019: systematic review of interventions for preventing and treating children with cerebral palsy. Curr Neurol Neurosci Rep 2020; 20(2): 1-21. https://doi.org/10.1007/s11910-020-1022-z DOI: https://doi.org/10.1007/s11910-020-1022-z

Verschuren O, Peterson MD, Balemans AC, Hurvitz EA. Exercise and physical activity recommendations for people with cerebral palsy. Dev Med Child Neurol 2016; 58(8): 798-808. https://doi.org/10.1111/dmcn.13053 DOI: https://doi.org/10.1111/dmcn.13053

Reedman S, Boyd RN, Sakzewski L. The efficacy of interventions to increase physical activity participation of children with cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol 2017; 59(10): 1011-8. https://doi.org/10.1111/dmcn.13413 DOI: https://doi.org/10.1111/dmcn.13413

Ketelaar M, Vermeer A, Hart H, van Petegem-van Beek E, Helders PJ. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther 2001; 81(9): 1534-45. https://doi.org/10.1093/ptj/81.9.1534 DOI: https://doi.org/10.1093/ptj/81.9.1534

Baranello G, Signorini S, Tinelli F, et al. Visual function classification system for children with cerebral palsy: development and validation. Dev Med Child Neurol 2020; 62(1): 104-10. https://doi.org/10.1111/dmcn.14270 DOI: https://doi.org/10.1111/dmcn.14270

Deutsch J, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P. Use of a low-cost, ommercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther 2008; 88(10): 1196-207. https://doi.org/10.2522/ptj.20080062 DOI: https://doi.org/10.2522/ptj.20080062

Bonnechère B, Jansen B, Omelina L, Van Sint Jan S. The use of commercial video games in rehabilitation: a systematic review. Int J Rehabil Res 2016; 39(4): 277-90. https://doi.org/10.1097/MRR.0000000000000190 DOI: https://doi.org/10.1097/MRR.0000000000000190

Lopes S, Magalhães P, Pereira A, et al. Games used with serious purposes: a systematic review of interventions in patients with cerebral palsy. Front Psychol 2018; 9: 1712. https://doi.org/10.3389/fpsyg.2018.01712 DOI: https://doi.org/10.3389/fpsyg.2018.01712

Rathinam C, Mohan V, Peirson J, et al. Effectiveness of virtual reality in the treatment of hand function in children with cerebral palsy: A systematic review. J Hand Ther 2019; 32(4): 426-34. https://doi.org/10.1016/j.jht.2018.01.006 DOI: https://doi.org/10.1016/j.jht.2018.01.006

Gómez-Pérez C, Font-Llagunes JM, Martori JC, Vidal Seguí J. Gait parameter classification for children with cerebral palsy and typically developing children using machine learning: A systematic review. Sensors 2022; 22(3): 1073.

Papageorgiou E, Simon-Martinez C, Molenaers G, et al. Are we there yet? A systematic review and meta-analysis on the effectiveness of virtual reality gait training in children with cerebral palsy. Front Virtual Real 2021; 2: 647993.

Zoccolillo L, Morelli D, Cincotti F, Muzzioli L, Gobbetti T, Paolucci S, Iosa M. Video-game based therapy performed by children with cerebral palsy: a cross-over randomized controlled trial and a cross-sectional quantitative measure of physical activity. Eur J Phys Rehabil Med 51(6); 669-676.

Duran I, Stark C, Saglam A, Semmelweis, Wunram H, Spiess K, Schonau E. Artificial Intelligence to improve the efficiency of administration of gross motor function assessment in children with cerebral palsy. Dev Med Child Neurol 2022 [cited 12 August 2024]; 64(2): 228-234. https://doi.org/10.1111/dmcn.15010 DOI: https://doi.org/10.1111/dmcn.15010

Published

2024-12-11

How to Cite

Tommy, R. ., Badrinarayanan, M. ., Ravindranathan, R. ., & George, S. R. . (2024). Assessing Current Cerebral Palsy Therapy and Identifying Needs for Improvement. Journal of Intellectual Disability - Diagnosis and Treatment, 12(4), 252–262. https://doi.org/10.6000/2292-2598.2024.12.04.7

Issue

Section

General Articles