Facultad de Ingeniería Electrónica, Universidad Pontificia Bolivariana, Medellín 050031, Colombia.
Grupo de Investigaciones en Bioingeniería, Universidad Pontificia Bolivariana, Medellín 055031, Colombia.
Sensors (Basel). 2023 Nov 11;23(22):9114. doi: 10.3390/s23229114.
Arthrogenic muscle inhibition (AMI) refers to muscular alterations that are generated, producing biomechanical motor control and movement problems, leading to deficiencies in strength and atrophy. Currently, there exist methods that involve virtual reality (VR) and have been well perceived by physiotherapists. The present research measured the potential benefits in terms of therapeutic adherence and speed of recovery, through a comparative analysis in a healthcare provider institution, in Medellín, Colombia, with and without the aid of VR. For this purpose, dynamometry, and surface electromyography (sEMG) signal acquisition tools were used. The treatment involved neuromodulation, ranges of motion and mobility work, strengthening and reintegration into movement, complemented with TENS, NMENS and therapeutic exercise, where the patient was expected to receive a satisfactory and faster adherence and recovery. A group of 15 people with AMI who include at least 15 min of VR per session in their treatment were compared with another group who received only the base treatment, i.e., the control group. Analyzing the variables individually, it is possible to affirm that VR, as a complement, statistically significantly improved the therapeutic adherence in 33.3% for CG and 37.5% for IG. Additionally, it increased strength with both legs, the symmetry between them, and decreased the level of pain and stiffness that is related to mobility.
关节源性肌肉抑制（AMI）是指肌肉发生改变，从而产生生物力学运动控制和运动问题，导致力量和萎缩不足。目前，已经有涉及虚拟现实（VR）的方法，并且受到物理治疗师的广泛认可。本研究通过在哥伦比亚麦德林的医疗服务机构进行比较分析，评估了在 VR 辅助和无 VR 辅助两种情况下，治疗的依从性和恢复速度的潜在益处。为此，使用了测力和表面肌电图（sEMG）信号采集工具。治疗包括神经调节、运动范围和活动能力工作、强化和重新融入运动，辅以 TENS、NMENS 和治疗性运动，预计患者将获得满意和更快的依从性和恢复。一组 15 名患有 AMI 的患者，他们在治疗中至少每 session 接受 15 分钟的 VR，与仅接受基础治疗（即对照组）的另一组进行了比较。对各个变量进行分析，可以肯定地说，作为一种补充，VR 在 CG 中提高治疗依从性的比例为 33.3%，IG 为 37.5%。此外，它还增强了双腿的力量，增强了双腿之间的对称性，降低了与活动相关的疼痛和僵硬程度。
