Garay-Sánchez Aitor, Marcén-Román Yolanda, Ferrando-Margelí Mercedes, Franco-Sierra M Ángeles, Suarez-Serrano Carmen
Institute for Health Research Aragón, 50009 Zaragoza, Spain.
Miguel Servet University Hospital, 50009 Zaragoza, Spain.
Healthcare (Basel). 2023 May 5;11(9):1335. doi: 10.3390/healthcare11091335.
Many stroke survivors suffer from sensorimotor deficits, especially balance impairments. The purpose of this trial is to investigate whether the designed Immersive Virtual Reality training program is better in the short term (15 sessions) and in the medium term (30 sessions) than physiotherapy training with Bayouk, Boucher and Leroux exercises, with respect to static balance in sitting and standing, dynamic balance and quality of life in patients with balance impairment in stroke survivors.
This study is a randomized controlled trial with two treatment arms and evaluators blinded, and a functionality treatment group in combination with specific balance exercise training according to Bayouk, Boucher and Leroux (control group) or a balanced treatment using Immersive VR. The primary outcome will be static, Dynamic balance and gait measured by Bestest Assessment Score (BESTest), Berg Scale (BBS), Pass Scale (PASS) and Time Up and Go test (TUG). The secondary outcome will be the stroke-associated quality of life using the Stroke Quality of Life Scale (ECVI-38).
The results of this study may add new insights into how to address balance using Immersive Virtual Reality after a stroke. If the new training approach proves effective, the results may provide insight into how to design more comprehensive protocols in the future for people with balance impairments after stroke.
许多中风幸存者存在感觉运动功能障碍，尤其是平衡受损。本试验的目的是研究对于中风幸存者中存在平衡障碍的患者，所设计的沉浸式虚拟现实训练方案在短期（15节训练课）和中期（30节训练课）是否比采用Bayouk、Boucher和Leroux练习的物理治疗训练在坐位和站立位静态平衡、动态平衡及生活质量方面表现更优。
本研究是一项随机对照试验，设有两个治疗组且评估者为盲法，一个功能治疗组结合根据Bayouk、Boucher和Leroux进行的特定平衡运动训练（对照组），另一个为采用沉浸式虚拟现实的平衡治疗组。主要结局指标将通过最佳评估量表（BESTest）、伯格平衡量表（BBS）、通过量表（PASS）和起立行走测试（TUG）来测量静态、动态平衡及步态。次要结局指标将采用中风生活质量量表（ECVI - 38）评估中风相关生活质量。
本研究结果可能为中风后如何利用沉浸式虚拟现实改善平衡提供新的见解。如果新的训练方法被证明有效，研究结果可能为未来如何为中风后平衡受损患者设计更全面的方案提供思路。
