虚拟现实技术及强制性运动疗法对脑卒中偏瘫患者康复效果的影响

Effect of virtual reality technology and compulsory exercise therapy on the rehabilitation effect of patients with stroke hemiplegia

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摘要目的探讨虚拟现实技术及强制性运动疗法对脑卒中偏瘫患者康复效果的影响。方法选取2021年9月至2022年9月于陕西省榆林市第一医院就诊的脑卒中偏瘫患者80例作为研究对象,按照随机数字表法将其分为对照组和观察组,每组40例。对照组采用常规康复训练,观察组在常规康复训练的基础上加用虚拟现实技术及强制性运动疗法。观察并比较两组患者干预前后关节活动情况(评价指标为肩关节前屈、肩关节内收、肩关节外展与肘关节屈曲活动度)、上肢运动功能[采用简化的上肢运动功能量表(FMA-UE)进行评估]、平衡功能[应用平衡功能评价量表(FMA-B)进行评估]、日常生活活动能力[采用改良Barthel指数(MBI)评分进行评估]及生活质量(包括生理功能、躯体疼痛、总体健康、活力、社会功能、精神健康5个维度)。结果干预后,两组肩关节前屈、肩关节内收、肩关节外展、肘关节屈曲活动度以及FMA-UE、FMA-B、MBI评分和生活质量5个维度评分均较干预前升高(P<0.05);干预后观察组肩关节前屈、肩关节内收、肩关节外展、肘关节屈曲活动度以及FMA-UE、FMA-B、MBI评分和生活质量5个维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论虚拟现实技术及强制性运动疗法对脑卒中偏瘫患者的康复效果明显,可提高关节活动度、上肢运动功能、平衡功能、日常生活活动能力和生活质量。 Objective To explore the effects of virtual reality technology and compulsory exercise therapy on the rehabilitation effect of patients with stroke hemiplegia.Methods A total of 80 patients with stroke hemiplegia enrolled in the First Hospital of Yulin from September 2021 to September 2022 were selected as study subjects,which were divided into control group and observation group according to the randomized numerical table method,40 cases in each group.In the control group,conventional rehabilitation training was used,while in the observation group,virtual reality technology and compulsory exercise therapy were added on the basis of conventional rehabilitation training.The ranges of motion(the evaluation indexes including shoulder flexion,shoulder adduction,shoulder abduction and elbow flexion),upper limb motor function[evaluated by simplified upper limb motor function scale(FMA-UE)],balance function[evaluated by balance function evaluation scale(FMA-B)],daily living activities[evaluated by modified Barthel Index(MBI)]and daily living activities[evaluated by modified Barthel Index(MBI)]and quality of life conditions(including five dimensions of physical function,somatic pain,general health,vigor,social function and mental health)in the two groups before and after the intervention were observed and compared.Results After the intervention,shoulder anteflexion,shoulder adduction,shoulder abduction and elbow flexion ranges of motion,as well as FMA-UE,FMA-B,MBI scores and scores of five dimensions of life quality in both groups were higher than those before intervention(P<0.05).The shoulder anteflexion,shoulder adduction,shoulder abduction and elbow flexion ranges of motion,as well as FMA-UE,FMA-B,MBI scores and scores of five dimensions of life quality in the observation group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Virtual reality technology and compulsory exercise therapy are effective in the rehabilitation of patients with

作者董观记马慧李昌欣梁刚 DONG Guanji;MA Hui;LI Changxin;LIANG Gang(Department of Rehabilitation Medicine,the First Hospital of Yulin,Yulin,Shaanxi 718000,China;Department of Rehabilitation Medicine,Xingyuan Hospital of Yulin,Yulin,Shaanxi 719000,China)

机构地区陕西省榆林市第一医院康复医学科陕西省榆林市星云医院康复医学科

出处《检验医学与临床》 CAS 2024年第9期1321-1325,共5页 Laboratory Medicine and Clinic

关键词虚拟现实技术强制性运动疗法脑卒中偏瘫康复效果关节活动功能上肢运动功能生活质量 virtual reality technology compulsory exercise therapy stroke hemiplegia rehabilitation effect joint movement function upper limb motor function quality of life

分类号 R743.3 [医药卫生—神经病学与精神病学]