住院或门诊卒中康复出院后基于家庭的非沉浸式虚拟现实训练：平行可行性随机对照试验

Home-Based Nonimmersive Virtual Reality Training After Discharge From Inpatient or Outpatient Stroke Rehabilitation: Parallel Feasibility Randomized Controlled Trial.

作者信息

Sheehy Lisa, Taillon-Hobson Anne, Sveistrup Heidi, Bilodeau Martin, Yang Christine, Welch Vivian, Finestone Hillel

机构信息

Bruyère Health Research Institute, Ottawa, ON, Canada.

Faculty of Health Sciences, Schools of Rehabilitation Sciences and Human Kinetics, University of Ottawa, Ottawa, ON, Canada.

出版信息

JMIR Rehabil Assist Technol. 2025 Mar 28;12:e64729. doi: 10.2196/64729.

DOI:10.2196/64729

PMID:40153779

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11992496/

Abstract

BACKGROUND

Nonimmersive virtual reality training (NIVRT) can be used to continue rehabilitative exercise for stroke recovery at home after discharge from inpatient or outpatient therapy.

OBJECTIVE

The objectives of this randomized controlled feasibility trial were to assess home-based NIVRT as telerehabilitation with patients living with stroke, and its potential to improve standing function and gait.

METHODS

Patients approaching discharge from inpatient or outpatient stroke rehabilitation were randomly allocated to NIVRT or iPad interventions. NIVRT provided interactive games and exercises designed to improve balance, stepping, and aerobic capacity. iPad apps addressed cognition and fine motor skills. Participants were visited in their homes by a physiotherapist, taught to use the program, and asked to do 30 minutes of exercise 5 days a week for 6 weeks, asynchronously. Feasibility was assessed by measuring recruitment, adherence, ability to set up and learn NIVRT, enjoyment, intent to continue, perception of impact, and safety. Participants completed assessments of standing balance, gait, and general function, before and after the intervention, by a blinded assessor.

RESULTS

NIVRT participants (n=11; 10 male participants; mean age 64, SD 12 years) did an average of 26 sessions (total 700 minutes), while iPad participants (n=9; 6 male participants; mean age 61, SD 20 years) did an average of 33 sessions (total 1241 minutes). Space was tight in 5 homes. All but 1 participant learned NIVRT and progressed. Most enjoyed it and felt that it improved their recovery. There were no serious adverse events. Most assessments showed improvement over time for both groups.

CONCLUSIONS

Home-based NIVRT is safe and feasible to continue rehabilitative exercise after discharge. More research on efficacy and effectiveness in this population is required.

TRIAL REGISTRATION

ClinicalTrials.gov NCT03261713; https://clinicaltrials.gov/study/NCT03261713.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s13063-019-3438-9.

摘要

背景

非沉浸式虚拟现实训练（NIVRT）可用于在住院或门诊治疗出院后在家中继续进行中风康复的康复锻炼。

目的

这项随机对照可行性试验的目的是评估以家庭为基础的NIVRT作为中风患者的远程康复治疗，及其改善站立功能和步态的潜力。

方法

即将从住院或门诊中风康复出院的患者被随机分配到NIVRT组或iPad干预组。NIVRT提供旨在改善平衡、步幅和有氧运动能力的互动游戏和锻炼。iPad应用程序则针对认知和精细运动技能。物理治疗师会到患者家中进行探访，教授他们如何使用该程序，并要求他们每周5天、每天进行30分钟的锻炼，为期6周，锻炼过程异步进行。通过测量招募情况、依从性、设置和学习NIVRT的能力、趣味性、继续锻炼的意愿、对效果的感知以及安全性来评估可行性。干预前后，由一位不知情的评估人员对参与者的站立平衡、步态和总体功能进行评估。

结果

NIVRT组参与者（n = 11；10名男性参与者；平均年龄64岁，标准差12岁）平均进行了26次训练（总计700分钟），而iPad组参与者（n = 9；6名男性参与者；平均年龄61岁，标准差20岁）平均进行了33次训练（总计1241分钟）。5户家庭的空间比较狭小。除1名参与者外，其他所有参与者都学会了NIVRT并取得了进步。大多数人喜欢它，并认为它有助于康复。没有发生严重不良事件。大多数评估显示，两组参与者的情况都随着时间的推移有所改善。