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基于 Wii 系统的肩部撞击综合征康复方案:一项初步研究。

Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study.

机构信息

Rusk Rehabilitation, New York University School of Medicine, New York University, New York, USA; Department of Neurology, New York University School of Medicine, New York University, New York, USA; Department of Psychology and Center for Neural Science, New York University, New York, USA.

Rusk Rehabilitation, New York University School of Medicine, New York University, New York, USA; College of Medicine, SUNY Upstate Medical University, New York, USA.

出版信息

Ann Phys Rehabil Med. 2017 Nov;60(6):363-370. doi: 10.1016/j.rehab.2016.10.004. Epub 2017 Mar 15.

Abstract

OBJECTIVE

To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome.

METHODS

A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). Pain-free shoulder range of motion, strength, shoulder pain and disability, and quality of life were assessed pre- and post-treatment.

RESULTS

All 8 patients completed the Wii protocol, and 3 completed conventional therapy. The Wii protocol conferred significant improvements in shoulder range of motion, pain and disability, and quality of life but not strength, whereas conventional therapy conferred a significant improvement in strength.

CONCLUSIONS

As compared to conventional treatment, the structured Wii protocol implemented in this pilot study was a viable adjunct to therapy for shoulder impingement syndrome. Gaming may have a supplemental benefit by increasing motivation, pleasure, and/or adherence. Further investigation in larger cohorts is warranted.

摘要

目的

确定使用结构化任天堂 Wii 方案来改善肩峰下撞击综合征患者的活动范围、力量和生活质量的可行性和疗效。

方法

共纳入 14 例肩部疼痛患者,随机分为进行结构化 Wii 方案组(n=8)或常规治疗组(n=6)。治疗前后评估无痛肩关节活动范围、力量、肩痛和残疾以及生活质量。

结果

8 例患者均完成 Wii 方案,3 例完成常规治疗。Wii 方案显著改善了肩关节活动范围、疼痛和残疾以及生活质量,但对力量无显著改善,而常规治疗则显著改善了力量。

结论

与常规治疗相比,本研究中的结构化 Wii 方案作为肩峰下撞击综合征治疗的辅助手段是可行的。游戏可能通过增加动机、乐趣和/或依从性具有补充益处。需要在更大的队列中进行进一步研究。

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本文引用的文献

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Shoulder disorders and occupation.肩部疾病与职业
Best Pract Res Clin Rheumatol. 2015 Jun;29(3):405-23. doi: 10.1016/j.berh.2015.04.001. Epub 2015 May 8.
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Shoulder impingement in the United States military.美国军队中的肩部撞击症
J Shoulder Elbow Surg. 2015 Sep;24(9):1486-92. doi: 10.1016/j.jse.2015.02.021. Epub 2015 Apr 10.
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A scoping review of video gaming in rehabilitation.一项关于电子游戏在康复治疗中应用的范围综述。
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