Abdelmoniem Ibrahim Ahmed, Aly Sobhy M, Youssef Ahmed S A, Ragab Mohamed Marzouk Mohamed, Hussein Hisham M
Department of Physical Therapy, College of Applied Medical Sciences, University of Ha'il, Ha'il 81451, Saudi Arabia.
Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt.
J Clin Med. 2024 Dec 13;13(24):7609. doi: 10.3390/jcm13247609.
Surgical treatment of breast cancer may lead to physical and psychological side effects. Exercises, especially those aided by virtual reality (VR), can improve both physical and psychological dysfunctions. To explore the effects of exercises using VR through Pablo games Technology on the function, grip strength, wrist ROM, fatigue, pain, activities of daily living (ADLs), and anxiety among post-operative breast cancer females. Forty post-operative breast cancer females participated in the current study: nineteen in the control group (CG), who received a standard treatment consisting of upper limb exercises plus intermittent compression therapy, and twenty-one participants assigned to the Pablo group (PG), who received the standard treatment plus additional training using the Pablo game training system. The intervention period was eight weeks long. The outcome measures were function, grip strength, wrist ROM, fatigue, pain, activities of daily living, and anxiety. Data were obtained at the baseline, after eight weeks, and at two months follow-up. There were statistically significant declines in pain and fatigue, while there were statistically significant improvements in ADLs, grip strength, function, and ROM post-intervention and at two months follow-up in both groups ( < 0.001). Between-group comparisons demonstrated a statistically significant decrease in pain, anxiety, and fatigue and statistically significant improvements in function, ADLs, grip strength, and ROM in favor of the PG post-treatment and at the follow-up ( < 0.001). Adding VR using the Pablo game training system to the standard rehabilitation of post-surgical breast cancer patients can further improve their function, hand grip, wrist ROM, fatigue, pain, and ADLs.
乳腺癌的手术治疗可能会导致身体和心理方面的副作用。运动，尤其是借助虚拟现实（VR）辅助的运动，可以改善身体和心理功能障碍。旨在探讨通过巴勃罗游戏技术进行VR运动对乳腺癌术后女性的功能、握力、腕关节活动度、疲劳、疼痛、日常生活活动能力（ADL）和焦虑的影响。40名乳腺癌术后女性参与了本研究：19名在对照组（CG），接受包括上肢运动加间歇性压迫疗法的标准治疗；21名参与者被分配到巴勃罗组（PG），接受标准治疗外加使用巴勃罗游戏训练系统的额外训练。干预期为八周。结果测量指标为功能、握力、腕关节活动度、疲劳、疼痛、日常生活活动能力和焦虑。在基线、八周后和两个月随访时获取数据。两组在干预后和两个月随访时，疼痛和疲劳有统计学意义的下降，而ADL、握力、功能和活动度有统计学意义的改善（<0.001）。组间比较显示，治疗后及随访时，PG组的疼痛、焦虑和疲劳有统计学意义的降低，功能、ADL、握力和活动度有统计学意义的改善（<0.001）。在乳腺癌术后患者的标准康复治疗中加入使用巴勃罗游戏训练系统的VR，可以进一步改善其功能、握力、腕关节活动度、疲劳、疼痛和ADL。
