Park Se-Hee, Son Sung-Min, Choi Ji-Young
Department of Physical Therapy, College of Health Science, Cheongju University, Cheongju, Republic of Korea.
NeuroRehabilitation. 2021;48(3):247-254. doi: 10.3233/NRE-201642.
We aimed to determine whether the posture control training in the sitting posture using virtual reality (VR) training program affects sitting balance and trunk stability in children with spastic cerebral palsy (CP).
The experiment was conducted for 4 weeks by randomly allocating 20 children with CP. The experimental group (n = 10) performed balance training in the sitting position using a VR training program, and the control group (n = 10) performed arm reach training in the sitting position. To evaluate static and dynamic sitting balance and trunk stability, the Wii Balance Board and Balancia software, the modified functional reach test, and the Korean version of the Trunk Control Measurement Scale were used.
There were significant differences between the two groups in the changes in speed and postural swing distance before and after training (p < 0.05). The mFRT measurement showed significant differences in all directions before and after training between the two groups (p < 0.05). However, there was no significant difference between the two groups in the K-TCMS score.
Posture control training in the sitting position using a VR training program was found to be more effective in improving the sitting balance and trunk stability of children with CP.
我们旨在确定使用虚拟现实（VR）训练程序进行坐姿下的姿势控制训练是否会影响痉挛型脑瘫（CP）患儿的坐姿平衡和躯干稳定性。
将20名CP患儿随机分组，进行为期4周的实验。实验组（n = 10）使用VR训练程序进行坐姿平衡训练，对照组（n = 10）进行坐姿下的上肢伸展训练。使用Wii平衡板和Balancia软件、改良功能性伸展测试以及韩语版躯干控制测量量表来评估静态和动态坐姿平衡以及躯干稳定性。
两组在训练前后的速度变化和姿势摆动距离方面存在显著差异（p < 0.05）。mFRT测量显示两组在训练前后的所有方向上均存在显著差异（p < 0.05）。然而，两组在K-TCMS评分上没有显著差异。
发现使用VR训练程序进行坐姿下的姿势控制训练在改善CP患儿的坐姿平衡和躯干稳定性方面更有效。
