Tefertiller Candace, Ketchum Jessica M, Bartelt Patricia, Peckham Mackenzie, Hays Kaitlin
Research Department, Craig Hospital, Englewood, Colorado, USA.
Brain Inj. 2022 Jun 7;36(7):898-908. doi: 10.1080/02699052.2022.2096258. Epub 2022 Jul 14.
To evaluate the safety and efficacy of treadmill training with virtual reality compared to treadmill training alone and standard of care balance and mobility treatment in chronic traumatic brain injury (TBI).
Thirty-one individuals with chronic TBI with self-reported and objective balance deficits participated in a 4-week 12 session intervention of treadmill training with virtual reality, treadmill training alone, or standard of care overground therapy.
Primary measures included recruitment and enrollment rates, retention, tolerance to intervention, completeness of outcome measures, and adverse events. Secondary measures included the Community Balance and Mobility Scale, 10 Meter Walk Test, 6 Minute Walk Test, and Timed Up and Go.
No serious adverse events were reported. All participants completed all training sessions and assessments at all time points. Recruitment, enrollment, and retention rates were high. All groups showed a trend toward improvement in all balance and mobility measures following treatment.
Virtual reality and treadmill training are safe and feasibile for individuals with TBI. Participants show improvements on balance and mobility measures following a 4-week intervention. Future research is needed to evaluate the efficacy of this intervention compared to other modes of balance and mobility training.
评估与单纯跑步机训练以及慢性创伤性脑损伤（TBI）的标准护理平衡与移动治疗相比，虚拟现实跑步机训练的安全性和有效性。
31名患有慢性TBI且有自我报告和客观平衡缺陷的个体参加了为期4周、共12节的干预课程，干预方式为虚拟现实跑步机训练、单纯跑步机训练或标准护理地面治疗。
主要指标包括招募率、入组率、留存率、对干预的耐受性、结果指标的完整性以及不良事件。次要指标包括社区平衡与移动量表、10米步行测试、6分钟步行测试以及起立行走测试。
未报告严重不良事件。所有参与者在所有时间点均完成了所有训练课程和评估。招募率、入组率和留存率都很高。所有组在治疗后的所有平衡和移动指标上均呈现改善趋势。
虚拟现实和跑步机训练对TBI患者是安全且可行的。经过4周干预后，参与者在平衡和移动指标上有所改善。未来需要开展研究，以评估该干预与其他平衡和移动训练模式相比的有效性。
