ABSTRACT
Objective:To observe the effect of virtual reality on therapeutic pain in children with spastic cerebral palsy, through the profiles of the pain stress and outcome of rehabilitation treatment. Methods:From September, 2018 to June, 2019, 49 children with spastic cerebral palsy were randomly divided into control group (n = 25) and observation group (n = 24). Both groups received conventional rehabilitative treatment. The observation group wore virtual reality head display, choosing appropriate panoramic cartoon play or head control game according to their intelligence level to immerse themselves in the virtual environment. Both groups were treated five days per week for three weeks, for a total of 15 treatment days. Saliva cortisol was measured same time on the first, fifth, ninth, and 13th treatment days. They were assessed with modified Ashworth Scale (MAS), the Chinese version of Gross Motor Function Test Scale (GMFM) and Pediatric Disability Assessment Scale (PEDI) before and three weeks after treatment. Results:The cortisol levels significantly increased on all the treatment days in both groups (|t| > 3.502, P < 0.05). On the fifth, ninth, and 13th treatment days, the cortisol level was lower in the observation group than in the control group (t > 2.224, P < 0.05). After treatment, the MAS score decreased (|Z| > 2.636, P < 0.01), and the scores of PBS and PEDI increased (|Z| > 3.629, P < 0.001) in both groups; the scores of PBS and PEDI were higher in the observation group than in the control group (|Z| > 2.000, P < 0.05) Conclusion:Virtual reality is helpful to alleviate the pain stress in children with spastic cerebral palsy, and it is helpful to improve the effect of rehabilitation treatment.
ABSTRACT
@#Objective To investigate the effect of family-centered care on wearing ankle-foot orthosis (AFO) in children with spas-tic cerebral palsy. Methods From July to December, 2016, 65 children with spastic cerebral palsy were divided into control group (n=32) and observation group (n=33). The control group accepted routine nursing, while the observation group accepted family-centered care. The children were assessed with modified Ashworth Scale (MAS), and the incidence of skin and soft tissue problems, the compliance for wearing AFO and the satisfaction for nursing service were re-corded. Results The score of MAS decreased in the observation group compared with that in the control group (t=3.298, P=0.002), and the incidence of skin and soft tissue problems was less (χ2=7.386, P=0.007). The compliance of pa-tients wearing AFO for rehabilitation, the rate that family performed the rehabilitation, the satisfaction for nurs-ing service were all more in the observation group than in the control group (χ2>5.346, P<0.05). Conclusion The application of family-centered care can improve the compliance for wearing AFO in the children with spastic cerebral palsy, to improve the rehabilitation effect, reduce the incidence of complications, and promote the satisfaction for nursing service.