Laboratory of Synthetic Perceptive Emotive and Cognitive Systems (SPECS), Department of Technology, Universitat Pompeu Fabra, Barcelona, Spain.
Restor Neurol Neurosci. 2011;29(5):287-98. doi: 10.3233/RNN-2011-0599.
Given the incidence of stroke, the need has arisen to consider more self-managed rehabilitation approaches. A promising technology is Virtual Reality (VR). Thus far, however, it is not clear what the benefits of VR systems are when compared to conventional methods. Here we investigated the clinical impact of one such system, the Rehabilitation Gaming System (RGS), on the recovery time course of acute stroke. RGS combines concepts of action execution and observation with an automatic individualization of training. METHODS. Acute stroke patients (n = 8) used the RGS during 12 weeks in addition to conventional therapy. A control group (n = 8) performed a time matched alternative treatment, which consisted of intense occupational therapy or non-specific interactive games. RESULTS. At the end of the treatment, between-group comparisons showed that the RGS group displayed significantly improved performance in paretic arm speed that was matched by better performance in the arm subpart of the Fugl-Meyer Assessment Test and the Chedoke Arm and Hand Activity Inventory. In addition, the RGS group presented a significantly faster improvement over time for all the clinical scales during the treatment period. CONCLUSIONS. Our results suggest that rehabilitation with the RGS facilitates the functional recovery of the upper extremities and that this system is therefore a promising tool for stroke neurorehabilitation.
鉴于中风的发病率，人们需要考虑更多的自我管理康复方法。虚拟现实（VR）是一种很有前途的技术。然而，到目前为止，与传统方法相比，VR 系统的优势还不清楚。在这里，我们研究了一种这样的系统，即康复游戏系统（RGS），对急性中风恢复时间过程的临床影响。RGS 将动作执行和观察的概念与训练的自动个体化相结合。方法。急性中风患者（n=8）在常规治疗的基础上，使用 RGS 进行了 12 周的治疗。对照组（n=8）进行了时间匹配的替代治疗，包括强化作业治疗或非特异性互动游戏。结果。治疗结束时，组间比较显示，RGS 组在瘫痪手臂速度方面的表现明显改善，这与 Fugl-Meyer 评估测试和 Chedoke 手臂和手部活动量表的手臂子部分的表现更好相匹配。此外，在治疗期间，RGS 组的所有临床量表的时间改善速度均显著加快。结论。我们的结果表明，使用 RGS 进行康复治疗有助于上肢功能的恢复，因此该系统是中风神经康复的一种有前途的工具。
