虚拟现实技术用于脊髓型颈椎病（CSM）患者术后康复的疗效：一项随机对照试验的研究方案
The efficacy of virtual reality technology for the postoperative rehabilitation of patients with cervical spondylotic myelopathy (CSM): a study protocol for a randomized controlled trial.
作者信息
Wu Jiajun, Sun Zhongchuan, Ge Zhichao, Zhang Dong, Xu Jianghan, Zhang Rilin, Liu Xuecheng, Zhao Qing, Sun Hao
机构信息
Department of Spinal Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Center of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
出版信息
Trials. 2024 Feb 19;25(1):133. doi: 10.1186/s13063-024-07962-9.
BACKGROUND
Patients with cervical spondylosis myelopathy (CSM) may experience severe neurological dysfunction due to untimely spinal cord compression after surgery. These disorders may lead to sensory and motion disorders, causing considerable psychological distress. Recent studies found that virtual reality (VR) technology can be an effective tool for treating spinal cord injuries. Owing to this discovery, we developed an exploratory research project to investigate the impact of this intervention on the postoperative recovery of patients with CSM.
METHODS
The purpose of this randomized controlled trial was to evaluate the efficacy of combining VR technology with conventional rehabilitation strategies for the postoperative rehabilitation of patients with CSM. A total of 78 patients will be recruited and randomized to either the conventional rehabilitation group or the group subjected to VR technology combined with conventional rehabilitation strategies. The Japanese Orthopaedic Association (JOA) scale will be the main tool used, and secondary outcomes will be measured via the visual analogue scale (VAS), neck disability index (NDI), and functional MRI (fMRI). The data analysis will identify differences between the intervention and control groups as well as any relationship between the intragroup changes in the functional area of the brain and the subjective scale scores after the intervention.
DISCUSSION
The aim of this trial is to investigate the effect of VR training on the postoperative rehabilitation of patients with CSM after 12 intervention treatments. Positive and negative outcomes will help us better understand the effectiveness of the intervention and its neural impact. If effective, this study could provide new options for the postoperative rehabilitation of patients with CSM.
TRIAL REGISTRATION
Chinese Clinical Trial Registry (ChiCTR2300071544). Registered 17 May 2023, https://www.chictr.org.cn/ .
背景
脊髓型颈椎病（CSM）患者术后若脊髓受压未及时解除，可能会出现严重的神经功能障碍。这些病症可能导致感觉和运动障碍，引起相当大的心理困扰。最近的研究发现，虚拟现实（VR）技术可以成为治疗脊髓损伤的有效工具。基于这一发现，我们开展了一项探索性研究项目，以调查这种干预措施对CSM患者术后恢复的影响。
方法
这项随机对照试验的目的是评估VR技术与传统康复策略相结合对CSM患者术后康复的疗效。总共将招募78名患者，并随机分为传统康复组或接受VR技术与传统康复策略相结合的组。日本骨科协会（JOA）量表将作为主要使用工具，次要结果将通过视觉模拟量表（VAS）、颈部残疾指数（NDI）和功能磁共振成像（fMRI）进行测量。数据分析将确定干预组和对照组之间的差异，以及干预后大脑功能区域的组内变化与主观量表评分之间的任何关系。
讨论
本试验的目的是研究VR训练对CSM患者在12次干预治疗后的术后康复效果。阳性和阴性结果将有助于我们更好地了解该干预措施的有效性及其对神经的影响。如果有效，本研究可为CSM患者的术后康复提供新的选择。
试验注册
中国临床试验注册中心（ChiCTR2300071544）。于2023年5月17日注册，https://www.chictr.org.cn/ 。
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