Kim Kijong, Choi Bongsam, Lim Wootaek
a Department of Physical Therapy , Cheongam College , Suncheon , Republic of Korea.
b Department of Physical Therapy, College of Health and Welfare , Woosong University , Daejeon , Republic of Korea.
Disabil Rehabil Assist Technol. 2019 Apr;14(3):276-280. doi: 10.1080/17483107.2018.1429501. Epub 2018 Jan 31.
Virtual reality (VR) training, a virtual environment commonly generated by computer systems, may enhance the therapeutic efficacy of functional rehabilitation programmes. The aim of this study was to investigate the efficacy of a VR assisted intervention (VRAI) versus traditional rehabilitation intervention (TRI) on functional ankle instability (FAI).
A single-blind randomized controlled study was conducted with 10 subjects for each group. The VRAI was conducted with the Nintendo Wii Fit Plus, whilst the TRI was conducted with a series of exercises with theraband. The muscle strength change of the two groups and the difference between pre and post interventions for each group were compared.
The VRAI group had less improvement in the muscle strength of all ankle motions than did the TRI group (p > .05). The VRAI group had a greater improvement in muscle strength of plantar flexion than other motions, whilst the TRI group had an improvement in muscle strength of all ankle motions (p < .05).
The effects of VR training for the condition of FAI were not comparable to conventional training. However, VR training may be added to the conventional training programme as an optional for the condition of FAI. Implications for Rehabilitation Functional ankle instability (FAI) is subjective feelings of ankle instability resulting from proprioceptive and neuromuscular deficits in which individuals may experience "giving way" condition of the ankle. Therapeutic applications of virtual reality (VR) may be comparable to traditional rehabilitation interventions (TRI) in the rehabilitation of individuals with FAI. However, there is no definitive evidence for the issue. Integrating low-cost VR into functional rehabilitation programme can provide insight into an issue of whether it can be replaced with traditional therapeutic approaches. Although, the efficacy of VR application on strengthening muscles is unable to compare to traditional strengthening programmes, it may be considered an optional treatment based on the proprioceptive improvements.
虚拟现实（VR）训练是一种通常由计算机系统生成的虚拟环境，可能会提高功能康复计划的治疗效果。本研究的目的是调查VR辅助干预（VRAI）与传统康复干预（TRI）对功能性踝关节不稳（FAI）的疗效。
进行了一项单盲随机对照研究，每组10名受试者。VRAI使用任天堂Wii Fit Plus进行，而TRI则通过一系列弹力带练习进行。比较两组的肌肉力量变化以及每组干预前后的差异。
VRAI组在所有踝关节运动的肌肉力量改善方面均不如TRI组（p>.05）。VRAI组跖屈肌力量的改善比其他运动更大，而TRI组在所有踝关节运动的肌肉力量方面均有改善（p<.05）。
VR训练对FAI状况的效果与传统训练不可比。然而，VR训练可作为FAI状况的一种选择添加到传统训练计划中。康复意义 功能性踝关节不稳（FAI）是由本体感觉和神经肌肉缺陷导致的踝关节不稳的主观感受，个体可能会经历踝关节“打软”的情况。虚拟现实（VR）的治疗应用在FAI个体的康复中可能与传统康复干预（TRI）相当。然而，关于这个问题没有确凿的证据。将低成本VR纳入功能康复计划可以深入了解它是否可以被传统治疗方法所取代。尽管VR应用在增强肌肉方面的疗效无法与传统增强计划相比，但基于本体感觉的改善，它可能被视为一种可选的治疗方法。
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