Research Grants 24/02082-9 - Crianças, Paralisia cerebral - BV FAPESP
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Effect of task-specific training in an augmented reality context (INTERACT Protocol) on the kinetics of the sit-to-stand task in children with spastic cerebral palsy: Randomised Clinical Trial

Abstract

Objectives: The primary objective of the present study is to verify the effects of task-specific training in an augmented reality (AR) context (INTERACT Protocol) on the kinetics of the sit-to-stand task (STS) in children with Cerebral Palsy (CP); and a secondary objective will be to verify whether environmental or child factors can influence adherence to therapy. Methods: It will be a randomized, controlled, parallel and single-blind clinical study. The sample will consist of 34 children with spastic CP, GMFCS I and II, aged 6 to 12 years, randomly distributed into each of the two groups (control and experimental - INTERACT Protocol). The outcome assessed will be the oscillation of the center of pressure during the simple STS task and STS with bimanual motor and cognitive dual task. In both groups, the intervention will be carried out for 12 weeks, twice a week, lasting 60 minutes per session, totaling 24 hours of training. The experimental group will have the intervention consisting of augmented reality games, specific task training based on pre-established goals chosen by the child. The control group will receive conventional motor stimulation training, in the clinics that each participant attends. Assessments will take place before the start of the intervention and after 12 weeks of training. A mean comparison test will be applied to verify differences between groups, using the delta of change between the beginning and end of the intervention for each variable of interest. To analyze adherence predictors, a multiple linear regression analysis will be performed, including as independent variables the GMFCS level; MACS; family income; child's age; body mass index and type of intervention received, and as a dependent variable the number of total minutes of therapy in the 12 weeks of the study. A significance of 5% will be adopted. Relevance: Considering the possible limitations of children with CP in carrying out motor activities such as STS, this study can contribute to understanding the effects of task-specific training in the context of AR on the motor capabilities of this population, assisting in research and in the clinical rehabilitation of children with CP. (AU)

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