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The aim of the study is to examine the effect of VR application on motor, cognitive and sensory-perceptual skills, and activity and participation levels in children with DCD.
The hypotheses on which the study proposal is based are as follows:
H0: VR application has no effect on motor skills in children with DCD. H1: VR application has an effect on motor skills in children with DCD.
H0: VR application has no effect on cognitive skills in children with DCD. H1: VR application has an effect on cognitive skills in children with DCD.
H0: VR application has no effect on sensory-perception skills in children with DCD.
H1: VR application has an effect on sensory-perception skills in children with DCD.
H0: VR application has no effect on the functional independence levels in daily living activities in children with DCD.
H1: VR application has an effect on the functional independence levels in daily living activities in children with DCD.
H0: VR application has no effect on participation levels in children with DCD. H1: VR application has an effect on participation levels in children with DCD.
Within the scope of our aims;
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| virtual reality plus conventional occupational therapy | Experimental | Virtual reality will be given to the study group in addition to the conventional occupational therapy program. Nintendo Wii Fit Plus will be used as the virtual reality method in the research. |
|
| conventional occupational therapy | Other | This is a control group. Sensory integration and gross motor training approaches are used in the conventional occupational therapy program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| virtual reality | Other | The virtual reality protocol here is based on perceptual-motor activities, supported by Nintendo Wii resources. The user will be able to control a game character in a virtual environment using a remote control with a motion sensor. Wii Fit Plus requires the use of the Wii Balance Board that the player stands on during gameplay. The Wii Balance Board is not a wobbly balance board, but is able to detect and track the user's center of balance, a feature used extensively in the game. Wii Fit Plus includes more than 40 activities including yoga, strength training, aerobics and balance games. During the virtual reality application, different games will be preferred in each session depending on the duration of the games. Virtual reality application will be carried out in a corner prepared for virtual reality application in the room where the conventional occupational therapy session is held. Families have the right to observe and attend all sessions whenever they wish. |
| Measure | Description | Time Frame |
|---|---|---|
| Test of Gross Motor Development-2 | Assessment of gross and fine motor skills | It will be applied 8 weeks after the first evaluations are made. |
| Sensory İntegration and praxis test | It is a standardized test developed by Ayres that evaluates in detail sensory perception and sensory perception-related skills in children between the ages of 4 and 8 years and 11 months. SIPT consists of a total of 17 subtests. | It will be applied 8 weeks after the first evaluations are made. |
| Motor-Free Visual Perception Test-3 | Assessment of visual perception | It will be applied 8 weeks after the first evaluations are made. |
| Measure | Description | Time Frame |
|---|---|---|
| Participation and Environment Measure for Children and Youth (PEM-CY) | The PEM-CY is a measure that evaluates participation in the home, at school, and in the community, alongside environmental factors within each of these settings. | It will be applied 8 weeks after the first evaluations are made. |
| CHILDHOOD EXECUTIVE FUNCTIONING INVENTORY (CHEXI) FOR PARENTS AND TEACHERS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| zeynep kolit, MSc | Hacettepe University | Principal Investigator |
| Sedef şahin, PhD | Hacettepe University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Sıhhiye | 06100 | Turkey (Türkiye) |
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| conventional occupational therapy | Other | Sensory integration and gross motor training approaches will be used in the conventional occupational therapy program. A manualized protocol based on Ayres sensory integration principles will be followed (Schaaf et al., 2012). The intervention will be carried out by a licensed occupational therapist trained in sensory integration. This approach suggests that if a child engages in individually adapted sensorimotor activities, the nervous system is better able to modulate, organize, and integrate sensory information and is also more likely to use sensory information in adaptive ways (Ayres, 1972). Components of the intervention include a sensory-rich, playful, child-centered approach, providing a decision challenge, and facilitating increasingly complex adaptive behaviors by engaging the child in individually tailored, developmentally appropriate play interactions |
|
Working memory and inhibitory control levels will be evaluated with CHEXI. |
| It will be applied 8 weeks after the first evaluations are made. |
| Functional Independence Measure for Children (WeeFIM) | functional independence was assessed with the Functional Independence Measure for Children (WeeFIM). | It will be applied 8 weeks after the first evaluations are made. |
| ID | Term |
|---|---|
| D019957 | Motor Skills Disorders |
| D012678 | Sensation Disorders |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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