Visuomotor Integration Assessment Using Immersive Virtual Reality for Children With Cerebral Palsy: A Pilot Study

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-03-27 DOI:10.1111/cch.70072

Minxin Cheng, Alexa Craig, Danielle E. Levac

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引用次数: 0

Abstract

Background

Visuomotor integration (VMI) impairments are common in children with cerebral palsy (CP) and can impact performance of goal-directed upper-extremity tasks. VMI impairment is clinically assessed using the gold-standard Beery-Buktenica test, whereas research paradigms use computerized assessments incorporating eye and hand movement tracking with touchscreen displays. Immersive virtual reality (VR) may potentially enable more ecologically valid VMI assessments through the inclusion of 3D tasks and visual distractions. However, the potential of immersive VR as a VMI assessment method in children with CP has not been evaluated. The current study aims to investigate how VR can assess VMI impairments in children with CP.

Methods

Twelve children with CP completed the Beery-Buktenica VMI test and performed eye-only, hand-only and eye-hand VMI tasks in touchscreen, visually simple VR and visually complex VR conditions. Eye and hand endpoint accuracy and task completion time quantified VMI performance. We compared performance on each task and in each environment between children with below- versus above-average Beery-VMI scores.

Results

There were no significant relationships between Beery-VMI score and eye-hand task performance in visually simple VR. Compared to the touchscreen task, participants demonstrated significantly reduced eye and hand endpoint accuracy in visually simple VR, with no difference between Beery-VMI groups. Children with below-average Beery-VMI scores decreased eye endpoint accuracy and increased trial completion time in visually complex VR.

Conclusion

Findings from this pilot study do not support immersive VR as a VMI assessment method in children with CP.

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脑性麻痹儿童沉浸式虚拟现实视觉运动整合评估：一项试点研究

视觉运动整合（VMI）障碍在脑瘫（CP）儿童中很常见，并且会影响目标导向的上肢任务的表现。VMI损伤的临床评估使用黄金标准的Beery-Buktenica测试，而研究范式使用计算机化评估，结合触摸显示器的眼和手运动跟踪。沉浸式虚拟现实（VR）可能会通过包含3D任务和视觉干扰来实现更生态有效的VMI评估。然而，沉浸式VR作为儿童CP的VMI评估方法的潜力尚未得到评估。方法12例CP患儿完成Beery-Buktenica VMI测试，分别在触摸屏、视觉简单VR和视觉复杂VR条件下进行眼-单、手-单和眼-手VMI任务。眼和手端点精度和任务完成时间量化VMI性能。我们比较了低于平均水平和高于平均水平的孩子在每个任务和每个环境中的表现。结果单纯视觉虚拟现实患者的Beery-VMI评分与眼手任务表现无显著相关。与触屏任务相比，参与者在视觉简单的VR中表现出明显降低的眼睛和手端点准确性，Beery-VMI组之间没有差异。Beery-VMI评分低于平均水平的儿童在视觉复杂VR中降低了眼终点准确性并增加了试验完成时间。结论：本初步研究结果不支持沉浸式VR作为儿童CP的VMI评估方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.