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USE OF VIR TUAL REALI TY GAME SYS TEMS IN REHABILI TATION OF CHILDREN WITH PROGRESSIVE MUSCULAR DYSTROPHIES

N. NIKOLENKO (1), O. V. GONCHAROVA (1), S. B. ARTEMYEVA (2), E. E. ACHKASOV (1), E. B. LITVINOVA (2) 1 -SECHENOV FIRST MOSCOW STATE MEDICAL UNIVERSITY, MOSCOW, RUSSIA 2 -PIROGOV RUSSIAN NATIONAL RESEARCH MEDICAL UNIVERSITY, MOSCOW, RUSSIA

Objective: to develop application methods of virtual reality game systems in rehabilitation of children with progressive muscular dystrophy and to assess its effectiveness. Materials and methods: 72 children aged 4-12 years (mean age 7.56±2.0 years) with progressive muscular dystrophy (PMD) were allocated to the intervention (I, n=42) or the control (II, n=30) group. Children in the intervention group received basic treatment and 10 daily sessions (20–30 min. each) of physical therapy with the help of a virtual reality gaming system (Microsoft xbox 360 Kinect-Microsoft Corporation; Redmond, Washington, USA). Children in the control group received only basic treatment. Specific tests were used for the efficiency assessment of the gaming system. For the safety assessment of game systems creatine phosphokinase in the blood serum of the children was measured before, during and after the intervention.
Results: Correlation was observed between the motor development indicators that were used and the types of the progressive muscular dystrophies - children with PMD Landuzi-Dejerine had the highest rates of motor development at all scales (exception – D2), children with congenital PMD - the lowest motor development. Evaluation of the effectiveness of the virtual reality gaming system showed a statistically significant change of the mean values before and after the intervention in the I group in comparison to the II group, but also between the groups in terms of the outcomes of the MFM scale – D1, D2, D3, D.
Conclusions: Vignos, Brooke and MFM motor function scales can be used in evaluating complex interventions in children with PMD.An effective rehabilitation technology for children is the virtual reality gaming system (хbox 360 Kinect), which can help to improve the motor function in children with PMD according to MFM scale.
Keywords: 
physical therapy; virtual reality game system; progressive muscular dystrophy; nervous system disorders in children; motor function assessment scales; creatine phosphokinase.