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使用专门为脑瘫儿童开发的严肃游戏进行物理治疗训练后的平衡改善:初步结果。

Balance improvement after physical therapy training using specially developed serious games for cerebral palsy children: preliminary results.

作者信息

Bonnechère Bruno, Omelina Lubos, Jansen Bart, Van Sint Jan Serge

机构信息

a Laboratory of Anatomy, Biomechanics and Organogenesis , Université Libre de Bruxelles , Brussels , Belgium.

b Department of Electronics and Informatics , Vrije Universiteit Brussel , Brussels , Belgium.

出版信息

Disabil Rehabil. 2017 Feb;39(4):403-406. doi: 10.3109/09638288.2015.1073373. Epub 2015 Aug 3.

Abstract

PURPOSE

Cerebral palsy (CP) leads to various clinical signs mainly induced by muscle spasticity and muscle weakness. Among these ones impaired balance and posture are very common. Traditional physical therapy exercise programs are focusing on this aspect, but it is difficult to motivate patients to regularly perform these exercises, especially at home without therapist supervision. Specially developed serious games (SG) could therefore be an interesting option to motivate children to perform specific exercise for balance improvement.

METHOD

Ten CP children participated in this study. Patients received four sessions of SG included into conventional therapy (1 session of 30 min a week during 4 weeks). Trunk control and balance were assessed using Trunk Control Motor Scale (TCMS) before and after interventions.

RESULTS

Children presented a significant improvement in TCMS global score after interventions [37.6 (8.7) and 39.6 (9.5) before and after interventions, respectively, p = 0.04].

CONCLUSION

SG could therefore be an interesting option to integrate in the conventional treatment of CP children. Implication for Rehabilitation Cerebral palsy (CP) leads to balance issues. Rehabilitation exercises are not performed (enough) at home. Serious games (SG) could increase patients' motivation. SG increase balance control of CP children.

摘要

目的

脑瘫(CP)会导致各种主要由肌肉痉挛和肌无力引起的临床症状。其中,平衡和姿势受损非常常见。传统的物理治疗锻炼方案侧重于这一方面,但很难激励患者定期进行这些锻炼,尤其是在没有治疗师监督的家中。因此,专门开发的严肃游戏(SG)可能是激励儿童进行特定锻炼以改善平衡的一个有趣选择。

方法

10名脑瘫儿童参与了本研究。患者在常规治疗中接受了4节严肃游戏课程(4周内每周1节,每节30分钟)。在干预前后使用躯干控制运动量表(TCMS)评估躯干控制和平衡。

结果

干预后儿童的TCMS总分有显著改善[干预前和干预后分别为37.6(8.7)和39.6(9.5),p = 0.04]。

结论

因此,严肃游戏可能是纳入脑瘫儿童常规治疗的一个有趣选择。对康复的意义 脑瘫(CP)会导致平衡问题。在家中(没有充分)进行康复锻炼。严肃游戏(SG)可以提高患者的积极性。严肃游戏可增强脑瘫儿童的平衡控制能力。

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