{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:23:29Z","timestamp":1777868609643,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":119,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Gamification has shown promising results in pediatric rehabilitation, but there is a lack of research specifically investigating its effects on hip juvenile idiopathic arthritis (JIA) in children. This case study aimed to explore the impact of gamification\u2010based rehabilitation combined with conventional physiotherapy on lower limb function and walking activities in a child with hip JIA. An 11\u2010year\u2010old female was diagnosed with hip JIA and presented with hip joint pain and difficulty in standing and walking. She underwent a 6\u2010month intensive conventional physiotherapy program combined with virtual reality (VR)\u2013based gamification using the Walker View treadmill system and D\u2010Wall digital mirror device. Each treatment session lasted 60\u2009min and was conducted 5 times a week for 6\u2009months. The visual analog scale (VAS), goniometry, Walker View treadmill system score, and Hip Disability and Osteoarthritis Outcome Score (HOOS\u201012) outcome measures were used during pretest, posttest, and follow\u2010up assessments at 0, 6, 9, and 12\u2009months. The combined approach of VR\u2010based gamification and conventional physiotherapy led to significant improvements in pain, functional range of hip joint movements, and gait in this JIA patient. She also showed significant progress across all outcome measures at different timelines. This case report concludes that combining VR\u2010based gamification with conventional physiotherapy is effective in improving hip joint function and mobility in children with hip JIA. It is recommended to combine VR\u2010based gamification with conventional physiotherapy to enhance lower limb function and walking activities in JIA patients, and more future studies are needed to generalize this effect.<\/jats:p>","DOI":"10.1155\/carm\/5573621","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:11:46Z","timestamp":1777551106000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Virtual Reality\u2013Based Physiotherapy Interventions on Pain, Range of Motion, and Gait Function in a Juvenile Hip Arthritis Patient: A Case 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