Zakharov A V, Khivintseva E V, Chaplygin S S, Starikovsky M Yu, Elizarov M A, Kolsanov A V
Samara State Medical University, Samara, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(8. Vyp. 2):71-75. doi: 10.17116/jnevro202112108271.
To study an effect of adjuvant rehabilitation using implicit virtual reality on the dynamics of the motor function of the lower extremities in patients in the acute period of ischemic stroke.
The study was carried out to assess the effectiveness and safety of rehabilitation using virtual reality in 60 patients with lower central paresis in the acute period of ischemic stroke, lasting from 3 to 5 days. Patients of the study group additionally received rehabilitation using the hardware-software complex ReviVR, which allows to stimulate the patient's plantar surface by means of pneumo cuffs synchronously with the step of his animated body. Animation of movement was demonstrated to the patient using virtual reality glasses. The duration of the classes was 10 days, 20-25 minutes each. The total duration of rehabilitation measures in the study and comparison groups was 3-4 hours.
A significant regression on NIHSS (3 [-4; -1] and -1 [-2; 0], <0.001) and a progress on RMI (3 [1; 3] and 2 [0; 2], <0.001, respectively), between the study group and the control group were found. Changes on FMA-LE section (E-F) occurred on day 10, between the study and comparison groups (9 [5; 16] and 4 [0; 7], respectively, =0.04). The improvement in FMA-LE out of synergy, in the standing position, indicated an increased readiness of the patient to form an independent walk.
The study has shown that the use of virtual reality rehabilitation increases the effectiveness of motor rehabilitation in patients with lower central paresis in the acute period of stroke.
研究在缺血性中风急性期患者中使用沉浸式虚拟现实进行辅助康复对下肢运动功能动态变化的影响。
本研究旨在评估虚拟现实康复对60例缺血性中风急性期下肢中枢性麻痹患者的有效性和安全性，病程为3至5天。研究组患者额外接受了使用ReviVR硬件软件系统的康复训练，该系统可通过气动袖带与患者动画身体的步伐同步刺激患者足底表面。使用虚拟现实眼镜向患者展示运动动画。课程持续时间为10天，每次20 - 25分钟。研究组和对照组康复措施的总时长均为3 - 4小时。
研究组与对照组相比，美国国立卫生研究院卒中量表（NIHSS）有显著下降（分别为3[-4; -1]和 -1[-2; 0]，<0.001），运动恢复指数（RMI）有进展（分别为3[1; 3]和2[0; 2]，<0.001）。在第10天，研究组和对照组之间的FMA - LE部分（E - F）出现变化（分别为9[5; 16]和4[0; 7]，P = 0.04）。非协同状态下站立位FMA - LE的改善表明患者形成独立行走的准备度增加。
本研究表明，在中风急性期，使用虚拟现实康复可提高下肢中枢性麻痹患者运动康复的效果。
