Saudi Cultural Missions Theses & Dissertations
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Item Restricted Immersive Virtual Reality in Cerebral Palsy(University of Exeter, 2024-07-22) Alrashidi, Mohammed; Buckingham, Gavin; Williams, Craig; Tomlinson, RichardAbstract Cerebral palsy (CP) is the most common childhood physical disability. Immersive virtual reality (iVR) provides an enriching and motivational environment to conduct goal-oriented tasks with visual, auditory and haptic feedback, which are key pillars in CP rehabilitation. However, very little research has been undertaken on iVR in CP physiotherapy. This thesis aimed to explore the novel applications of iVR in CP physiotherapy and rehabilitation. This thesis is composed of four studies. The first study (Chapter 2) synthesises available evidence for virtual reality interventions in upper limb motor function in CP, highlighting a lack of data surrounding the use of iVR in CP. The second study (Chapter 3) reveals the results of survey of clinicians involved in management of CP, showing that the utilisation of VR in paediatric physiotherapy clinics is limited (n = 6, out of 81). Multiple facilitators and barriers for VR implementation in clinical practice were identified in this study. The third and fourth studies (Chapters 4 and 5) investigated the usability of an iVR circle drawing task to measure upper-limb motor performance in typically-developing children (n = 36) and children with CP (n = 9). Participants in both studies reported high levels of usability, acceptability, ease of use, and confidence with the iVR circle drawing task. No adverse effects associated with iVR use were reported for any participants. In addition, the iVR circle drawing task captured differences between the movement kinematics of the dominant and non-dominant hands, indicating that iVR circle drawing is a viable tool to capture the upper-limb motor performance of children with and without CP. In summary, the studies presented in this thesis offer original and important insights into the role of iVR in CP clinical diagnostics. This PhD thesis supports the future development of iVR as an assessment tool and its clinical applications in paediatric physiotherapy care.25 0Item Restricted Psychological Interventions within Physiotherapy: A Qualitative Exploration of the Perspectives of Paediatric Physiotherapists in the Kingdom of Saudi Arabia(Saudi Digital Library, 2023-12-01) Hakami, Wafaa; Coomer, AnnetteBackground: Paediatric physiotherapists treat children with disabilities to improve their quality of life. According to GASTAT (2017) disability survey in the Kingdom of Saudi Arabia (KSA), 11.16% of Saudi children aged 5-19 years old have disabilities. Children with physical disabilities may struggle psychologically and socially, so the biopsychosocial model can be implemented in physiotherapy as a holistic approach. Physiotherapists implement Psychologically Informed Physiotherapy (PIP) to integrate the biopsychosocial model into physiotherapy practice (Porter, 2016; Smart, 2023; Gervais-Hupe et al., 2022). Gray et al. (2021) found that many physiotherapists had positive attitudes and beliefs about PIP, but there is a need for further development. Methods: A qualitative study using epistemological philosophies was conducted to explore the research aims and objectives. Paediatric physiotherapists in the Kingdom of Saudi Arabia were invited to focus groups. Qualitative data were transcribed and analysed using hybrid thematic analysis. Data collection took place between June and July 2023. Findings: Ten participants in four focus groups, with three to two participants in each group. Thematic analysis identified three themes: knowledge, implementation, and future needs. The knowledge included exploring the history of academic education, post-professional education, and the basis of knowledge. Implementation briefly mentioned conditions and then explored interventions, strategies, and techniques. Purposes were also included in the implementation theme. The third theme was future learning and training needs recommendations and suggestions. Conclusion: This study was the first to explore and provide valuable insights into paediatric physiotherapists’ perspectives of knowledge of psychology, psychological interventions and PIP in KSA.28 0