Rodríguez-Hernández Marta, Polonio-López Begoña, Corregidor-Sánchez Ana-Isabel, Martín-Conty José L, Mohedano-Moriano Alicia, Criado-Álvarez Juan-José
Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain.
Department of Public Health, Institute of Health Sciences, 45600 Talavera de la Reina, Spain.
Brain Sci. 2021 Apr 28;11(5):555. doi: 10.3390/brainsci11050555.
This research analyzed the combined effect of conventional treatment and virtual reality exposure therapy on the motor function of the upper extremities in people with stroke. We designed a randomized controlled trial set in the rehabilitation and neurology departments of a hospital (Talavera de la Reina, Spain). The subjects included 43 participants, all randomized into experimental (conventional treatment + virtual reality exposure therapy) and control group (conventional treatment).; The main measures were Fugl-Meyer Assessment for upper extremity, Modified Ashworth Scale, and Stroke Impact Scale 3.0. The results included 23 patients in the experimental (62.6 ± 13.5 years) and 20 in the control group (63.6 ± 12.2 years) who completed the study. After the intervention, muscle tone diminished in both groups, more so in the experimental group (mean baseline/post-intervention: from 1.30 to 0.60; = 0.237; = 0.001). Difficulties in performing functional activities that implicate the upper limb also diminished. Regarding the global recovery from stroke, both groups improved scores, but the experimental group scored significantly higher than the controls (mean baseline/post-intervention: from 28.7 to 86.5; = 0.633; = 0.000). In conclusion, conventional rehabilitation combined with specific virtual reality seems to be more efficacious than conventional physiotherapy and occupational therapy alone in improving motor function of the upper extremities and the autonomy of survivors of stroke in activities of daily living.
本研究分析了传统治疗与虚拟现实暴露疗法对中风患者上肢运动功能的联合效果。我们在西班牙塔拉韦拉德雷纳一家医院的康复科和神经科开展了一项随机对照试验。研究对象包括43名参与者，全部随机分为实验组（传统治疗 + 虚拟现实暴露疗法）和对照组（传统治疗）；主要测量指标为上肢Fugl-Meyer评估量表、改良Ashworth量表和卒中影响量表3.0。结果显示，实验组有23名患者（62.6 ± 13.5岁）和对照组20名患者（63.6 ± 12.2岁）完成了研究。干预后，两组肌张力均降低，实验组降低更明显（平均基线/干预后：从1.30降至0.60； = 0.237； = 0.001）。涉及上肢的功能性活动困难也有所减少。关于中风后的整体恢复情况，两组评分均有所提高，但实验组得分显著高于对照组（平均基线/干预后：从28.7升至86.5； = 0.633； = 0.000）。总之，在改善上肢运动功能以及中风幸存者日常生活活动自主性方面，传统康复结合特定的虚拟现实疗法似乎比单纯的传统物理治疗和职业治疗更有效。
