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[基于沉浸式虚拟现实的运动系统用于前庭康复的效果评估]

[Evaluation of the effectiveness of immersive virtual reality-based exercise system for vestibular rehabilitation].

作者信息

Jiao Yuenong, Lin Ying, Zhang Xinrui, Wu Yunwen, Wang Jinyu, Liang Zijian

机构信息

Institute of Otolaryngology Head and Neck Surgery,Guangzhou Medical University;Department of Otolaryngology Head and Neck Surgery,Otolaryngology Head and Neck Surgery Hospital of Guangzhou;Department of Otolaryngology Head and Neck Surgery,Guangzhou 12th People's Hospital,Guangzhou,510620,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 May;34(5):447-451. doi: 10.13201/j.issn.2096-7993.2020.05.015.

Abstract

To evaluate the efficacy of virtual reality technology assisted vestibular rehabilitation training(VRT) in treating chronic vestibular dysfunction patients. Ninety-eight vestibular dysfunction patients were assigned into the experimental group(=73) and the control group(=25) using mechanical sampling. The experimental group received immersive virtual reality assisted VRT treatment, while the control group received conventional VRT treatment. Chinese vertigo symptom scale(VSS-C) was used to measure vertigo symptoms before treatment and 12 weeks post-treatment. Balance feedback instrument was used to measure the center of pressure(COP), maximum oscillation length(MOL) and COP envelope area(EA) which smaller numbers indicating better balance functions. Analysis of variance and Fisher's exact test were performed using SPSS 20.0 software to compare mean values and frequencies, respectively. ①Before treatment as baseline, there were no statistically significant differences in the total score of VSS-C scale, balance correlation and anxiety correlation score between the two groups. Total score and balance related score of experimental group were significantly different between before and after treatment(<0.01), while no statistically significant difference in anxiety related scores. After treatment, there were statistically significant differences in total VSS-C score(<0.01) and balance correlation score(<0.05) between the two groups, while no statistically significant difference in anxiety correlation score. ②After 12 weeks of treatment, there were statistically significant differences between MOL and EA in open-eye state(<0.01), but no statistically significant difference in close-eye state between two groups. The introduction of VR technology by VRT can provide interesting interactions for patients in training and encourage patients to actively participate in various repetitive rehabilitation exercises that are boring, achieving good effect. The effect of VR on subjective balance rehabilitation without visual impairment is better than that of conventional.

摘要

评估虚拟现实技术辅助前庭康复训练(VRT)治疗慢性前庭功能障碍患者的疗效。采用机械抽样法将98例前庭功能障碍患者分为实验组(n = 73)和对照组(n = 25)。实验组接受沉浸式虚拟现实辅助VRT治疗,对照组接受传统VRT治疗。采用中国眩晕症状量表(VSS-C)在治疗前和治疗12周后测量眩晕症状。使用平衡反馈仪测量压力中心(COP)、最大振荡长度(MOL)和COP包络面积(EA),数值越小表明平衡功能越好。使用SPSS 20.0软件进行方差分析和Fisher精确检验,分别比较均值和频率。①以治疗前为基线,两组在VSS-C量表总分、平衡相关得分和焦虑相关得分方面无统计学显著差异。实验组治疗前后的总分和平衡相关得分有显著差异(P<0.01),而焦虑相关得分无统计学显著差异。治疗后,两组在VSS-C量表总分(P<0.01)和平衡相关得分(P<0.05)方面有统计学显著差异,而焦虑相关得分无统计学显著差异。②治疗12周后,两组在睁眼状态下的MOL和EA有统计学显著差异(P<0.01),但闭眼状态下无统计学显著差异。VRT引入VR技术可为患者训练提供有趣的互动,鼓励患者积极参与各种枯燥的重复性康复锻炼,取得良好效果。VR对无视力障碍的主观平衡康复效果优于传统方法。

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