Albiol-Pérez S, Forcano-García M, Muñoz-Tomás M T, Manzano-Fernández P, Solsona-Hernández S, Mashat M A, Gil-Gómez J A
Sergio Albiol-Pérez, Dpto. de Informática e Ingeniería de Sistemas, Universidad de Zaragoza, Ciudad Escolar s/n, 44003, Teruel, Spain, E-mail:
Methods Inf Med. 2015;54(2):127-34. doi: 10.3414/ME14-02-0002. Epub 2015 Jan 22.
This article is part of the Focus Theme of Methods of Information in Medicine on "New Methodologies for Patients Rehabilitation".
For Guillain-Barré patients, motor rehabilitation programs are helpful at the onset to prevent the complications of paralysis and in cases of persistent motor impairment. Traditional motor rehabilitation programs may be tedious and monotonous, resulting in low adherence to the treatments. A Virtual Motor Rehabilitation system has been tested in Guillain-Barré patients to increase patient adherence and to improve clinical results.
Two people with Guillain-Barré performed 20 rehabilitation sessions. We tested a novel system based on Motor Virtual Rehabilitation in three periods of time (baseline evaluation, final evaluation, and follow-up. In the training program, the participants carried out a specific treatment using the Active Balance Rehabilitation system (ABAR). The system is composed of customizable virtual games to perform static and dynamic balance rehabilitation.
Significant improvements in clinical results were obtained by both participants, with significant results in the static balance clinical test of the Anterior Reach test in the standing position and unipedal stance time. Other significant results were found in dynamic balance clinical tests in the Berg Balance Scale test and the 30-second Sit-to-Stand test. With regard to acceptance of the system, both patients enjoyed the experience, and both patients thought that this system was helpful for their rehabilitation.
The results show that Virtual Motor Rehabilitation for Guillain-Barré patients provides clinical improvements in an entertaining way.
本文是《医学信息方法》关于“患者康复新方法”重点主题的一部分。
对于吉兰-巴雷综合征患者，运动康复计划在发病初期有助于预防瘫痪并发症以及在存在持续性运动障碍的情况下发挥作用。传统的运动康复计划可能枯燥乏味，导致治疗依从性较低。一种虚拟运动康复系统已在吉兰-巴雷综合征患者中进行测试，以提高患者的依从性并改善临床效果。
两名吉兰-巴雷综合征患者进行了20次康复训练。我们在三个时间段（基线评估、最终评估和随访）测试了一种基于运动虚拟康复的新型系统。在训练计划中，参与者使用主动平衡康复系统（ABAR）进行特定治疗。该系统由可定制的虚拟游戏组成，用于进行静态和动态平衡康复。
两名参与者的临床效果均有显著改善，在站立位前伸试验的静态平衡临床测试和单脚站立时间方面取得了显著成果。在伯格平衡量表测试和30秒坐立试验的动态平衡临床测试中也发现了其他显著结果。关于系统的接受度，两名患者都享受了这种体验，并且都认为该系统对他们的康复有帮助。
结果表明，针对吉兰-巴雷综合征患者的虚拟运动康复以一种有趣的方式改善了临床效果。
