Jung Sang-Mi, Choi Won-Ho
Department of Occupational Therapy, SangGi YoungSeo College, Republic of Korea.
Department of Physical Therapy, Gachon University: 191 Hambakmoero, Yeonsu-Gu, Incheon 406-799, Republic of Korea.
J Phys Ther Sci. 2017 Dec;29(12):2103-2106. doi: 10.1589/jpts.29.2103. Epub 2017 Dec 7.
[Purpose] This study aimed to investigate whether a virtual reality (VR) intervention has an influence in improving the motor function and activities of daily living (ADLs) in patients with lesions in different regions of the brain. [Subjects and Methods] Eleven subjects with hemiplegic stroke were recruited in this study, which was conducted from January to February, 2017. They received a VR intervention once a day for 30 min, 5 times a week for 4 weeks. The Fugl-Meyer Assessment (FMA) and the Korean version of the Modified Barthel Index (K-MBI) were used to assess the post-stroke patients' motor function and ADLs, respectively. [Results] There were significant differences in pre- and post-test outcomes of the Arm and Coordination and Speed (CS) in the FMA and K-MBI in the middle cerebral artery group (MCAG). Moreover, there were significant differences in all sub-tests of FMA and K-MBI in the Basal ganglia group (BGG). In addition, there were significant differences in the pre-test outcomes of Arm and pre- and post-test outcomes of Hand in the FMA between the two groups. [Conclusion] This study revealed that VR intervention improved the upper limb motor function and ADLs of post-stroke patients, especially those in the BGG.
[目的] 本研究旨在调查虚拟现实（VR）干预对改善大脑不同区域病变患者的运动功能和日常生活活动（ADL）是否有影响。[对象与方法] 本研究招募了11例偏瘫性脑卒中患者，研究于2017年1月至2月进行。他们每天接受一次VR干预，每次30分钟，每周5次，共4周。分别使用Fugl-Meyer评估量表（FMA）和韩国版改良Barthel指数（K-MBI）评估脑卒中后患者的运动功能和ADL。[结果] 大脑中动脉组（MCAG）FMA和K-MBI中上肢及协调与速度（CS）的测试前后结果存在显著差异。此外，基底神经节组（BGG）FMA和K-MBI的所有子测试中均存在显著差异。此外，两组间FMA中上肢的测试前结果以及手部的测试前和测试后结果存在显著差异。[结论] 本研究表明，VR干预改善了脑卒中后患者的上肢运动功能和ADL，尤其是BGG组患者。
