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虚拟现实运动游戏与家庭锻炼计划对肩峰下撞击综合征和肩胛运动障碍患者的比较:短期效果

Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect.

作者信息

Pekyavas Nihan Ozunlu, Ergun Nevin

机构信息

Baskent Universitesi, Ankara, Turkey.

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2017 May;51(3):238-242. doi: 10.1016/j.aott.2017.03.008. Epub 2017 Apr 24.

Abstract

OBJECTIVE

The aim of this study was to compare the short term effects of home exercise program and virtual reality exergaming in patients with subacromial impingement syndrome (SAIS).

METHODS

A total of 30 patients with SAIS were randomized into two groups which are Home Exercise Program (EX Group) (mean age: 40.6 ± 11.7 years) and Virtual Reality Exergaming Program (WII Group) (mean age: 40.33 ± 13.2 years). Subjects were assessed at the first session, at the end of the treatment (6 weeks) and at 1 month follow-up. The groups were assessed and compared with Visual Analogue Scale (based on rest, activity and night pain), Neer and Hawkins Tests, Scapular Retraction Test (SRT), Scapular Assistance Test (SAT), Lateral Scapular Slide Test (LSST) and shoulder disability (Shoulder Pain and Disability Index (SPADI)).

RESULTS

Intensity of pain was significantly decreased in both groups with the treatment (p < 0.05). The WII Group had significantly better results for all Neer test, SRT and SAT than the EX Group (p < 0.05).

CONCLUSION

Virtual reality exergaming programs with these programs were found more effective than home exercise programs at short term in subjects with SAIS.

LEVEL OF EVIDENCE

Level I, Therapeutic study.

摘要

目的

本研究旨在比较家庭锻炼计划和虚拟现实运动游戏对肩峰下撞击综合征(SAIS)患者的短期影响。

方法

总共30例SAIS患者被随机分为两组,即家庭锻炼计划组(运动组)(平均年龄:40.6±11.7岁)和虚拟现实运动游戏计划组(WII组)(平均年龄:40.33±13.2岁)。在第一次治疗时、治疗结束时(6周)以及随访1个月时对受试者进行评估。采用视觉模拟量表(基于静息痛、活动痛和夜间痛)、Neer试验、Hawkins试验、肩胛后缩试验(SRT)、肩胛辅助试验(SAT)、肩峰外侧滑动试验(LSST)以及肩部功能障碍(肩痛和功能障碍指数(SPADI))对两组进行评估和比较。

结果

两组治疗后疼痛强度均显著降低(p<0.05)。WII组在所有Neer试验、SRT和SAT方面的结果均显著优于运动组(p<0.05)。

结论

在SAIS患者中,短期内发现这些虚拟现实运动游戏计划比家庭锻炼计划更有效。

证据水平

I级,治疗性研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b041/6197467/911dc12f7206/gr1.jpg

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