Manzanares Aarón, Camblor Ángel, Romero-Arenas Salvador, Segado Francisco, Gil-Arias Alexander
Faculty of Sport, Catholic University of San Antonio (UCAM), Murcia, Spain.
Neuroscience of Human Movement Research Group (Neuromove), UCAM, Murcia, Spain.
Disabil Rehabil Assist Technol. 2021 Apr 10:1-6. doi: 10.1080/17483107.2021.1913520.
This study aims to develop a sailing simulation-based therapeutic rehabilitation program for individuals with Spinal Cord Injuries (SCI) during the subacute phase of the injury.
Participants were 11 patients, aged between 20-56 years ( = 42.36, =12.90), who were randomly assigned into experimental group and control group, within a pre-test/post-test quasi-experimental design. While both groups followed the rehabilitation programmed by the hospital, experimental group participants were enrolled in an interactive rehabilitation exercise (The vSail-Access®, Virtual Sailing Pty Ltd). For this intervention, each subject underwent a semi-immersive Virtual Reality (VR) navigation therapy for 30-40 min per day, three times per week for six weeks. Quality of life (QoL), functionality and balance variables were measured for both groups one week before and after the intervention. Data was generated based on patients' responses using validated questionnaires and tests. A 2 (groups) × 2 (test-time) MANOVA was performed to detect between-group and within-group differences.
Significant improvements were obtained in the experimental group in the mobility and balance variables, and in the global result of QoL.
The sailing simulation program, included as a therapy within the rehabilitation process after a SCI, provides participants with an overall increase in QoL and functionality.IMPLICATIONS FOR REHABILIATIONVirtual reality is a therapy that can be part of the rehabilitation process of spinal cord injuries in the acute phase, improving functional capacity.The initiation to recreational sailing in a virtual way is a safe tool for the initiation to the practice of sports.The practice of a dynamic sport, such as sailing, helps to improve the quality of life in spinal cord injuries.
本研究旨在为脊髓损伤（SCI）亚急性期患者开发一种基于帆船模拟的治疗性康复计划。
11名年龄在20 - 56岁（平均年龄 = 42.36岁，标准差 = 12.90）的患者参与了研究，采用前测/后测准实验设计，随机分为实验组和对照组。两组患者均遵循医院制定的康复计划，实验组患者参与了交互式康复训练（vSail-Access®，Virtual Sailing Pty Ltd公司）。对于该干预措施，每位受试者每天接受30 - 40分钟的半沉浸式虚拟现实（VR）导航治疗，每周三次，共六周。在干预前后一周，对两组患者的生活质量（QoL）、功能和平衡变量进行测量。数据基于患者使用经过验证的问卷和测试的回答生成。进行2（组）×2（测试时间）多变量方差分析以检测组间和组内差异。
实验组在移动性和平衡变量以及QoL的总体结果方面取得了显著改善。
在SCI后的康复过程中作为一种治疗方法纳入的帆船模拟计划使参与者的QoL和功能总体上得到提高。
对康复的启示
虚拟现实是一种可成为急性期脊髓损伤康复过程一部分的治疗方法，可提高功能能力。
以虚拟方式开始休闲帆船运动是开始体育锻炼的一种安全工具。
进行像帆船运动这样的动态运动有助于改善脊髓损伤患者的生活质量。
