AR-Based Motor Rehabilitation for Children With CP (PSYCHO-AR-REH)

Digitalization of Rehabilitation Care for Children With Motor Disorders Using Augmented Reality Technologies

The aim of the project is to create a digital system for cognitive-oriented rehabilitation of the central neuromuscular diseases (CND) with the use of augmented reality (AR) technology in children. Solving the project supports the professional-oriented digital literacy of professionals in rehabilitation institutions in the Czech Republic (CR). With the applied research, the software will be developed for the training of fine and gross motor skills, postural control and walking in the AR environment for children with cerebral palsy and verified in the practice of professionals in rehabilitation. The project aims to modernization and increase of the effectiveness of the work of professionals in rehabilitation institutions in the CR. The project is based on an interdisciplinary approach.

Study Overview

• Status: Enrolling by invitation
• Conditions: Cerebral Palsy (CP); Augmented Reality Exercise Program
• Intervention / Treatment: Behavioral: Conventional physical therapy; Behavioral: AR-based therapy

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Czechia
  • Prague, Czechia
    • Palestra

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Medical diagnosis of spastic hemiparesis or diparesis types cerebral palsy
• The level of motor skills was at levels I and II according to the Gross Motor Function Classification System (GMFCS)
• spasticity of grade 2 or less diagnosed with the Modified Ashworth Scale (MAS)
• Ability to walk at least 10 meters without aids and without the support of a therapist

Exclusion Criteria:

• no neurological disease other than CP
• no visual impairment with exception of short-sightedness
• Children is not able to follow instructions during testing and training
• Injection treatment of anti-spastic medication in the last 3 months
• Lower limb surgery within the past 12 months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group	Behavioral: Conventional physical therapy; Traditional spa treatment comprising hydrotherapy and physical therapy.; Behavioral: AR-based therapy; The child wore Meta Quest 3 (Meta Platforms, Menlo Park, California, USA) VR/AR goggles during the exercises. Our custom exercise applications were running on the device. They provide brief verbal instructions at the start of each exercise. During the exercise, they also give short cognitive prompts to support focused attention.
Active Comparator: Control group; conventional physical therapy program	Behavioral: Conventional physical therapy; Traditional spa treatment comprising hydrotherapy and physical therapy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Speed of 10-meter walk test (m/s)	Speed (m/s): average speed of the walk 10 metres (10MWT)	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Cadence (steps/min)	Number of half-steps in one minute. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering)	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Support phase (% cycle)	The average value of the durations of the right and left support phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Swing Phase (% Cycle)	The average value of the durations of the right and left swing phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Symmetry index of pelvic tilt	The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the sagittal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Symmetry index of pelvic obliquity	The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the frontal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
Symmetry index of pelvic rotation	The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the transverse component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)
The Pediatric balance scale (PBS)	The Pediatric Balance Scale is a modified version of the Berg Balance Scale. The scale consists of 14 balance-related test items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points. Higher total scores suggest that the child has good balance ability.	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
One-Leg Balance (valuated by the time the child is able to maintain the position)	In this task, the child is asked to stand on one leg on a balance board or other unstable surface. Each leg is tested separately. The child must maintain balance for a maximum of 30 seconds. The task is assessed in accordance with the MABC-2 manual.	Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

Collaborators and Investigators

• Sponsor: College of Physical Education and Sport PALESTRA
• Collaborators: Charles University, Czech Republic

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2025
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): August 1, 2026

Study Registration Dates

• First Submitted: March 11, 2026
• First Submitted That Met QC Criteria: June 17, 2026
• First Posted (Actual): June 24, 2026

Study Record Updates

• Last Update Posted (Actual): June 30, 2026
• Last Update Submitted That Met QC Criteria: June 25, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: cerebral palsy; motor function training; pediatric physiotherapy; augmented reality rehabilitation
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Brain Damage, Chronic; Cerebral Palsy
• Other Study ID Numbers: TQ01000031

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No