Matamala-Gomez Marta, Slater Mel, Sanchez-Vives Maria V
Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Rosselló 149-153, 08036, Barcelona, Spain.
Mind and Behavior Technological Center, Department of Psychology, University of Milano-Bicocca, 20126, Milan, Italy.
Sci Rep. 2022 Mar 23;12(1):5046. doi: 10.1038/s41598-022-08917-3.
Recent evidence supports the use of immersive virtual reality (immersive VR) as a means of applying visual feedback techniques in neurorehabilitation. In this study, we investigated the benefits of an embodiment-based immersive VR training program for orthopedic upper limb rehabilitation, with the aim of improving the motor functional ability of the arm and accelerating the rehabilitation process in patients with a conservatively managed distal radius fracture. We designed a rehabilitation program based on developing ownership over a virtual arm and then exercising it in immersive VR. We carried out a between 3-group controlled trial with 54 patients (mean age = 61.80 ± 14.18): 20 patients were assigned to the experimental training group (immersive VR), 20 to the conventional digit mobilization (CDM) training control group, and 14 to a non-immersive (non-immersive VR) training control group. We found that functional recovery of the arm in the immersive VR group was correlated with the ownership and agency scores over the virtual arm. We also found larger range of joint movements and lower disability of the fractured arm compared with patients in the Non-immersive VR and CDM groups. Feeling embodied in a virtual body can be used as a rehabilitation tool to speed up and improve motor functional recovery of a fractured arm after the immobilization period.
近期证据支持将沉浸式虚拟现实(沉浸式VR)作为在神经康复中应用视觉反馈技术的一种手段。在本研究中,我们调查了基于具身化的沉浸式VR训练计划对骨科上肢康复的益处,目的是提高手臂的运动功能能力,并加速保守治疗的桡骨远端骨折患者的康复进程。我们设计了一个康复计划,该计划基于对虚拟手臂产生自主感,然后在沉浸式VR中对其进行锻炼。我们对54名患者(平均年龄 = 61.80 ± 14.18)进行了一项三组对照试验:20名患者被分配到实验训练组(沉浸式VR),20名被分配到传统手指活动(CDM)训练对照组,14名被分配到非沉浸式(非沉浸式VR)训练对照组。我们发现,沉浸式VR组中手臂的功能恢复与对虚拟手臂的自主感和能动感评分相关。我们还发现,与非沉浸式VR组和CDM组的患者相比,该组骨折手臂的关节活动范围更大,残疾程度更低。在虚拟身体中产生具身感可作为一种康复工具,以加速和改善固定期后骨折手臂运动功能的恢复。
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