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虚拟现实运动对肩周炎患者疼痛、关节活动度及生活质量的影响:一项随机对照研究。

Effects of virtual reality exercise on pain, joint motion, and quality of life in patients with frozen shoulder: a randomized controlled study.

作者信息

Demir Oguzhan Bahadir, Kablanoglu Serkan, Sari Pakize Nurgul, Alyanak Bulent, Taskin Yilmaz Feride, Dursun Erbil

机构信息

Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Sakarya University of Applied Sciences, Sakarya, Turkey.

Physiotherapy and Rehabilitation Application and Research Center, Sakarya University of Applied Sciences, Sakarya, Turkey.

出版信息

Physiother Theory Pract. 2025 Jul;41(7):1435-1446. doi: 10.1080/09593985.2024.2443027. Epub 2024 Dec 19.

Abstract

BACKGROUND

Restriction of shoulder movements in frozen shoulder may negatively affect individual's daily living activities. The effect of the virtual reality (VR)-based exercise program, which is an innovative application and has been used in the field of physiotherapy in recent years, is unknown on patients diagnosed with frozen shoulder.

OBJECTIVE

This study was conducted to determine the effects of a VR-based exercise program provided to patients with frozen shoulder on their pain, joint motion, and quality of life.

METHODS

In the randomized controlled study, patients were divided into two groups to receive treatment five times a week for four weeks:VR-based exercise (VR group,  = 18) and conventional treatment(control group,  = 18). The data were collected using the VisualAnalog Scale, the Shoulder Pain and Disability Index, and the ShortForm - 36 health Scale.

RESULTS

In comparison to the pre-treatment measurements, improvements were observed in pain, joint range of motion, and quality of life in both groups after the treatment ( < .001). The improvement in pain observed in the VR group after the treatment was greater than that observed in the control group (=-2.064, = .030). After the treatment, the quality of life in the mental health dimension was better for patients in the VR group (= -1.979, = .048).

CONCLUSION

VR-based exercise was an effective method for reducing the pain levels and improving the mental health of patients diagnosed with frozen shoulder.

摘要

背景

肩周炎患者肩部活动受限可能会对其日常生活活动产生负面影响。虚拟现实(VR)运动计划是一种创新应用,近年来已在物理治疗领域使用,但其对肩周炎患者的影响尚不清楚。

目的

本研究旨在确定为肩周炎患者提供的基于VR的运动计划对其疼痛、关节活动度和生活质量的影响。

方法

在这项随机对照研究中,患者被分为两组,每周接受五次治疗,共四周:基于VR的运动(VR组,n = 18)和传统治疗(对照组,n = 18)。使用视觉模拟量表、肩痛和残疾指数以及简短健康调查问卷-36收集数据。

结果

与治疗前测量结果相比,两组治疗后疼痛、关节活动范围和生活质量均有改善(P < .001)。治疗后VR组观察到的疼痛改善大于对照组(t = -2.064,P = .030)。治疗后,VR组患者心理健康维度的生活质量更好(t = -1.979,P = .048)。

结论

基于VR的运动是一种有效方法,可降低肩周炎患者的疼痛水平并改善其心理健康。

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