Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea.
Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, School of Medicine, Sungkyunkwan University, Changwon 51353, Korea.
Sensors (Basel). 2022 Apr 10;22(8):2903. doi: 10.3390/s22082903.
This study aimed to evaluate the effect of a horse-riding simulator (HRS) with virtual reality (VR) on gross motor function, balance control, and body composition in children with spastic cerebral palsy (CP). Seventeen preschool and school-aged children with spastic CP were included; 10 children in the intervention group (HRS group) received 30 min of HRS with VR training twice a week for a total of 16 sessions in addition to conventional physiotherapy. Seven children in the control group were instructed to perform home-based aerobic exercises twice a week for 8 weeks in addition to conventional physiotherapy. Gross motor function measure (GMFM) and body composition were evaluated before the first session and after the last session. Before and after the 2-month intervention, Pediatric Balance Scale and Timed Up and Go test were evaluated for the HRS group. GMFM scores and body composition changed significantly in the HRS group (p < 0.05). However, no significant differences were observed in the control group. Changes in the GMFM total scores, GMFM dimension D scores, and skeletal muscle mass significantly differed between the HRS and control groups (p < 0.05). HRS with VR may be an effective adjunctive therapeutic approach for the rehabilitation of children with CP.
本研究旨在评估骑马模拟器（HRS）结合虚拟现实（VR）对痉挛型脑瘫（CP）儿童粗大运动功能、平衡控制和身体成分的影响。共纳入 17 名学龄前和学龄期痉挛型 CP 儿童；10 名儿童纳入干预组（HRS 组），在常规物理治疗的基础上，每周接受 2 次、每次 30 分钟的 HRS+VR 训练，共 16 次；7 名儿童纳入对照组，在常规物理治疗的基础上，每周进行 2 次、每次 20 分钟的家庭有氧运动。在第 1 次治疗前和最后 1 次治疗后评估粗大运动功能测量量表（GMFM）和身体成分。在 2 个月的干预前和干预后，对 HRS 组进行小儿平衡量表和计时起立行走测试。HRS 组 GMFM 评分和身体成分有显著变化（p < 0.05）。对照组则无显著差异。HRS 组 GMFM 总分、GMFM 维度 D 评分和骨骼肌质量的变化与对照组有显著差异（p < 0.05）。HRS 结合 VR 可能是 CP 儿童康复的一种有效辅助治疗方法。
