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比较虚拟现实呼吸训练与激励式肺量计训练对改善痉挛型双侧瘫脑瘫患儿肺功能的效果。

Comparing the Effects of Virtual Reality Breathing Exercise and Incentive Spirometry Exercise on Improving Pulmonary Function in Children with Spastic Diplegic Cerebral Palsy.

作者信息

S Rajesh, Kanniappan Vadivelan, Santhosh Kanna B S, T S Veeragoudhaman

机构信息

Physiotherapy, SRM (Sri Ramaswamy Memorial) College of Physiotherapy, SRM Institute of Science and Technology, Chengalpattu, IND.

Physiotherapy, National Institute for Empowerment of Persons with Multiple Disabilities (Divyangjan) - Government of India, Chennai, IND.

出版信息

Cureus. 2024 Apr 27;16(4):e59149. doi: 10.7759/cureus.59149. eCollection 2024 Apr.

Abstract

INTRODUCTION

Children with cerebral palsy (CP) have a higher incidence of respiratory dysfunction than healthy children. Virtual reality breathing therapy is an assistive technology that is becoming popular in the rehabilitation of children with CP.

METHODS

This experimental study included a total of 32 children with spastic diplegic CP who were divided into two groups: the virtual reality breathing training (VRBT) group and the incentive spirometry (IST) group. Individuals classified as levels I to III on the gross motor function classification system (GMFCS) were recruited using the simple random sampling method.

RESULT

The results of comparing the values of forced vital capacity (FVC), forced expiratory volume at one second (FEV1), and the ratio of FVC/FEV1 showed a significant difference between groups. A significant difference was found in the VRBT group compared to the IST group, except for the peak expiratory flow (PEF) values, which showed a nonsignificant difference between the groups.

CONCLUSION

There were significant differences in FVC and FEV1 between the VRBT and IST groups. It has been concluded that VRBT has additional benefits in improving pulmonary functions.

摘要

引言

脑瘫(CP)患儿呼吸功能障碍的发生率高于健康儿童。虚拟现实呼吸疗法是一种辅助技术,在脑瘫患儿康复中越来越受欢迎。

方法

本实验研究共纳入32例痉挛性双瘫型脑瘫患儿,分为两组:虚拟现实呼吸训练(VRBT)组和激励肺活量测定(IST)组。采用简单随机抽样法招募粗大运动功能分类系统(GMFCS)分级为I至III级的个体。

结果

比较用力肺活量(FVC)、一秒用力呼气量(FEV1)和FVC/FEV1比值的结果显示,两组之间存在显著差异。与IST组相比,VRBT组存在显著差异,但呼气峰值流速(PEF)值在两组之间无显著差异。

结论

VRBT组和IST组在FVC和FEV1方面存在显著差异。得出的结论是,VRBT在改善肺功能方面有额外的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d7/11129773/612479b7b45f/cureus-0016-00000059149-i01.jpg

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