Extended Reality Exergaming for Cerebral Palsy

This trial tests a new method to help children with cerebral palsy become more active through extended reality exergaming, a type of video game that promotes physical exercise. The research aims to determine if this approach can enhance physical activity levels, heart health, and overall fitness. Participants will either use this gaming system with coaching for 12 weeks or continue their usual activities. It suits children with cerebral palsy who are not currently very active and have a caregiver to assist with the setup. All activities occur remotely via telehealth, so a reliable internet connection is necessary. As a Phase 2 trial, this research focuses on assessing the treatment's effectiveness in an initial, smaller group of participants.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that extended reality (XR) games for exercise are generally safe for children with cerebral palsy. In past studies, small groups of young people used XR exergaming without serious safety issues and managed the exercises well. These activities involve moving in a virtual world, helping kids stay active in a safe and controlled manner. Some studies highlight benefits such as improved balance and strength, with no major negative effects reported. This suggests that XR exergaming is a well-tolerated method to increase physical activity in children with cerebral palsy.¹²³⁴⁵

Most treatments for cerebral palsy focus on physical therapy and medications to manage symptoms. However, Extended Reality Exergaming is unique because it combines exercise with immersive digital environments, making physical activity more engaging and fun for children with cerebral palsy. This method uses virtual reality to create interactive and motivating exercise sessions, which could lead to better adherence and improved motor skills over time. Researchers are excited because this innovative approach could enhance rehabilitation outcomes by providing a dynamic and enjoyable way to exercise, potentially offering benefits beyond traditional therapies.

Research has shown that extended reality (XR) games involving physical activity can enhance movement and activity levels in children with cerebral palsy (CP). In this trial, participants in the "Extended Reality Gaming (XRG)" arm will begin an extended reality exercise program for 36 weeks. Studies have found that virtual reality (VR) games enable children with CP to safely practice complex movements by interacting with virtual objects, leading to moderate improvements in movement ability, particularly in younger children. Other research suggests that XR games might also enhance heart health and overall physical fitness. Overall, early evidence supports XR games as a promising method to boost physical activity and health in children with CP.²⁵⁶⁷⁸