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Fulltext Motivational influence of virtual reality in physical therapy for children with cerebral palsy: a systematic review protocol

Mohd Iqbal HA, Zanudin A, Mohd Nordin NA

BMJ Open, 2025 Jan 07;15(1):e075912.
PMID: 39773787 DOI: 10.1136/bmjopen-2023-075912

INTRODUCTION: Emulating the vast inclusion of advanced technology in everyday practice, the medical world is no exception to its implementation, in particular, virtual reality (VR). Initially, its introduction as a therapy was accompanied by high aspirations and expectations for its growth and potential. Motivation is said to be the most associated benefit; although it is imperative to note that there exists a paucity of research that specifically quantifies its tangible impact on cerebral palsy (CP). There has yet to be a systematic review of the instruments used to precisely measure motivation and examine its association with the benefits of VR for children with cerebral palsy.
METHODS AND ANALYSIS: This review will evaluate comparative studies that used VR therapy as part of interventions for children with CP. Qualitative studies, single-case studies, systematic reviews, literature reviews and guideline audits will be excluded. This review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA-P) guidelines. The methodological protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). The following electronic databases will be used to access related studies published between January 2012 and December 2023: MEDLINE (via EBSCOhost), Web of Science, Scopus, PubMed and Cochrane. The Peer Review of Electronic Search Strategies checklist will be employed to develop database search strategies.
ETHICS AND DISSEMINATION: This review does not require ethical approval as it uses secondary data. The findings will be published in a scientific journal. We intend to contribute to the expansion of knowledge concerning the motivational implications of VR on children with CP.
PROSPERO REGISTRATION NUMBER: International Prospective Register of Systematic Reviews (identification number CRD42023401079).
Fulltext Analyzing the nexus between financial risk and economic risk in India: Evidence through the lens of wavelet coherence and non-parametric approaches

Ramzan M, Adebayo TS, Iqbal HA, Razi U, Wong WK

Heliyon, 2023 Mar;9(3):e14180.
PMID: 36923840 DOI: 10.1016/j.heliyon.2023.e14180

The gravest challenge for economic sustainability is the undetermined growth in the financial and economic risks of the nation, which need to be overcome with adequate measures without compromising economic growth. The uncertainty of economic factors produces fluctuations in the financial sector and makes them more vulnerable. However, the existing literature has not significantly focused on the economic and financial risk challenge for sustainable economic growth. Therefore, to fill the gap, an in-depth study is imperative to explore the association between these risks. To do so, this study incorporates both economic and financial risk to determine how risks are interconnected across time (frequency) and how they are linked by utilizing quarterly data from 1984-Q1 to 2020-Q4 and by applying both the "wavelet power spectrum (WPS)" and "wavelet coherence (WTC)" approaches, to examine the time-frequency dependency of each variable on the other. The findings of WTC revealed that the economic and financial risks have a positive dependency on each other in India at high, medium, and low frequencies. Likewise, the wavelet power spectrum outcomes reflect the high economic and financial risks vulnerability during 1991, 1992, and 1996. In addition, for the robustness check, the study employed both the "quantile regression (QR)" and "quantile-on-quantile regression (QQR)". Both the QQR and QR endorsed the positive association between FR and ER. Hence, our paper is the first research of its kind for the Indian economy, and it extends to the existing literature by examining the link between the two most significant indicators in terms of both time and frequency dependency. The findings in our paper offer excellent perspectives for investors and policymakers to assess prospects for investment and policy changes if necessary.
Fulltext Effects of video game-based therapy in an adolescent with cerebral palsy: A case report

Mohd Iqbal HA, Ho WS, Zanudin A, Hisham H, Mohd Nordin NA

World J Clin Cases, 2023 Dec 26;11(36):8595-8602.
PMID: 38188206 DOI: 10.12998/wjcc.v11.i36.8595

BACKGROUND: Herein, we report the case of a 13-year-old boy with spastic quadriplegia cerebral palsy (CP) at Gross Motor Function Classification System (GMFCS) level II, engaging in a 6-wk video game-based therapy (VBT) program. This study aimed to offer essential insights regarding VBT's impact on enhancing the physical function and improving the quality of life (QoL) of adolescents diagnosed with CP. This report provides a distinctive viewpoint that can inform and direct future clinical practices and research endeavors.
CASE SUMMARY: The boy presented with moderate mobility, balance, and overall well-being. He faced challenges with diminished lower limb strength, which affected his daily living and physical fitness capabilities. Our participant was diagnosed with spastic quadriplegic CP at GMFCS level II. He participated in a 6-wk program of VBT using a play station. This innovative approach incorporates warm-up exercises, interactive activities, and cool-down routines, targeting various movements, including single-leg stance, weight shifting, kicking, jumping, marching, and squatting. After VBT, the strength of the left hip extensor significantly increased from 199.3 N to 541.3 N. Distance covered as part of a 6-min walk test increased by 82 m. His Paediatric QoL Inventory score increased dramatically by 25.9%.
CONCLUSION: VBT is an innovative, individualized therapy that enhances physical function and QoL in CP, emphasizing its role in ambulatory patients.

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