Pedreira da Fonseca Erika, da Silva Ribeiro Nildo Manoel, Pinto Elen Beatriz
Católica University of Salvador, Salvador, Bahia, Brazil; Bahia School of Medicine and Public Health, Salvador, Brazil.
Federal University of Bahia, Salvador, Brazil.
J Stroke Cerebrovasc Dis. 2017 Jan;26(1):94-100. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.035. Epub 2016 Sep 29.
The study aimed to check the therapeutic effect of virtual reality associated with conventional physiotherapy on gait balance and the occurrence of falls after a stroke.
This was a randomized, blinded clinical trial conducted with post-stroke patients, randomized into two groups-treatment group and control group-and subjected to balance assessments by the Dynamic Gait Index and investigation of falls before and after 20 intervention sessions. Statistically significant difference was considered at P < .05.
We selected 30 patients, but there were three segment losses, resulting in a total of 13 patients in the control group and 14 in the treatment group. There was an improvement in gait balance and reduced occurrence of falls in both groups. After intervention, the differences in gait balance in the control group (P = .047) and the reduction in the occurrence of falls in the treatment group (P = .049) were significant. However, in intergroup analysis, there was no difference in the two outcomes.
Therapy with games was a useful tool for gait balance rehabilitation in post-stroke patients, with repercussions on the reduction of falls.
本研究旨在检验虚拟现实结合传统物理治疗对中风后步态平衡及跌倒发生率的治疗效果。
这是一项针对中风后患者的随机、双盲临床试验，将患者随机分为两组——治疗组和对照组，并通过动态步态指数进行平衡评估，以及在20次干预疗程前后调查跌倒情况。P < 0.05被认为具有统计学显著差异。
我们选取了30例患者，但有3例失访，最终对照组共有13例患者，治疗组有14例患者。两组患者的步态平衡均有改善，跌倒发生率均降低。干预后，对照组的步态平衡差异（P = 0.047）及治疗组跌倒发生率的降低（P = 0.049）均具有显著性。然而，组间分析显示，这两个结果并无差异。
游戏疗法是中风后患者步态平衡康复的有效工具，对减少跌倒有积极影响。
