Innovative technologies in medical rehabilitation of patients with cerebral palsy

Background: Rehabilitation games that combine physical therapy exercises with computer games provide all prerequisites for effective motor learning – repeated practice of the same task with the adjusted difficulty level and motivating feedback in the safe environment.
The aim: The aim of the study was to evaluate the influence of stepping games on walking abilities and balance of children with cerebral palsy. Preliminary assessment was carried outon ten patients with cerebral palsy, aged four to twelve years, GMFCS Level II – III.
Materials: Stepping games using a Dance Mat –a flat electronic game controller with 3×3 matrix of square panels for the player to step on to evoke actions within the game have been used.
Methods: Patients followed a two-week home training program with daily 20-minute gaming sessions. Each session included 3 or 4 different games (from the total number of eight games) with individually adjusted difficulty parameters.
Results: Each patient was assessed before and after the training course by the following tests: Timed Up and Go, Paediatric Balance Scale and Four Square Step Test. After two weeks of daily training, balance and walking improvements were noted. The Paediatric Balance Scale improved on average by 1.5 points, the Timed Up and Go Test by 2.1 seconds, the time in the Four Square Step Test was reduced on average by 1.7 seconds.
Conclusion: Rehabilitation computer stepping games may improve balance and walking skills in patients with cerebral palsy.