Yoon Jisun, Chun Min Ho, Lee Sook Joung, Kim Bo Ryun
From the Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul (JY, MHC); Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan (SJL); and Department of Rehabilitation Medicine, Jeju National University Hospital, University of Jeju College of Medicine, Jeju, Republic of Korea (BRK).
Am J Phys Med Rehabil. 2015 Jun;94(6):449-59. doi: 10.1097/PHM.0000000000000192.
The aim of this study was to evaluate the benefit of virtual reality-based rehabilitation on upper-extremity function in patients with brain tumor.
Patients with upper-extremity dysfunction were divided into age-matched and tumor type-matched two groups. The intervention group performed the virtual reality program 30 mins per session for 9 sessions and conventional occupational therapy 30 mins per session for 6 sessions for 3 wks, whereas the control group received conventional occupational therapy alone 30 mins per session for 15 sessions for 3 wks. The Box and Block test, the Manual Function test, and the Fugl-Meyer scale were used to evaluate upper-extremity function. The Korean version of the Modified Barthel Index was used to assess activities of daily living.
Forty patients completed the study (20 for each group). Each group exhibited significant posttreatment improvements in the Box and Block test, Manual Function test, Fugl-Meyer scale, and Korean version of the Modified Barthel Index scores. The Box and Block test, the Fugl-Meyer scale, and the Manual Function test showed greater improvements in shoulder/elbow/forearm function in the intervention group and hand function in the control group.
Virtual reality-based rehabilitation combined with conventional occupational therapy may be more effective than conventional occupational therapy, especially for proximal upper-extremity function in patients with brain tumor. Further studies considering hand function, such as use of virtual reality programs that targeting hand use, are required.
本研究旨在评估基于虚拟现实的康复对脑肿瘤患者上肢功能的益处。
将上肢功能障碍患者分为年龄匹配和肿瘤类型匹配的两组。干预组进行虚拟现实程序，每次30分钟，共9次，同时进行传统职业治疗，每次30分钟，共6次，为期3周；而对照组仅接受传统职业治疗，每次30分钟，共15次，为期3周。采用箱块测试、手动功能测试和Fugl-Meyer量表评估上肢功能。使用韩国版改良Barthel指数评估日常生活活动能力。
40名患者完成了研究（每组20名）。两组在箱块测试、手动功能测试、Fugl-Meyer量表和韩国版改良Barthel指数评分方面均有显著的治疗后改善。箱块测试、Fugl-Meyer量表和手动功能测试显示，干预组在肩/肘/前臂功能方面改善更大，而对照组在手功能方面改善更大。
基于虚拟现实的康复结合传统职业治疗可能比传统职业治疗更有效，尤其是对脑肿瘤患者的近端上肢功能。需要进一步开展考虑手功能的研究，例如使用针对手部使用的虚拟现实程序。
