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慢性颈痛患者跨学科康复计划中的虚拟现实训练:一项可行性研究

Virtual Reality Exercises in an Interdisciplinary Rehabilitation Programme for Persons with Chronic Neck Pain: a Feasibility Study.

作者信息

Glavare Maria, Stålnacke Britt-Marie, Häger Charlotte K, Löfgren Monika

机构信息

Department of Rehabilitation Medicine, Danderyd University Hospital.

Karolinska Institutet, Department of Clinical Sciences, Division of Rehabilitation Medicine, Danderyd Hospital, Stockholm.

出版信息

J Rehabil Med Clin Commun. 2021 Aug 27;4:1000067. doi: 10.2340/20030711-1000067. eCollection 2021.

Abstract

OBJECTIVE

To investigate the feasibility of a virtual reality exercise intervention within an interdisciplinary rehabilitation programme for persons with chronic neck pain. The effects of the intervention on symptom severity, variables related to chronic neck pain, and patients' experience of exercises were assessed.

METHODS

Nine women and 3 men participated in a 6-week virtual reality exercise intervention during an interdisciplinary rehabilitation programme. Symptom severity was rated before and after each session of virtual reality exercise, using questionnaires before and after the interdisciplinary rehabilitation programme, and questions about participants' experiences.

RESULTS

Neck pain symptoms increased temporarily during the exercises, but no lasting deterioration was found after the interdisciplinary rehabilitation programme. Depression, pain interference, pain control, sleep and kinesiophobia improved significantly after the programme. Participants experienced that the virtual reality exercises increased motivation to exercise and provided a focus other than pain. However, the equipment was heavy; and exercising was tiring and reminded them of their challenges.

CONCLUSION

This study indicates that virtual reality exercises as part of an interdisciplinary rehabilitation programme are feasible and safe for patients with chronic neck pain. Pain symptoms may increase temporarily during the exercises. Virtual reality exercises may support participants by increasing motivation to exercise and providing helpful feedback. Further research into the added value of virtual reality exercises in an interdisciplinary rehabilitation programme for patients with chronic neck pain is warranted.

摘要

目的

探讨在慢性颈痛患者的跨学科康复计划中进行虚拟现实运动干预的可行性。评估该干预对症状严重程度、与慢性颈痛相关的变量以及患者运动体验的影响。

方法

9名女性和3名男性在跨学科康复计划期间参加了为期6周的虚拟现实运动干预。在每次虚拟现实运动前后使用问卷,在跨学科康复计划前后使用问卷,并询问参与者的体验,以此对症状严重程度进行评分。

结果

运动期间颈痛症状暂时加重,但在跨学科康复计划后未发现持续恶化。计划实施后,抑郁、疼痛干扰、疼痛控制、睡眠和运动恐惧均有显著改善。参与者体验到虚拟现实运动增加了运动动力,并提供了除疼痛之外的关注点。然而,设备较重;运动很累人,且会让他们想起自己面临的挑战。

结论

本研究表明,作为跨学科康复计划一部分的虚拟现实运动对慢性颈痛患者是可行且安全的。运动期间疼痛症状可能会暂时加重。虚拟现实运动可通过增加运动动力和提供有益反馈来支持参与者。有必要进一步研究虚拟现实运动在慢性颈痛患者跨学科康复计划中的附加价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0944/8404524/6300397df001/JRMCC-4-1000067-g001.jpg

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