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Abstract Background:Burn is an injury caused by biological, chemical, electrical and physical agents with local and systemic repercussions. It is one of the most significant health problems throughout the world, leading to prolonged hospitalization and hence increased expense for the patients, their families and society. Mobility is a major problem for burn patients regarding their quality of life, the burn injury influence the ability to participate in daily living activities. Patients physical health significantly affected by their immobility. Objectives: This study was conducted to compare between the effect of virtual reality and whole body vibration as two methods of proprioceptive stimulation on lower limb strength and activity of daily living in children with burn. Subjects and procedures: Forty children with unilateral thermal burn of the thigh ranged in age from six to twelve years participated in this study. They were divided randomly into two study groups I and II respectively. Study group I was treated by whole body vibration program in addition to conventional physical therapy program while the study group II was treated by a Wii-fit therapy program (as a form of virtual reality treatment program) in addition to the same conventional physical therapy program given to study group I. Treatment program for both groups was conducted for two successive months. Each child in both groups subjected to the same evaluation procedures using dynamometer for detection of quadriceps muscle strength andPhysical Self Maintenance Scale (PSMS) for activities of daily living .Evaluation was conducted before treatment application and was repeated after one month (post I) and after two months of treatment (post II). Results: There was a significant increase in quadriceps strength and physical self-maintenance scale in study group I and II after first month compared with pretreatment and a significant increase after second month compared with pretreatment and after first month. There was no significant difference in quadriceps strength and physical self-maintenance scale between study group I and II at after first month and after second month. Conclusion: Virtual reality and whole body vibration are equally effective in improving lower limb strength in children with thermal burn with insignificant difference between the two modalities. |