Sharan Deepak, Ajeesh P S, Rameshkumar R, Mathankumar M, Paulina R Jospin, Manjula M
RECOUP Neuromusculoskeletal Rehabilitation Centre, Bangalore, India.
Work. 2012;41 Suppl 1:3612-5. doi: 10.3233/WOR-2012-0667-3612.
Virtual reality is the use of interactive replication created with computer hardware and software to impart users with opportunities to engage in environments that appear to feel similar to real world objects and events. The commonest rehabilitation program of cerebral palsy children involves stretching, strengthening, mobilization and various other activities, whereas the use of virtual reality based training (VRBT) for rehabilitation of cerebral palsy is not common. To understand the effect of VRBT a study was formulated. Twenty nine subjects participated (study group--14 and control group--15). Outcome measures were MACS, PBS, level of participation, motivation, cooperation and satisfaction of the child. Results revealed that balance and manual ability were significantly improved in both the groups (Balance: study: t-2.28, p<0.05; control: t-3.5, p<0.01; Manual ability: study: t-5.58, p<0.001; control: t-7.06, p<0.001). PBS had significantly greater improvement in the study group (t-t-2.02, p<0.05). Level of participation, motivation, cooperation and satisfaction of the child were also reported to be significantly higher among the study group as compared with control group. To the author's best knowledge, this is the first study on using the VR-based therapy for the postoperative rehabilitation of children with CP which need further elaboration with larger sample size.
虚拟现实是利用计算机硬件和软件创建的交互式复制技术，为用户提供参与那些看起来与现实世界中的物体和事件相似的环境的机会。脑瘫儿童最常见的康复项目包括伸展、强化、活动及其他各种活动，而基于虚拟现实的训练（VRBT）用于脑瘫康复并不常见。为了解VRBT的效果，制定了一项研究。29名受试者参与其中（研究组14名，对照组15名）。结果指标包括MACS、PBS、儿童的参与水平、动机、合作及满意度。结果显示，两组的平衡能力和手部能力均有显著改善（平衡能力：研究组：t值为2.28，p<0.05；对照组：t值为3.5，p<0.01；手部能力：研究组：t值为5.58，p<0.001；对照组：t值为7.06，p<0.001）。研究组的PBS改善更为显著（t值为2.02，p<0.05）。据报告，研究组儿童的参与水平、动机、合作及满意度也显著高于对照组。据作者所知，这是第一项关于使用基于VR的疗法对脑瘫儿童进行术后康复的研究，需要通过更大样本量进一步阐述。
