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中风后患者通过任天堂Wii进行的虚拟康复:随访

Virtual Rehabilitation through Nintendo Wii in Poststroke Patients: Follow-Up.

作者信息

Carregosa Adriani A, Aguiar Dos Santos Luan Rafael, Masruha Marcelo R, Coêlho Marília Lira da S, Machado Tácia C, Souza Daniele Costa B, Passos Gustavo Luan L, Fonseca Erika P, Ribeiro Nildo Manoel da S, de Souza Melo Ailton

机构信息

General Hospital Roberto Santos, Bahia, Brazil; Division of Neurology and Epidemiology, Federal University of Bahia, Bahia, Brazil.

Postgraduate Program in Medicine and Health, Faculty of Medicine, Federal University of Bahia, Bahia, Brazil; Division of Neurology and Epidemiology, Federal University of Bahia, Bahia, Brazil.

出版信息

J Stroke Cerebrovasc Dis. 2018 Feb;27(2):494-498. doi: 10.1016/j.jstrokecerebrovasdis.2017.09.029.

DOI:10.1016/j.jstrokecerebrovasdis.2017.09.029
PMID:29100855
Abstract

OBJECTIVE

To evaluate in the follow-up the sensory-motor recovery and quality of life patients 2 months after completion of the Nintendo Wii console intervention and determine whether learning retention was obtained through the technique.

METHODS

Five hemiplegics patients participated in the study, of whom 3 were male with an average age of 54.8 years (SD = 4.6). Everyone practiced Nintendo Wii therapy for 2 months (50 minutes/day, 2 times/week, during 16 sessions). Each session lasting 60 minutes, under a protocol in which only the games played were changed, plus 10 minutes of stretching. In the first session, tennis and hula hoop games were used; in the second session, football (soccer) and boxing were used. For the evaluation, the Fulg-Meyer and Short Form Health Survey 36 (SF-36) scales were utilized. The patients were immediately evaluated upon the conclusion of the intervention and 2 months after the second evaluation (follow-up).

RESULTS

Values for the upper limb motor function sub-items and total score in the Fugl-Meyer scale evaluation and functional capacity in the SF-36 questionnaire were sustained, indicating a possible maintenance of the therapeutic effects.

CONCLUSION

The results suggest that after Nintendo Wii therapy, patients had motor learning retention, achieving a sustained benefit through the technique.

摘要

目的

在随访中评估任天堂Wii游戏机干预结束2个月后患者的感觉运动恢复情况和生活质量,并确定通过该技术是否能保持学习效果。

方法

五名偏瘫患者参与了该研究,其中三名男性,平均年龄54.8岁(标准差 = 4.6)。每个人都进行了2个月的任天堂Wii疗法(每天50分钟,每周2次,共16节课程)。每节课程持续60分钟,遵循仅改变所玩游戏的方案,外加10分钟的伸展运动。在第一节课程中,使用了网球和呼啦圈游戏;在第二节课程中,使用了足球和拳击游戏。评估时,采用了Fulg-Meyer量表和简短健康调查问卷36(SF-36)。患者在干预结束时立即接受评估,并在第二次评估后2个月(随访)进行评估。

结果

Fugl-Meyer量表评估中上肢运动功能子项目和总分的值以及SF-36问卷中的功能能力得以维持,表明治疗效果可能得以保持。

结论

结果表明,任天堂Wii疗法后,患者具有运动学习保持能力,通过该技术获得了持续的益处。

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