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强调杂交:虚拟现实增强干预改善慢性中风后恢复的案例报告。

Highlighting hybridization: a case report of virtual reality-augmented interventions to improve chronic post-stroke recovery.

机构信息

XRHealth, Brookline, MA.

出版信息

Medicine (Baltimore). 2022 Jun 24;101(25):e29357. doi: 10.1097/MD.0000000000029357.

DOI:10.1097/MD.0000000000029357
PMID:35758366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9276105/
Abstract

RATIONALE

Cerebrovascular accident, or stroke, is a leading cause of serious long-term disability, and incidence is expected to continue rising in the coming years. Stroke-related disability can manifest as motor, sensory, or cognitive impairment, and although current therapies can improve these impairments, many stroke patients are still left with reduced abilities and struggle to maintain independence in their daily lives. Virtual reality (VR) has been proposed as a novel therapeutic tool to treat stroke-related disability, particularly in conjunction with traditional post-stroke therapies.

PATIENT CONCERNS

Here, we report 1 case of a 75-year-old male with ongoing right upper extremity impairment.

DIAGNOSIS

The patient was previously diagnosed with an ischemic stroke.

INTERVENTIONS

Seven years post-stroke, during which he did not receive any therapies, and on the recommendation of his neurologist, the patient sought VR therapy as an innovative treatment strategy. His clinicians employed a combination of traditional exercise and VR therapy to improve his strength and mobility.

OUTCOMES

The combination of traditional and VR therapy was able to provide meaningful improvement to his daily quality of life, even years after the stroke.

CONCLUSIONS

These results suggest that combination therapy with VR is a viable tool for treating post-stroke impairment, even several years on from the cerebrovascular accident.

摘要

背景

脑卒中,又称中风,是导致严重长期残疾的主要原因之一,预计未来几年发病率将继续上升。与中风相关的残疾可表现为运动、感觉或认知障碍,尽管目前的治疗方法可以改善这些障碍,但许多中风患者仍存在能力下降的问题,并难以在日常生活中保持独立。虚拟现实(VR)已被提议作为一种治疗中风相关残疾的新疗法,尤其是与传统的中风后治疗相结合。

患者情况

这里,我们报告了 1 例 75 岁男性,其右侧上肢持续存在功能障碍。

诊断

患者曾被诊断为缺血性中风。

干预措施

中风后 7 年,在此期间他未接受任何治疗,在神经科医生的建议下,患者寻求 VR 治疗作为一种创新的治疗策略。他的临床医生采用传统运动和 VR 治疗相结合的方法来提高他的力量和活动能力。

结果

传统治疗和 VR 治疗的结合能够显著提高他的日常生活质量,即使在中风发生多年后也是如此。

结论

这些结果表明,即使在中风发生几年后,VR 联合治疗也是治疗中风后残疾的一种可行工具。

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