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使用具有改良俯仰角的头戴式显示器进行干预对中风偏瘫患者空间感知和站立平衡的即时影响。

Immediate Effect of an Intervention Using a Head-mounted Display with a Modified Pitch Angle on Spatial Awareness and Standing Balance in Stroke Hemiparesis.

作者信息

Ichikawa Kyohei, Baba Takashi, Ogata Hiroka, Fujita Kana, Minemura Kei, Hoshino Taichi, Fujimoto Erina, Katori Hidekazu, Otake Shiori, Numao Taku, Amimoto Kazu

机构信息

Department of Rehabilitation, Niiza Hospital, Niiza, Japan.

Japanese School of Technology for Social Medicine, Koganei, Tokyo, Japan.

出版信息

Prog Rehabil Med. 2023 Mar 21;8:20230009. doi: 10.2490/prm.20230009. eCollection 2023.

DOI:10.2490/prm.20230009
PMID:36970554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10030314/
Abstract

OBJECTIVES

This study aimed to clarify the effect of an intervention using a head-mounted display with a web camera set at a modified pitch angle on spatial awareness, sit-to-stand movement, and standing balance in patients with left and right hemisphere damage.

METHODS

The participants were 12 patients with right hemisphere damage and 12 patients with left hemisphere damage. The line bisection test, a sit-to-stand movement, and balance assessment were performed before and after the intervention. The intervention task involved pointing at targets 48 times in an upward bias condition.

RESULTS

Significant upward deviation on the line bisection test was noted in patients with right hemisphere damage. The load on the forefoot during the sit-to-stand movement was significantly increased. The range of anterior-posterior sway during forward movement in the balance assessment was reduced.

CONCLUSIONS

An adaptation task performed in an upward bias condition may produce an immediate effect on upward localization, sit-to-stand movement, and balance performance in patients with right hemisphere stroke.

摘要

目的

本研究旨在阐明使用头戴式显示器及网络摄像头并设置为修正俯仰角的干预措施对左右半球损伤患者的空间感知、从坐到站动作及站立平衡的影响。

方法

参与者为12例右半球损伤患者和12例左半球损伤患者。在干预前后进行直线二等分测试、从坐到站动作及平衡评估。干预任务包括在向上偏倚条件下指向目标48次。

结果

右半球损伤患者在直线二等分测试中出现显著向上偏差。从坐到站动作期间前脚掌的负荷显著增加。平衡评估中向前移动时前后摆动范围减小。

结论

在向上偏倚条件下执行的适应性任务可能会对右半球卒中患者的向上定位、从坐到站动作及平衡表现产生即时影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f3/10030314/41e61f6cad3b/prm-8-20230009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f3/10030314/5102bf32f3fd/prm-8-20230009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f3/10030314/41e61f6cad3b/prm-8-20230009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f3/10030314/5102bf32f3fd/prm-8-20230009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f3/10030314/41e61f6cad3b/prm-8-20230009-g002.jpg

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Effects of the brain-damaged side after stroke on the learning of a balance task in a non-immersive virtual reality environment.脑卒中后大脑受损侧对非沉浸式虚拟现实环境中平衡任务学习的影响。
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Exploring prism exposure after hemispheric damage: Reduced aftereffects following left-sided lesions.
探索半球性损伤后的棱镜暴露:左侧病变后,后效降低。
Cortex. 2019 Nov;120:611-628. doi: 10.1016/j.cortex.2018.10.014. Epub 2018 Nov 1.
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Long-lasting reduction in postural asymmetry by prism adaptation after right brain lesion without neglect.右脑损伤后无忽视症状时,棱镜适应可使姿势不对称得到长期改善。
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Determinants of sit-to-stand tasks in individuals with hemiparesis post stroke: A review.中风后偏瘫患者坐立任务的决定因素:一项综述。
Ann Phys Rehabil Med. 2015 Jun;58(3):167-72. doi: 10.1016/j.rehab.2015.04.007. Epub 2015 May 23.
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Spatial displacement of numbers on a vertical number line in spatial neglect.空间忽视中垂直数字线上数字的空间位移。
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Measuring verticality perception after stroke: why and how?脑卒中后垂直知觉的测量:为何以及如何测量?
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Rehabilitation of spatial neglect by prism adaptation: a peculiar expansion of sensorimotor after-effects to spatial cognition.棱镜适应对空间忽视的康复:感觉运动后效向空间认知的奇特扩展。
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