Nunnerley Joanne L, Murphy Peta, King Marcus, Zhang Yuewei, Snell Deborah L, Siew Diana, Billinghurst Mark
University of Otago, Dunedin, New Zealand.
Laura Fergusson Brain Injury Trust, University of Otago, Dunedin, New Zealand.
Disabil Rehabil. 2025 Apr 23:1-9. doi: 10.1080/09638288.2025.2482838.
The aim of the current study was to test a virtual reality (VR) rehabilitation tool for traumatic brain injury (TBI) and determine if the system could be integrated into usual clinical practice.
A mixed cohort study with 10 people with TBI, 4 Family/Whānau members and 13 clinicians from a single community centre specialising in TBI rehabilitation. TBI participants received two sessions of VR per week for six weeks integrated into usual rehabilitation. Fatigue measures, and system recorded therapist scores were collected from conversation, memory, and attention tasks embedded into each level of the VR. Participants also took part in interviews or focus groups.
The tool was successfully integrated into usual clinical care. TBI participants showed a trend of reduced fatigue and increased awareness of fatigue. The overarching theme identified from the qualitative data was 'Learn Reflect and Apply in Real Life'.
The VR tool can be integrated into clinical practice to provide a practical setting where clients with TBI can develop insight and awareness into the impact of their brain injury on their function, learn adaptive strategies and practice them repeatedly in a simulated, safe, realistic, and supported environment.
本研究旨在测试一种用于创伤性脑损伤(TBI)的虚拟现实(VR)康复工具,并确定该系统是否能够融入常规临床实践。
一项混合队列研究,纳入了10名创伤性脑损伤患者、4名家属以及来自一家专门从事创伤性脑损伤康复的单一社区中心的13名临床医生。创伤性脑损伤参与者在为期六周的时间里,每周接受两次虚拟现实康复治疗,并将其纳入常规康复治疗中。从虚拟现实每个关卡中嵌入的对话、记忆和注意力任务中收集疲劳测量数据以及系统记录的治疗师评分。参与者还参加了访谈或焦点小组。
该工具成功融入了常规临床护理。创伤性脑损伤参与者表现出疲劳减轻和对疲劳认识增强的趋势。从定性数据中确定的总体主题是“在现实生活中学习、反思和应用”。
虚拟现实工具可以融入临床实践,提供一个实际环境,使创伤性脑损伤患者能够深入了解脑损伤对其功能的影响,学习适应性策略,并在模拟、安全、现实且有支持的环境中反复练习这些策略。