Over the years, there has been an ongoing increase in the use of virtual gaming (VG) implemented via a range of technologies for the rehabilitation of children with disabilities including cerebral palsy (CP). While many VG-based devices have been developed over the past decade, many have been tested primarily for post-stroke therapy and included limited adaptation capabilities, not to mention personalization. When adaptation was included, it was not implemented dynamically in real-time but rather used to adjust the game parameters before a session. The goal and novel contribution of this study was to examine the potential of dynamic, within-session adaptation of virtual game parameters to support the rehabilitation of children with CP. The iVG4Rehab (Intelligent therapeutic Virtual Gaming System for Rehabilitation) system was designed and developed in collaboration with a team of clinicians. We aimed to demonstrate and evaluate the potential of a personalized virtual gaming system to support and enhance treatment of children with CP by real-time adaptations of game parameters to the children’s abilities and therapeutic needs. Our results validated the hypothesis that personalized system as a tool that has great potential for upper extremity (UE) therapy for children with CP and contributes to a more comprehensive understanding of their underlying performance, usability and kinematics in this unique context.

多年来，通过一系列技术实施的虚拟游戏 (VG) 的使用不断增加，用于包括脑瘫 (CP) 在内的残疾儿童的康复。虽然在过去十年中开发了许多基于 VG 的设备，但许多设备主要用于中风后治疗，包括有限的适应能力，更不用说个性化了。当包含适应时，它不是实时动态实现的，而是用于在会话之前调整游戏参数。这项研究的目标和新贡献是检查虚拟游戏参数的动态、会话内适应的潜力，以支持 CP 儿童的康复。iVG4Rehab（用于康复的智能治疗虚拟游戏系统）系统是与一组临床医生合作设计和开发的。我们旨在展示和评估个性化虚拟游戏系统的潜力，通过实时调整游戏参数以适应儿童的能力和治疗需求，从而支持和加强 CP 儿童的治疗。我们的结果证实了这样一个假设，即个性化系统作为一种工具，对于 CP 儿童的上肢 (UE) 治疗具有巨大潜力，并有助于更全面地了解他们在这种独特背景下的潜在表现、可用性和运动学。我们旨在展示和评估个性化虚拟游戏系统的潜力，通过实时调整游戏参数以适应儿童的能力和治疗需求，从而支持和加强 CP 儿童的治疗。我们的结果证实了这样一个假设，即个性化系统作为一种工具，对于 CP 儿童的上肢 (UE) 治疗具有巨大潜力，并有助于更全面地了解他们在这种独特背景下的潜在表现、可用性和运动学。我们旨在展示和评估个性化虚拟游戏系统的潜力，通过实时调整游戏参数以适应儿童的能力和治疗需求，从而支持和加强 CP 儿童的治疗。我们的结果证实了这样一个假设，即个性化系统作为一种工具，对于 CP 儿童的上肢 (UE) 治疗具有巨大潜力，并有助于更全面地了解他们在这种独特背景下的潜在表现、可用性和运动学。