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虚拟现实干预对不同脑区病变患者上肢运动功能和日常生活活动能力的影响。

Effects of virtual reality intervention on upper limb motor function and activity of daily living in patients with lesions in different regions of the brain.

作者信息

Jung Sang-Mi, Choi Won-Ho

机构信息

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.

出版信息

J Phys Ther Sci. 2017 Dec;29(12):2103-2106. doi: 10.1589/jpts.29.2103. Epub 2017 Dec 7.

Abstract

[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.

摘要

[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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4631/5890210/c0bddcfc60e4/jpts-29-2103-g001.jpg

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