Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, 291 Jhongjheng Road, Jhonghe, New Taipei City 235, Taiwan.
Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, 291 Jhongjheng Road, Jhonghe, New Taipei City 235, Taiwan.
Clin Biomech (Bristol). 2023 Apr;104:105944. doi: 10.1016/j.clinbiomech.2023.105944. Epub 2023 Mar 11.
PABLO is a virtual reality game where a motion sensor system is used. Few studies have investigated the effects of the PABLO system in stroke rehabilitation. We investigated the effects of upper-extremity virtual reality training with the PABLO system in patients with stroke.
Stroke patients were randomly assigned to the virtual reality (n = 19) or standard rehabilitation groups (n = 18). Total of 18 sessions were conducted twice per week. The primary outcome measure was the Fugl-Meyer Assessment-Upper Extremity subscale. Secondary outcome measures included the active ranges of motion of the shoulder and elbow, the box and block test, hand grip strength, and the Stroke Impact Scale. Enjoyment of activities and side effects were also recorded.
No difference was observed between two groups in primary outcome. Virtual reality group exhibited greater improvements in the hand dexterity between groups (p = .05). In active motion, virtual reality group showed greater improvement in shoulder flexion between groups (p = .03). Virtual reality group also showed greater improvements in elbow pronation between groups (p = .03). The groups differed in their assessments of how enjoyment the rehabilitation activities were found (p = .01). No significant differences between groups were observed in any other tests.
Interventions based on the PABLO virtual reality system improved upper extremity hand function, shoulder and elbow movements, and elicited a higher degree of enjoyment from study participants, than did traditional treatment.
The study protocol was registered at ClinicalTrials.gov PRS (No.NCT04296032).
PABLO 是一款使用运动传感器系统的虚拟现实游戏。很少有研究调查过 PABLO 系统在中风康复中的作用。我们调查了使用 PABLO 系统进行上肢虚拟现实训练对中风患者的影响。
将中风患者随机分配到虚拟现实（n=19）或标准康复组（n=18）。总共进行 18 次，每周两次。主要结局测量指标是 Fugl-Meyer 上肢评估量表。次要结局测量指标包括肩和肘的主动活动范围、盒和块测试、手握力和中风影响量表。还记录了活动的享受程度和副作用。
两组在主要结局上无差异。虚拟现实组在手部灵巧性方面的组间改善更为明显（p=0.05）。在主动运动方面，虚拟现实组在肩屈伸方面的组间改善更为明显（p=0.03）。虚拟现实组在肘旋前方面的组间改善也更为明显（p=0.03）。两组在对康复活动的享受程度的评估上存在差异（p=0.01）。其他测试中两组间无显著差异。
基于 PABLO 虚拟现实系统的干预措施改善了上肢手部功能、肩和肘的运动，并使研究参与者从康复活动中获得更高的满意度，优于传统治疗。
该研究方案在 ClinicalTrials.gov PRS（注册号：NCT04296032）进行了注册。
