Aim: To assess changes in locomotion and balance in adolescents affected by ataxia secondary to acquired brain injury after a rehabilitation treatment with physiotherapy and the Gait Real-time Analysis Interactive Lab (GRAIL), an immersive virtual reality platform.
Methods: 11 ataxic adolescents (16(5) years old, 4.7(6.7) years from injury) underwent 20 45-minute sessions with GRAIL plus 20 45-minute sessions of physiotherapy in one month. Patients were assessed before and after rehabilitation with functional scales and three-dimensional multiple-step gait analysis.
Results: Results showed significant improvements in ataxia score assessed by the Scale for the Assessment and Rating of Ataxia, in dimension D and E of Gross Motor Function Measure, in walking endurance and in balance abilities. Moreover, the training fostered significant changes at hip, knee, and ankle joints, and the decrease of gait variability, toward healthy references.
Interpretation: In spite of the pilot nature of the study, data suggest that training with immersive virtual reality and physiotherapy is a promising approach for ataxic gait rehabilitation, even in chronic conditions.
Copyright © 2019 Elisabetta Peri et al.
Conflict of interest statement
The authors declare that there is no conflict of interest regarding the publication of this article.
An Immersive Virtual Reality Platform to Enhance Walking Ability of Children With Acquired Brain InjuriesE Biffi et al. Methods Inf Med 56 (2), 119-126. PMID 28116417. - Clinical TrialA 10-session treatment with GRAIL on children with ABI led to improvements in their walking abilities and enhanced their engagement during the training. This is desirable …
Gait Rehabilitation With a High Tech Platform Based on Virtual Reality Conveys Improvements in Walking Ability of Children Suffering From Acquired Brain InjuryE Biffi et al. Conf Proc IEEE Eng Med Biol Soc 2015, 7406-9. PMID 26738003.The Gait Real-time Analysis Interactive Lab (GRAIL) is an instrumented multi-sensor platform based on immersive virtual reality for gait training and rehabilitation. Few …
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