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基于虚拟现实的康复对烧伤手部的影响:一项前瞻性、随机、单盲研究。

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study.

作者信息

Joo So Young, Cho Yoon Soo, Lee Seung Yeol, Seok Hyun, Seo Cheong Hoon

机构信息

Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, College of Medicine Hallym University, Seoul 07247, Korea.

Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon 14584, Korea.

出版信息

J Clin Med. 2020 Mar 9;9(3):731. doi: 10.3390/jcm9030731.

Abstract

Hands are the most frequent burn injury sites. Appropriate rehabilitation is essential to ensure good functional recovery. Virtual reality (VR)-based rehabilitation has proven to be beneficial for the functional recovery of the upper extremities. We investigated and compared VR-based rehabilitation with conventional rehabilitation (CON) in patients with burned hands. Fifty-seven patients were randomized into a VR or CON group. Each intervention was applied to the affected hand for four weeks, and clinical and functional variables were evaluated. Hand function was evaluated before intervention and four weeks after intervention using the Jebsen-Taylor hand function test (JTT), Grasp and Pinch Power Test, Purdue Pegboard test (PPT), and Michigan Hand Outcomes Questionnaire (MHQ). The JTT scores for picking up small objects and the MHQ scores for hand function, functional ADL, work, pain, aesthetics, and patient satisfaction were significantly higher in the VR group than in the CON group ( < 0.05). The results suggested that VR-based rehabilitation is likely to be as effective as conventional rehabilitation for recovering function in a burned hand. VR-based rehabilitation may be considered as a treatment option for patients with burned hands.

摘要

手部是最常发生烧伤的部位。适当的康复治疗对于确保良好的功能恢复至关重要。基于虚拟现实(VR)的康复已被证明对上肢功能恢复有益。我们对烧伤手部患者的基于VR的康复与传统康复(CON)进行了调查和比较。57名患者被随机分为VR组或CON组。每种干预措施均应用于患手四周,并对临床和功能变量进行评估。在干预前和干预四周后,使用杰布森-泰勒手功能测试(JTT)、握力和捏力测试、普渡钉板测试(PPT)以及密歇根手功能结果问卷(MHQ)对手功能进行评估。VR组捡起小物体的JTT评分以及手功能、功能性日常生活活动、工作、疼痛、美观和患者满意度方面的MHQ评分均显著高于CON组(<0.05)。结果表明,基于VR的康复在烧伤手功能恢复方面可能与传统康复一样有效。基于VR的康复可被视为烧伤手部患者的一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0436/7141182/02e5cd140a59/jcm-09-00731-g001.jpg

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