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虚拟现实解决方案辅助下的物理治疗方案对功能能力受损老年人的影响:随机对照试验。

Physiotherapy Programmes Aided by VR Solutions Applied to the Seniors Affected by Functional Capacity Impairment: Randomised Controlled Trial.

机构信息

Jan Kochanowski University, Institute of Health Sciences, Collegium Medicum, Zeromskiego 5, 25-369 Kielce, Poland.

Jan Kochanowski University, Doctoral School, Zeromskiego 5, 25-369 Kielce, Poland.

出版信息

Int J Environ Res Public Health. 2022 May 15;19(10):6018. doi: 10.3390/ijerph19106018.

Abstract

Modern technologies are presently harnessed in response to a complex challenge of providing physiotherapeutic management in older adults. Fully immersive virtual reality (VR) solutions are acknowledged to viably enhance the overall effectiveness of traditional physiotherapeutic methods. A total of 60 community-dwelling older adults (over 75 years of age) were recruited for the study protocol. They were subsequently randomly split into four equally sized study groups (VR, CVR, OCULUS, and the classic programme group (OTAGO), and the physiotherapy sessions were pursued in the subjects’ homes for 3 weeks, 3 times a week, for 30 min in each group. At the first measurement point, respective study groups differed significantly in functional performance, as expressed in gait (POMA G) and individual static balance. The post hoc analysis indicated significantly higher scores in POMA G for the classic programme group vs. the results of the VR and CVR groups. On the other hand, the OCULUS group held significantly higher scores in individual balance and TUG, as compared to the other groups (p < 0.001). Making use of a virtual reality (VR) environment in the physiotherapeutic management of community-dwelling older adults appreciably enhanced individual functional performance, especially in terms of static balance. Physiotherapy management aided by VR technology solutions offers a viable alternative to traditional physiotherapeutic regimens (e.g., OTAGO programme) in enhancing individual functional performance. The innovatively self-designed VIRTUAL REALITY COMPREHENSIVE REHABILITATION ROOMS (VRCRR) solution may help out in pursuing a complex physiotherapy programme on an individual basis within one’s own home environment.

摘要

目前,现代技术被用于应对为老年人提供物理治疗管理的复杂挑战。沉浸式虚拟现实 (VR) 解决方案被认为可以有效地增强传统物理治疗方法的整体效果。共有 60 名居住在社区的老年人(年龄超过 75 岁)被招募参加该研究方案。随后,他们被随机分为四个大小相等的研究组(VR、CVR、OCULUS 和经典方案组(OTAGO),并在受试者家中进行了 3 周的物理治疗,每周 3 次,每次 30 分钟。在第一个测量点,各组在功能表现方面存在显著差异,表现在步态(POMA G)和个体静态平衡方面。事后分析表明,经典方案组的 POMA G 得分明显高于 VR 和 CVR 组的结果。另一方面,OCULUS 组在个体平衡和 TUG 方面的得分明显高于其他组(p < 0.001)。在社区居住的老年人的物理治疗管理中使用虚拟现实 (VR) 环境可显著提高个体的功能表现,尤其是在静态平衡方面。借助 VR 技术解决方案进行的物理治疗管理为增强个体功能表现提供了一种可行的替代传统物理治疗方案(例如,OTAGO 方案)。创新的自我设计的虚拟现实综合康复室(VRCRR)解决方案可以帮助在自己的家庭环境中为个人提供复杂的物理治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d858/9141836/d09318c86a72/ijerph-19-06018-g001.jpg

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