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虚拟化身与运动对骨科康复中功能能力和活动范围的影响。

Impact of virtual embodiment and exercises on functional ability and range of motion in orthopedic rehabilitation.

作者信息

Matamala-Gomez Marta, Slater Mel, Sanchez-Vives Maria V

机构信息

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.

出版信息

Sci Rep. 2022 Mar 23;12(1):5046. doi: 10.1038/s41598-022-08917-3.


DOI:10.1038/s41598-022-08917-3
PMID:35322080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8943096/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/b3fff05199ba/41598_2022_8917_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/8cfe19310a32/41598_2022_8917_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/bc2e2167839d/41598_2022_8917_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/a8182307224e/41598_2022_8917_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/b3fff05199ba/41598_2022_8917_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/8cfe19310a32/41598_2022_8917_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/bc2e2167839d/41598_2022_8917_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/a8182307224e/41598_2022_8917_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd5/8943096/b3fff05199ba/41598_2022_8917_Fig4_HTML.jpg

相似文献

[1]
Impact of virtual embodiment and exercises on functional ability and range of motion in orthopedic rehabilitation.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients.

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[9]
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[10]
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引用本文的文献

[1]
Virtual Reality for Patients With Chronic Musculoskeletal Pain and Disability: An Umbrella Review of Systematic Reviews.

Health Sci Rep. 2025-8-12

[2]
Virtual body continuity during action observation affects motor cortical excitability.

Sci Rep. 2025-4-17

[3]
The role of virtual reality in breast cancer survivors: A scoping review.

Prev Med Rep. 2025-3-14

[4]
Immersive Virtual Reality in Stroke Rehabilitation: A Systematic Review and Meta-Analysis of Its Efficacy in Upper Limb Recovery.

J Clin Med. 2025-3-7

[5]
Rehabilitation Technologies by Integrating Exoskeletons, Aquatic Therapy, and Quantum Computing for Enhanced Patient Outcomes.

Sensors (Basel). 2024-12-4

[6]
Immersive virtual reality for learning exoskeleton-like virtual walking: a feasibility study.

J Neuroeng Rehabil. 2024-11-1

[7]
Technological Features of Immersive Virtual Reality Systems for Upper Limb Stroke Rehabilitation: A Systematic Review.

Sensors (Basel). 2024-5-31

[8]
Neurorehabilitation of the upper extremity - immersive virtual reality vs. electromechanically assisted training. A comparative study.

Front Neurol. 2023-12-21

[9]
Exploring the efficacy of virtual reality-based rehabilitation in stroke: a narrative review of current evidence.

Ann Med. 2023

[10]
Sensorimotor Uncertainty of Immersive Virtual Reality Environments for People in Pain: Scoping Review.

Brain Sci. 2023-10-16

本文引用的文献

[1]
Changing Body Representation Through Full Body Ownership Illusions Might Foster Motor Rehabilitation Outcome in Patients With Stroke.

Front Psychol. 2020-8-21

[2]
Agency and responsibility over virtual movements controlled through different paradigms of brain-computer interface.

J Physiol. 2021-5

[3]
Immersive Virtual Reality and Virtual Embodiment for Pain Relief.

Front Hum Neurosci. 2019-8-21

[4]
End-point kinematics using virtual reality explaining upper limb impairment and activity capacity in stroke.

J Neuroeng Rehabil. 2019-7-1

[5]
Immersive Virtual Reality Mirror Therapy for Upper Limb Recovery After Stroke: A Pilot Study.

Am J Phys Med Rehabil. 2019-9

[6]
Mirror Box Training in Hemiplegic Stroke Patients Affects Body Representation.

Front Hum Neurosci. 2018-1-4

[7]
Embodied Medicine: Mens Sana in Corpore Virtuale Sano.

Front Hum Neurosci. 2017-3-16

[8]
Seeing an Embodied Virtual Hand is Analgesic Contingent on Colocation.

J Pain. 2017-6

[9]
Motor Imagery during Action Observation: A Brief Review of Evidence, Theory and Future Research Opportunities.

Front Neurosci. 2016-11-21

[10]
Distal Radius Fracture Outcomes and Rehabilitation.

Geriatr Orthop Surg Rehabil. 2016-12

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