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通过游戏缓解疼痛:为上肢运动障碍儿童设计虚拟现实物理治疗方案。

Playing your pain away: designing a virtual reality physical therapy for children with upper limb motor impairment.

作者信息

Phelan Ivan, Furness Penny Jayne, Matsangidou Maria, Carrion-Plaza Alicia, Dunn Heather, Dimitri Paul, Lindley Shirley A

机构信息

Centre for Culture, Media and Society, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, S1 1WB UK.

Department of Psychology, Sociology and Politics, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, S1 1WB UK.

出版信息

Virtual Real. 2023;27(1):173-185. doi: 10.1007/s10055-021-00522-5. Epub 2021 Jun 9.

DOI:10.1007/s10055-021-00522-5
PMID:36915630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9998555/
Abstract

Children with upper limb motor impairment often undergo repetitive therapeutic physiotherapy sessions to minimize functional disabilities of the affected area. Even though therapeutic processes can improve functional outcomes and minimize persistent disabilities, patients often neglect to participate fully in physical therapies due to the associated procedural pain. Over recent decades, there has been a growing interest in designing non-pharmacological interventions which aim to minimize pain during physical therapies and improve functional outcomes. Via two interrelated studies, we explored the use of virtual reality (VR) as a tool to provide therapeutic physiotherapy for child patients in an out-patient hospital department. We found that VR is an effective solution for children with upper limb motor impairment undergoing painful therapeutic process within a hospital environment. VR can improve functional disabilities, alleviate perceived pain, reduce the perceived difficulty of rehabilitation exercises, increase exercise duration and produce positive emotions towards the therapy. Protocol ID NCT03998995. Release Date: June 25, 2019.

摘要

上肢运动障碍儿童通常要接受重复性的治疗性物理治疗,以尽量减少受影响区域的功能残疾。尽管治疗过程可以改善功能结果并尽量减少持续性残疾,但由于相关的程序性疼痛,患者往往疏于充分参与物理治疗。近几十年来,人们越来越有兴趣设计非药物干预措施,旨在尽量减少物理治疗期间的疼痛并改善功能结果。通过两项相互关联的研究,我们探索了使用虚拟现实(VR)作为一种工具,为门诊医院科室的儿童患者提供治疗性物理治疗。我们发现,对于在医院环境中接受痛苦治疗过程的上肢运动障碍儿童来说,VR是一种有效的解决方案。VR可以改善功能残疾,减轻感知到的疼痛,降低康复锻炼的感知难度,增加锻炼时间,并产生对治疗的积极情绪。方案识别码NCT03998995。发布日期:2019年6月25日。

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